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Abstract #0120

Brain microstructure charts in controls and multiple sclerosis patients using clinical diffusion MRI

Jenny Chen1, Benjamin Ades-Aron1, Ying Liao1, Michelle Pang2, Valentin Stepanov1, Timothy M. Shepherd1, Elizabeth Chasen1, Jelle Veraart1, Dmitry S. Novikov1, and Els Fieremans1
1New York University Grossman School of Medicine, New York, NY, United States, 2University of Hawai’i at Manoa, Honolulu, HI, United States

Synopsis

Keywords: DWI/DTI/DKI, White Matter

Motivation: Currently, brain charts index gray matter brain volume from T1-weighted MRI, whose sensitivity is limited to millimeter resolution, thereby unable to probe early signs of aging and pathology at the cellular level.

Goal(s): To introduce normative data for diffusion MRI (dMRI) and apply it to multiple sclerosis (MS) patients to evaluate sensitivity and accuracy.

Approach: We created normative data using diffusion tensor, diffusion kurtosis, and standard model imaging metrics in white matter. Then, assessed MS subjects by comparing to these normative data.

Results: dMRI metrics from MS patients deviate from normative data, suggesting brain charts may be used to benchmark brain health.

Impact: This study is the first step to achieve a brain-age framework from clinically feasible dMRI scans that provides meaningful insight into microstructural processes underlying brain aging and disease– possibly enabling quantitative assessment of treatment response to future disease-modifying therapies.

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