We investigated the microstructural changes in the spinal cords of patients with multiple sclerosis (MS) and neuromyelitis optica spectrum disorder (NMOSD) using micro fractional anisotropy (μFA) derived from both double diffusion encoding (DDE) and 2-shell single diffusion encoding data with spherical mean techniques (SMT). There was no significant difference in μFA between MS and NMO. SMTs were not correlated with μFA derived from DDE. Therefore, SMT may be better treated as a separate diffusion MRI metric from μFA to investigate the microstructural alterations of spinal cord in patients with MS and NMOSD in vivo.
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