Keywords: Multiple Sclerosis, Multiple Sclerosis, serum, white matter, myelin, water content, T1, brain
Motivation: Quantitative and specific MRI methods may better characterize brain changes in multiple sclerosis (MS). Serum biomarkers that reflect advanced MRI measures would be an accessible and cost-effective tool for tracking these changes.
Goal(s): To explore the ability of serum 24-hydroxycholesterol to reflect changes in advanced brain MRI measures in MS.
Approach: 103 MS participants with diverse disease course subtypes underwent 3T MRI and same-day venous blood sampling.
Results: Lesion water content and myelin water fraction (MWF), normal appearing white matter MWF and T1, and diffusely abnormal white matter MWF demonstrated relationships with serum 24-hydroxycholesterol in specific disease courses of MS.
Impact: Correlation between serum 24-hydroxycholesterol and advanced MRI measures in different MS subtypes encourage further investigation of its use as a supportive marker. The development of MRI and serum markers could improve the sensitivity and frequency of monitoring MS disease progression.
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