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NMR Biomed. 2019 Jul;32(7):e4092. doi: 10.1002/nbm.4092. Epub 2019 Apr 30.

The role of iron and myelin in orientation dependent R2 * of white matter.

Author information

1
Department of Physics & Astronomy, University of British Columbia, Vancouver, BC, Canada.
2
UBC MRI Research Centre, University of British Columbia, Vancouver, BC, Canada.
3
Department of Pediatrics (Division of Neurology), University of British Columbia, Vancouver, BC, Canada.
4
Department of Neurology, Medical University of Graz, Graz, Austria.
5
Oxford Centre for Functional MRI of the Brain, University of Oxford, Oxford, UK.
6
Institute of Neuropathology, University Medical Center Göttingen, Göttingen, Germany.
7
Department of Radiology, University of British Columbia, Vancouver, BC, Canada.

Abstract

Brain myelin and iron content are important parameters in neurodegenerative diseases such as multiple sclerosis (MS). Both myelin and iron content influence the brain's R2 * relaxation rate. However, their quantification based on R2 * maps requires a realistic tissue model that can be fitted to the measured data. In structures with low myelin content, such as deep gray matter, R2 * shows a linear increase with increasing iron content. In white matter, R2 * is not only affected by iron and myelin but also by the orientation of the myelinated axons with respect to the external magnetic field. Here, we propose a numerical model which incorporates iron and myelin, as well as fibre orientation, to simulate R2 * decay in white matter. Applying our model to fibre orientation-dependent in vivo R2 * data, we are able to determine a unique solution of myelin and iron content in global white matter. We determine an averaged myelin volume fraction of 16.02 ± 2.07% in non-lesional white matter of patients with MS, 17.32 ± 2.20% in matched healthy controls, and 18.19 ± 2.98% in healthy siblings of patients with MS. Averaged iron content was 35.6 ± 8.9 mg/kg tissue in patients, 43.1 ± 8.3 mg/kg in controls, and 47.8 ± 8.2 mg/kg in siblings. All differences in iron content between groups were significant, while the difference in myelin content between MS patients and the siblings of MS patients was significant. In conclusion, we demonstrate that a model that combines myelin-induced orientation-dependent and iron-induced orientation-independent components is able to fit in vivo R2 * data.

KEYWORDS:

MRI; R2*; brain iron; multiple sclerosis; myelin; neurodegenerative disease; susceptibility-weighted imaging; white matter fibre orientation

PMID:
31038240
DOI:
10.1002/nbm.4092

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