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Cine cerebrospinal fluid imaging in multiple sclerosis
Author(s) -
Magnano Christopher,
Schirda Claudiu,
WeinstockGuttman Bianca,
Wack David S.,
Lindzen Eric,
Hojnacki David,
Bergsland Niels,
Kennedy Cheryl,
Belov Pavel,
Dwyer Michael G.,
Poloni Guy U.,
Beggs Clive B.,
Zivadinov Robert
Publication year - 2012
Publication title -
journal of magnetic resonance imaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.563
H-Index - 160
eISSN - 1522-2586
pISSN - 1053-1807
DOI - 10.1002/jmri.23730
Subject(s) - cerebrospinal fluid , multiple sclerosis , medicine , pathology , radiology , psychiatry
Abstract Purpose: To investigate cerebrospinal fluid (CSF) dynamics in the aqueduct of Sylvius in multiple sclerosis (MS) patients and healthy controls (HC) using cine phase contrast imaging. Materials and Methods: In all, 67 MS patients (48 relapsing‐remitting [RR] and 19 secondary‐progressive [SP]), nine patients with clinically isolated syndrome (CIS), and 35 age‐ and sex‐matched HC were examined. CSF flow and velocity measures were quantified using a semiautomated method and compared with clinical and magnetic resonance imaging (MRI) disease outcomes. Results: Significantly decreased CSF net flow was detected in MS patients compared to HC (−3.7 vs. −7.1 μL/beat, P = 0.005). There was a trend for increased net positive flow between SP, RR, and CIS patients. Altered CSF flow and velocity measures were associated with more severe T1 and T2 lesion volumes, lateral and fourth ventricular volumes, and third ventricular width in MS and CIS patients ( P < 0.01 for all). In CIS patients, conversion to clinically definite MS in the following year was related to decreased CSF net flow ( P = 0.007). There was a trend between increased annual relapse rate and altered CSF flow/velocity measures in RRMS patients ( P < 0.05). Conclusion: CSF flow dynamics are altered in MS patients. More severe clinical and MRI outcomes in RRMS and CIS patients relate to altered CSF flow and velocity measures. J. Magn. Reson. Imaging 2012;36:825–834. © 2012 Wiley Periodicals, Inc.