Document Detail


A method for measuring the cross sectional area of the anterior portion of the optic nerve in vivo using a fast 3D MRI sequence.
MedLine Citation:
PMID:  20512904     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To investigate the three-dimensional (3D) fast-recovery fast spin-echo accelerated (FRFSE-XL) sequence as a new application for measuring the intraorbital optic nerve (ION) mean cross-sectional area in vivo and to determine its value within a commonly used high resolution imaging protocol. MATERIALS AND METHODS: The entire ION was scanned in nine healthy volunteers (mean age 32 +/- 4 years) using the 3D FRFSE-XL sequence and a commonly used high resolution short-echo fast fluid-attenuated inversion-recovery (sTE fFLAIR) sequence with identical slice locations at 1.5T. The mean cross-sectional area from both sequences was measured on a slice-by-slice basis from 3 mm behind the globe to the orbital apex. The reproducibility of both techniques was assessed from repeated scans (scan-rescan) and repeated image analysis (intraobserver). RESULTS: Measurement of the mean cross-sectional area of the anterior 9 mm segment of the ION was only possible using the 3D FRFSE-XL sequence with a mean area of 11.6 +/- 2.2 mm(2) (scan rescan COV = 3.3 +/- 1.5, intraobserver COV = 2.4 +/- 0.02) whereas the remainder segment of the ION (i.e., 9 mm behind the globe to the orbital apex) could only be measured with the use of the sTE fFLAIR with a mean area of 8.5 +/- 1.7 mm(2) (scan rescan COV = 4.9 +/- 2.5 and intraobserver COV = 3.70 +/- 0.03). CONCLUSION: The 3D FRFSE-XL allows fast and reproducible measurement of the cross-sectional area of the anterior 9 mm segment of the ION, which is not possible using commonly used imaging sequences due to image degradation from motion, and is of complementary value to the existing imaging protocol for ION atrophy quantification.
Authors:
Marios C Yiannakas; Claudia A M Wheeler-Kingshott; Alaine M Berry; Karyn Chappell; Andrew Henderson; Madhan Kolappan; David H Miller; Daniel J Tozer
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of magnetic resonance imaging : JMRI     Volume:  31     ISSN:  1522-2586     ISO Abbreviation:  J Magn Reson Imaging     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-31     Completed Date:  2010-09-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9105850     Medline TA:  J Magn Reson Imaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1486-91     Citation Subset:  IM    
Affiliation:
Department of Neuroinflammation, UCL Institute of Neurology, Queen Square, London, WC1N 3BG, UK. m.yiannakas@ion.ucl.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Adult
Algorithms
Female
Humans
Image Processing, Computer-Assisted / methods
Imaging, Three-Dimensional / methods*
Magnetic Resonance Imaging / methods*
Male
Models, Anatomic
Optic Atrophy / diagnosis*,  pathology
Optic Nerve / anatomy & histology*,  pathology*
Software

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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