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Abstract #1271

Axonal Diameter Mapping as a biomarker for mTBI as detected by ultrahigh-bvalue DWI in a high performance Head-only gradient system, MAGNUS.

H. Douglas Morris1, Nastaren Abad2, Chitresh Bhushan2, Luca Marinelli2, Gail Kohls1, Maureen N Hood1, James Kevin DeMarco1,3, Robert Shih1,3, Vincent B Ho1, and Thomas K F Foo2
1Radiology, Uniformed Services University of the Health Sciences, Bethesda, MD, United States, 2GE Healthcare, Niskayuna, NY, United States, 3Radiology, Walter Reed National Military Medical Center, Bethesda, MD, United States

Synopsis

Keywords: Microstructure, Diffusion/other diffusion imaging techniques, High-performance head-only Gradient

Motivation: Detect a mild traumatic brain injury with a reliable diagnostic for staging disease state and the testing therapies for treating the malady in acute and long term phase.

Goal(s): Develop a MRI biomarker that can be repeated used on patients especially in the warfighter population which have more that 500,000 diagnosed mTBI over the past 30 year.

Approach: Use of diffusion MRI to determine the white matter microstructural state namely the axon diameter.

Results: MAGNUS SE-DWI high-B can detect changes in axon diameter and follow these changes in single subject over time.

Impact: High B-value diffusion imaging (b > 30000 mm2/sec) can detect changes in mild TBI subjects that can be seen to progress through the recovery process. The high-performance gradient system, MAGNUS, (200mT/m, 500T/m/s) scanning without peripheral nerve stimulation in the subject.

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Keywords