The pathology of multiple sclerosis (MS) is highly correlated with the dynamics of two susceptibility sources, paramagnetic iron and diamagnetic myelin. Various MRI methods sensitive to the substances have been developed for MS pathology. However, the collective effects of iron and myelin to an MRI signal have hampered monitoring individual changes of the substances. Here, we evaluated the effectiveness of 𝜒-separation, which estimates individual contributions of para-/dia-magnetic susceptibility, for visualizing MS pathology-related iron/myelin changes. The resulting paramagnetic and diamagnetic susceptibility conform to the histopathological features of MS lesion (iron-rim in Perls staining, and re-/de-myelinated lesions in myelin basic protein staining).
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