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Abstract #2972

Characterization of brain structure and perfusion in patients with systemic sclerosis by magnetic resonance imaging

Xinyu Tong1, Huilin He2, Shihan Xu2, Rui Shen3, Xingyu Zhou2, Zihan Ning3, Ning Xu3, Jiachen Liu3, Shuwan Yu3, Zuo-Xiang He1, Dong Xu2, and Xihai Zhao3
1School of Clinical Medicine, Tsinghua University, Beijing, China, 2Department of Rheumatology and Clinical Immunology, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China, 3Center for Biomedical Imaging Research, Tsinghua University, Beijing, China

Synopsis

Keywords: Multiple Sclerosis, Perfusion, systemic sclerosis

Motivation: Cerebral involvement in systemic sclerosis (SSc) was reported increasingly but lacks evidence of specific imaging biomarkers.

Goal(s): To characterize cerebral structure and perfusion in SSc patients using MR imaging.

Approach: Brain structure and perfusion were characterized using T1w and pCASL MR sequences. The regional volume and cerebral blood flow (CBF) and voxel-wise CBF differences were compared between healthy volunteers, diffuse cutaneous (dcSSc) and limited cutaneous of SSc (lcSSc) patients.

Results: The SSc patients showed significantly lower voxel-wize CBF than healthy volunteers, and the dcSSc patients showed significantly lower CBF in both region-wise and voxel-wise level than the lcSSc patients.

Impact: Our study demonstrates the regional-wise and voxel-wise cerebral blood flow decrease in SSc patients, which might provide the new insights into the central nervous system involvement and related clinical manifestations in SSc.

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