Research output: Contribution to journal › Article › peer-review
Application of the T1w/T2w mapping technique for spinal cord assessment in patients with degenerative cervical myelopathy. / Filimonova, Elena; Letyagin, Vladimir; Zaitsev, Boris et al.
In: Spinal cord, Vol. 62, No. 1, 01.2024, p. 6-11.Research output: Contribution to journal › Article › peer-review
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TY - JOUR
T1 - Application of the T1w/T2w mapping technique for spinal cord assessment in patients with degenerative cervical myelopathy
AU - Filimonova, Elena
AU - Letyagin, Vladimir
AU - Zaitsev, Boris
AU - Kubetsky, Yulij
AU - Rzaev, Jamil
N1 - © 2023. The Author(s), under exclusive licence to International Spinal Cord Society.
PY - 2024/1
Y1 - 2024/1
N2 - STUDY DESIGN: Retrospective case-control study.OBJECTIVES: To investigate signal changes on T1w/T2w signal intensity ratio maps within cervical cord in patients with degenerative cervical myelopathy (DCM).SETTING: Novosibirsk Neurosurgery Center, Russia.METHODS: A total of 261 patients with DCM and 42 age- and sex-matched healthy controls were evaluated using the T1w/T2w mapping method and spinal cord automatic morphometry. The T1w/T2w signal intensity ratio, which reflects white matter integrity, and the spinal cord cross-sectional area (CSA) were calculated and compared between the patients and the controls. In patients with DCM, the correlations between these parameters and neurological scores were also evaluated.RESULTS: The regional T1w/T2w ratio values from the cervical spinal cord at the level of maximal compression in patients with DCM were significantly lower than those in healthy controls (p < 0.001), as were the regional CSA values (p < 0.001). There was a positive correlation between the regional values of the T1w/T2w ratio and the values of the CSA at the level of maximal spinal cord compression.CONCLUSIONS: T1w/T2w mapping revealed that spinal cord tissue damage exists at the level of maximal compression in patients with DCM in association with spinal cord atrophy according to automatic morphometry. These changes were correlated with each other.
AB - STUDY DESIGN: Retrospective case-control study.OBJECTIVES: To investigate signal changes on T1w/T2w signal intensity ratio maps within cervical cord in patients with degenerative cervical myelopathy (DCM).SETTING: Novosibirsk Neurosurgery Center, Russia.METHODS: A total of 261 patients with DCM and 42 age- and sex-matched healthy controls were evaluated using the T1w/T2w mapping method and spinal cord automatic morphometry. The T1w/T2w signal intensity ratio, which reflects white matter integrity, and the spinal cord cross-sectional area (CSA) were calculated and compared between the patients and the controls. In patients with DCM, the correlations between these parameters and neurological scores were also evaluated.RESULTS: The regional T1w/T2w ratio values from the cervical spinal cord at the level of maximal compression in patients with DCM were significantly lower than those in healthy controls (p < 0.001), as were the regional CSA values (p < 0.001). There was a positive correlation between the regional values of the T1w/T2w ratio and the values of the CSA at the level of maximal spinal cord compression.CONCLUSIONS: T1w/T2w mapping revealed that spinal cord tissue damage exists at the level of maximal compression in patients with DCM in association with spinal cord atrophy according to automatic morphometry. These changes were correlated with each other.
KW - Case-Control Studies
KW - Cervical Cord/diagnostic imaging
KW - Cervical Vertebrae/diagnostic imaging
KW - Humans
KW - Magnetic Resonance Imaging/methods
KW - Retrospective Studies
KW - Spinal Cord Compression/diagnostic imaging
KW - Spinal Cord Diseases/diagnostic imaging
KW - Spinal Cord Injuries
KW - Spinal Cord/diagnostic imaging
UR - https://www.scopus.com/record/display.uri?eid=2-s2.0-85175537360&origin=inward&txGid=96c4df04018a2385cb90a385be879a58
UR - https://www.mendeley.com/catalogue/222eeb7c-45b6-359e-8047-585e44f7b6eb/
U2 - 10.1038/s41393-023-00941-y
DO - 10.1038/s41393-023-00941-y
M3 - Article
C2 - 37919382
VL - 62
SP - 6
EP - 11
JO - Spinal cord
JF - Spinal cord
SN - 1362-4393
IS - 1
ER -
ID: 57537593