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Erschienen in: European Spine Journal 12/2015

01.12.2015 | Original Article

Normal values of cervical spinal cord diffusion tensor in young and middle-aged healthy Chinese

verfasst von: Tin-Yan Chan, Xiang Li, Kin-Cheung Mak, Jason Pui-yin Cheung, Keith Dip-Kei Luk, Yong Hu

Erschienen in: European Spine Journal | Ausgabe 12/2015

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Abstract

Purpose

Lack of normal reference value of diffusion tensor imaging parameters hinders its application in clinical practice. In this study, we aim to establish a comprehensive normal DTI database of Chinese subjects.

Methods

Sixty-five healthy subjects aged 21–61 years were recruited and underwent 3T DTI scan of cervical spine. DTI parameters were measured in whole cord, ventral, lateral and dorsal column from C2 to C7 segments. Regions, segments, gender and age-related changes of DTI parameters were analyzed.

Results

No significant difference was found between genders (p > 0.05). DTI parameters significantly differed among different cord levels (p < 0.05). FA value in whole cord, grey matter, dorsal and ventral column showed significant but weak correlation with age (p < 0.05).

Conclusion

A comprehensive normal database of DTI parameters of cervical spinal cord was established. The effect of gender and age-related changes is negligible in DTI analysis of cervical spinal cord disorders.
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Literatur
1.
Zurück zum Zitat Quencer R (2001) Cervical myelopathy: imaging/clinical correlations and the application of evolving magnetic resonance imaging techniques in cervical spinal cord abnormalities. Spine 26:2411–2413CrossRefPubMed Quencer R (2001) Cervical myelopathy: imaging/clinical correlations and the application of evolving magnetic resonance imaging techniques in cervical spinal cord abnormalities. Spine 26:2411–2413CrossRefPubMed
2.
Zurück zum Zitat Payer M, Hodler J, Benini A (2004) Surgical treatment of cervical myelopathy of unclear aetiology. J Clin Neurosci 11:159–162CrossRefPubMed Payer M, Hodler J, Benini A (2004) Surgical treatment of cervical myelopathy of unclear aetiology. J Clin Neurosci 11:159–162CrossRefPubMed
3.
Zurück zum Zitat Budde MD, Xie M, Cross AH, Song S-K (2009) Axial diffusivity is the primary correlate of axonal injury in the experimental autoimmune encephalomyelitis spinal cord: a quantitative pixelwise analysis. J Neurosci 29:2805–2813PubMedCentralCrossRefPubMed Budde MD, Xie M, Cross AH, Song S-K (2009) Axial diffusivity is the primary correlate of axonal injury in the experimental autoimmune encephalomyelitis spinal cord: a quantitative pixelwise analysis. J Neurosci 29:2805–2813PubMedCentralCrossRefPubMed
4.
Zurück zum Zitat Mamata H, De Girolami U, Hoge WS, Jolesz FA, Maier SE (2006) Collateral nerve fibers in human spinal cord: visualization with magnetic resonance diffusion tensor imaging. Neuroimage 31:24–30CrossRefPubMed Mamata H, De Girolami U, Hoge WS, Jolesz FA, Maier SE (2006) Collateral nerve fibers in human spinal cord: visualization with magnetic resonance diffusion tensor imaging. Neuroimage 31:24–30CrossRefPubMed
5.
Zurück zum Zitat Madi S, Hasan KM, Narayana PA (2005) Diffusion tensor imaging of in vivo and excised rat spinal cord at 7 T with an icosahedral encoding scheme. Magn Reson Med 53:118–125CrossRefPubMed Madi S, Hasan KM, Narayana PA (2005) Diffusion tensor imaging of in vivo and excised rat spinal cord at 7 T with an icosahedral encoding scheme. Magn Reson Med 53:118–125CrossRefPubMed
6.
Zurück zum Zitat Maier SE, Mamata H (2005) Diffusion tensor imaging of the spinal cord. Ann N Y Acad Sci 1064:50–60CrossRefPubMed Maier SE, Mamata H (2005) Diffusion tensor imaging of the spinal cord. Ann N Y Acad Sci 1064:50–60CrossRefPubMed
7.
Zurück zum Zitat Ries M, Jones RA, Dousset V, Moonen CT (2000) Diffusion tensor MRI of the spinal cord. Magn Reson Med 44:884–892CrossRefPubMed Ries M, Jones RA, Dousset V, Moonen CT (2000) Diffusion tensor MRI of the spinal cord. Magn Reson Med 44:884–892CrossRefPubMed
8.
Zurück zum Zitat Toosy AT, Kou N, Altmann D, Wheeler-Kingshott CA, Thompson AJ, Ciccarelli O (2014) Voxel-based cervical spinal cord mapping of diffusion abnormalities in MS-related myelitis. Neurology 83:1321–1325PubMedCentralCrossRefPubMed Toosy AT, Kou N, Altmann D, Wheeler-Kingshott CA, Thompson AJ, Ciccarelli O (2014) Voxel-based cervical spinal cord mapping of diffusion abnormalities in MS-related myelitis. Neurology 83:1321–1325PubMedCentralCrossRefPubMed
9.
Zurück zum Zitat Kerkovský M, Bednarík J, Dušek L, Šprláková-Puková A, Urbánek I, Mechl M, Válek V, Kadanka Z (2012) Magnetic resonance diffusion tensor imaging in patients with cervical spondylotic spinal cord compression: correlations between clinical and electrophysiological findings. Spine 37:48–56CrossRefPubMed Kerkovský M, Bednarík J, Dušek L, Šprláková-Puková A, Urbánek I, Mechl M, Válek V, Kadanka Z (2012) Magnetic resonance diffusion tensor imaging in patients with cervical spondylotic spinal cord compression: correlations between clinical and electrophysiological findings. Spine 37:48–56CrossRefPubMed
10.
Zurück zum Zitat Hori M, Fukunaga I, Masutani Y, Nakanishi A, Shimoji K, Kamagata K, Asahi K, Hamasaki N, Suzuki Y, Aoki S (2012) New diffusion metrics for spondylotic myelopathy at an early clinical stage. Eur Radiol 22:1797–1802PubMedCentralCrossRefPubMed Hori M, Fukunaga I, Masutani Y, Nakanishi A, Shimoji K, Kamagata K, Asahi K, Hamasaki N, Suzuki Y, Aoki S (2012) New diffusion metrics for spondylotic myelopathy at an early clinical stage. Eur Radiol 22:1797–1802PubMedCentralCrossRefPubMed
11.
Zurück zum Zitat Ellingson BM, Salamon N, Grinstead JW, Holly LT (2014) Diffusion tensor imaging predicts functional impairment in mild-to-moderate cervical spondylotic myelopathy. Spine J 14:2589–2597PubMedCentralCrossRefPubMed Ellingson BM, Salamon N, Grinstead JW, Holly LT (2014) Diffusion tensor imaging predicts functional impairment in mild-to-moderate cervical spondylotic myelopathy. Spine J 14:2589–2597PubMedCentralCrossRefPubMed
12.
Zurück zum Zitat Cicchetti DV, Sparrow SA (1981) Developing criteria for establishing interrater reliability of specific items: applications to assessment of adaptive behavior. Am J Ment Defic 86:127–137PubMed Cicchetti DV, Sparrow SA (1981) Developing criteria for establishing interrater reliability of specific items: applications to assessment of adaptive behavior. Am J Ment Defic 86:127–137PubMed
13.
Zurück zum Zitat Fleiss JL, Levin B, Paik MC, Fleiss J (2003) Statistical methods for rates and proportions, 3rd edn. Wiley, New York, pp598–626 Fleiss JL, Levin B, Paik MC, Fleiss J (2003) Statistical methods for rates and proportions, 3rd edn. Wiley, New York, pp598–626
14.
Zurück zum Zitat Vedantam A, Jirjis MB, Schmit BD, Wang MC, Ulmer JL, Kurpad SN (2013) Characterization and limitations of diffusion tensor imaging metrics in the cervical spinal cord in neurologically intact subjects. J Magn Reson Imag 38:861–867CrossRef Vedantam A, Jirjis MB, Schmit BD, Wang MC, Ulmer JL, Kurpad SN (2013) Characterization and limitations of diffusion tensor imaging metrics in the cervical spinal cord in neurologically intact subjects. J Magn Reson Imag 38:861–867CrossRef
15.
Zurück zum Zitat Brander A, Koskinen E, Luoto TM, Hakulinen U, Helminen M, Savilahti S, Ryymin P, Dastidar P, Öhman J (2014) Diffusion tensor imaging of the cervical spinal cord in healthy adult population: normative values and measurement reproducibility at 3T MRI. Acta Radiol 55:478–485CrossRefPubMed Brander A, Koskinen E, Luoto TM, Hakulinen U, Helminen M, Savilahti S, Ryymin P, Dastidar P, Öhman J (2014) Diffusion tensor imaging of the cervical spinal cord in healthy adult population: normative values and measurement reproducibility at 3T MRI. Acta Radiol 55:478–485CrossRefPubMed
16.
Zurück zum Zitat Cui J-L, Wen C-Y, Hu Y, Li T-H, Luk KD-K (2011) Entropy-based analysis for diffusion anisotropy mapping of healthy and myelopathic spinal cord. Neuroimage 54:2125–2131CrossRefPubMed Cui J-L, Wen C-Y, Hu Y, Li T-H, Luk KD-K (2011) Entropy-based analysis for diffusion anisotropy mapping of healthy and myelopathic spinal cord. Neuroimage 54:2125–2131CrossRefPubMed
17.
Zurück zum Zitat Agosta F, Laganà M, Valsasina P, Sala S, Dall’Occhio L, Sormani MP, Judica E, Filippi M (2007) Evidence for cervical cord tissue disorganisation with aging by diffusion tensor MRI. Neuroimage 36:728–735CrossRefPubMed Agosta F, Laganà M, Valsasina P, Sala S, Dall’Occhio L, Sormani MP, Judica E, Filippi M (2007) Evidence for cervical cord tissue disorganisation with aging by diffusion tensor MRI. Neuroimage 36:728–735CrossRefPubMed
18.
Zurück zum Zitat Mamata H, Jolesz FA, Maier SE (2005) Apparent diffusion coefficient and fractional anisotropy in spinal cord: age and cervical spondylosis–related changes. J Magn Reson Imag 22:38–43CrossRef Mamata H, Jolesz FA, Maier SE (2005) Apparent diffusion coefficient and fractional anisotropy in spinal cord: age and cervical spondylosis–related changes. J Magn Reson Imag 22:38–43CrossRef
19.
Zurück zum Zitat Petersen JA, Wilm BJ, von Meyenburg J, Schubert M, Seifert B, Najafi Y, Dietz V, Kollias S (2012) Chronic cervical spinal cord injury: DTI correlates with clinical and electrophysiological measures. J Neurotrauma 29:1556–1566CrossRefPubMed Petersen JA, Wilm BJ, von Meyenburg J, Schubert M, Seifert B, Najafi Y, Dietz V, Kollias S (2012) Chronic cervical spinal cord injury: DTI correlates with clinical and electrophysiological measures. J Neurotrauma 29:1556–1566CrossRefPubMed
20.
Zurück zum Zitat Wang K, Song Q, Zhang F, Chen Z, Hou C, Tang Y, Chen S, Hao Q, Shen H (2014) Age-related changes of the diffusion tensor imaging parameters of the normal cervical spinal cord. Eur J Radiol 83:2196–2202CrossRefPubMed Wang K, Song Q, Zhang F, Chen Z, Hou C, Tang Y, Chen S, Hao Q, Shen H (2014) Age-related changes of the diffusion tensor imaging parameters of the normal cervical spinal cord. Eur J Radiol 83:2196–2202CrossRefPubMed
21.
Zurück zum Zitat Hesseltine S, Law M, Babb J, Rad M, Lopez S, Ge Y, Johnson G, Grossman R (2006) Diffusion tensor imaging in multiple sclerosis: assessment of regional differences in the axial plane within normal-appearing cervical spinal cord. Am J Neuroradiol 27:1189–1193PubMed Hesseltine S, Law M, Babb J, Rad M, Lopez S, Ge Y, Johnson G, Grossman R (2006) Diffusion tensor imaging in multiple sclerosis: assessment of regional differences in the axial plane within normal-appearing cervical spinal cord. Am J Neuroradiol 27:1189–1193PubMed
22.
Zurück zum Zitat Van Hecke W, Leemans A, Sijbers J, Vandervliet E, Van Goethem J, Parizel PM (2008) A tracking-based diffusion tensor imaging segmentation method for the detection of diffusion-related changes of the cervical spinal cord with aging. J Magn Reson Imag 27:978–991CrossRef Van Hecke W, Leemans A, Sijbers J, Vandervliet E, Van Goethem J, Parizel PM (2008) A tracking-based diffusion tensor imaging segmentation method for the detection of diffusion-related changes of the cervical spinal cord with aging. J Magn Reson Imag 27:978–991CrossRef
23.
Zurück zum Zitat Wheeler-Kingshott CA, Hickman SJ, Parker GJ, Ciccarelli O, Symms MR, Miller DH, Barker GJ (2002) Investigating cervical spinal cord structure using axial diffusion tensor imaging. Neuroimage 16:93–102CrossRefPubMed Wheeler-Kingshott CA, Hickman SJ, Parker GJ, Ciccarelli O, Symms MR, Miller DH, Barker GJ (2002) Investigating cervical spinal cord structure using axial diffusion tensor imaging. Neuroimage 16:93–102CrossRefPubMed
24.
Zurück zum Zitat Sullivan EV, Pfefferbaum A (2006) Diffusion tensor imaging and aging. Neurosci Biobehav Rev 30:749–761CrossRefPubMed Sullivan EV, Pfefferbaum A (2006) Diffusion tensor imaging and aging. Neurosci Biobehav Rev 30:749–761CrossRefPubMed
25.
Zurück zum Zitat Giorgio A, Santelli L, Tomassini V, Bosnell R, Smith S, De Stefano N, Johansen-Berg H (2010) Age-related changes in grey and white matter structure throughout adulthood. Neuroimage 51:943–951PubMedCentralCrossRefPubMed Giorgio A, Santelli L, Tomassini V, Bosnell R, Smith S, De Stefano N, Johansen-Berg H (2010) Age-related changes in grey and white matter structure throughout adulthood. Neuroimage 51:943–951PubMedCentralCrossRefPubMed
26.
Zurück zum Zitat Sullivan EV, Adalsteinsson E, Hedehus M, Ju C, Moseley M, Lim KO, Pfefferbaum A (2001) Equivalent disruption of regional white matter microstructure in ageing healthy men and women. NeuroReport 12:99–104CrossRefPubMed Sullivan EV, Adalsteinsson E, Hedehus M, Ju C, Moseley M, Lim KO, Pfefferbaum A (2001) Equivalent disruption of regional white matter microstructure in ageing healthy men and women. NeuroReport 12:99–104CrossRefPubMed
27.
Zurück zum Zitat Pfefferbaum A, Sullivan EV (2003) Increased brain white matter diffusivity in normal adult aging: relationship to anisotropy and partial voluming. Magn Reson Med 49:953–961CrossRefPubMed Pfefferbaum A, Sullivan EV (2003) Increased brain white matter diffusivity in normal adult aging: relationship to anisotropy and partial voluming. Magn Reson Med 49:953–961CrossRefPubMed
28.
Zurück zum Zitat Bernhardt M, Hynes R, Blume H, White A (1993) Cervical spondylotic myelopathy. J Bone Joint Surg 75:119–128PubMed Bernhardt M, Hynes R, Blume H, White A (1993) Cervical spondylotic myelopathy. J Bone Joint Surg 75:119–128PubMed
29.
Zurück zum Zitat Henderson FC, Geddes JF, Vaccaro AR, Woodard E, Berry KJ, Benzel EC (2005) Stretch-associated injury in cervical spondylotic myelopathy: new concept and review. Neurosurgery 56:1101–1113PubMed Henderson FC, Geddes JF, Vaccaro AR, Woodard E, Berry KJ, Benzel EC (2005) Stretch-associated injury in cervical spondylotic myelopathy: new concept and review. Neurosurgery 56:1101–1113PubMed
Metadaten
Titel
Normal values of cervical spinal cord diffusion tensor in young and middle-aged healthy Chinese
verfasst von
Tin-Yan Chan
Xiang Li
Kin-Cheung Mak
Jason Pui-yin Cheung
Keith Dip-Kei Luk
Yong Hu
Publikationsdatum
01.12.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
European Spine Journal / Ausgabe 12/2015
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-015-4144-2

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