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Part of the book series: Current Topics in Microbiology and Immunology ((CT MICROBIOLOGY,volume 318))

Remyelination of axons that have been demyelinated due to multiple sclerosis (MS) may be a critical step in restoring the damaged axons and reversing the disease process. While it is possible to establish the presence of remyelination with microscopy of tissue samples, it is important to have noninvasive or minimally invasive methods to measure remyelination in living animals and humans. Such tools are critical to establishing the efficacy of agents purported to promote or enhance remyelination. This chapter reviews the technology of imaging of the brain, its application to MS, and the current state of imaging techniques for measuring remyelination and the health of the associated neurons in the setting of MS.

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References

  1. Arnold DL, Matthews PM, Francis G, Antel J (1990) Proton magnetic resonance spectroscopy of human brain in vivo in the evaluation of multiple sclerosis: Assessment of the load of disease. Magn Reson Med 14:154-159

    Article  CAS  PubMed  Google Scholar 

  2. Bammer R, Augustin M, Strasser-Fuchs S, Seifert T, Kapeller P, Stollberger R, Ebner F, Hartung H, Fazekas F (2000) Magnetic resonance diffusion tensor imaging for characterizing diffuse and focal white matter abnormalities in multiple sclerosis. J Magn Reson Imaging 15:583-589

    Google Scholar 

  3. Beaulieu C (2002) The basis of anisotropic water diffusion in the nervous system - a technical review. NMR Biomed 15:435-455

    Article  PubMed  Google Scholar 

  4. Beaulieu C, Allen P (1994) Water diffusion in the giant axon of the squid: Implications for diffusion-weighted MRI of the nervous system. Magn Reson Imaging 32:579-583

    CAS  Google Scholar 

  5. Beaulieu C, Does M, Snyder R, Allen P (1996) Changes in water diffusion due to Wallerian degeneration in peripheral nerve. Magn Reson Imaging 36:627-631

    CAS  Google Scholar 

  6. Bonneville F, Moriarty D, Li B, Babb J, Grossman R, Gonen O (2002) Whole-brain n-acetylaspartate concentration: Correlation with T2-weighted lesion volume and expanded disability status scale score in cases of relapsing-remitting multiple sclerosis. AJNR Am J Neuroradiol 23:371-375

    PubMed  Google Scholar 

  7. Castriota-Scanderberg A, Sabatini U, Fasano F, Floris R, Fraracci L, Mario M, Nocentini U, Caltagirone C (2002) Diffusion of water in large demyelinating lesions: A follow-up study. Neuroradiology 44:764-767

    Article  Google Scholar 

  8. Cook L, Foster P, Mitchell J, Karlik S (1994) In vivo 4.0 t magnetic resonance investigation of spinal cord inflammation, demyelination, and axonal damage in chronic-progressive experimental allergic encephalomyelitis. J Magn Reson Imaging 20:563-571

    Article  Google Scholar 

  9. Davie CA, Barker GJ, Tofts PS et al (1993) Detection of myelin breakdown products by proton magnetic resonance spectroscopy. Lancet 341:630-631

    Article  CAS  PubMed  Google Scholar 

  10. De Stefano N, Narayanan S, Francis G, Arnaoutelis R, Tartaglia M, Antel J, Matthews P, Arnold D (2001) Evidence of axonal damage in the early stages of multiple sclerosis and its relevance to disability. Arch Neurol 58:65-70

    Article  CAS  PubMed  Google Scholar 

  11. Dousset V, Grossman RI, Ramer KN, Schnall MD, Young LH et al (1992) Experimental allergic encephalomyelitis and multiple sclerosis: Lesion characterization with magnetization transfer imaging. Radiology 182:483-491

    CAS  PubMed  Google Scholar 

  12. Filippi M, Campi A, Dousset V, Baratti C, Martinelli V, Canal N, Scotti G, Comi G (1995) A magnetization transfer imaging study of normal-appearing white matter in multiple sclerosis. Neurology 45:478-482

    CAS  PubMed  Google Scholar 

  13. Filippi M, Cercignani M, Inglese M, Horsfield M, Comi G (2001) Diffusion tensor magnetic resonance imaging in multiple sclerosis. Neurology 56:304-311

    CAS  PubMed  Google Scholar 

  14. Filippi M, Rocca M, Minicucci L, Martinelli V, Ghezzi A, Bergamaschi R, Comi G (1999) Magnetization transfer imaging of patients with definite MS and negative conventional MRI. Neurology 52:845-848

    CAS  PubMed  Google Scholar 

  15. Ford J, Hackney D, Alsop D, Jara H, Joseph P, Hand C, Black P (1994) MRI characterization of diffusion coefficients in a rat spinal cord injury model. Magn Reson Imaging 31:488-494

    CAS  Google Scholar 

  16. Gill S, Small R, Thomas D, Patel P, Porteous R, Van Bruggen N, Gadian D, Kauppinen R, Williams S (1989) Brain metabolites as 1H NMR markers of neuronal and glial disorders. NMR Biomed 2:196-200

    Article  CAS  PubMed  Google Scholar 

  17. Gonen O, Catalaa I, Babb J, Ge Y, Mannon L, Kolson D, Grossman R (2000) Total brain nacetylaspartate: A new measure of disease load in MS. Neurology 54:15-19

    CAS  PubMed  Google Scholar 

  18. Guo A, MacFall J, Provenzale J (2002) Multiple sclerosis: Diffusion tensor MR imaging for evaluation of normal-appearing white matter. Radiology 222:729-736

    Article  PubMed  Google Scholar 

  19. Horsfield M, Barker G, Barkhof F, Miller D, Thompson A, Filippi M (2003) Guidelines for using quantitative magnetization transfer magnetic resonance imaging for monitoring treatment of multiple sclerosis. J Magn Reson Imaging 17:389-397

    Article  PubMed  Google Scholar 

  20. Inglese M, van Waesberghe J, Rovaris M, Beckmann K, Barkhof F, Hahn D, Kappos L, DH, Polman C, Pozzilli C, Thompson A, Yousry T, Wagner K, Comi G, Filippi M (2003) The effect of interferon beta-1b on quantities derived from MT MRI in secondary progressive MS. Neurology 60:853-860

    CAS  PubMed  Google Scholar 

  21. Jones D (2005) Fundamentals of diffusion MR imaging. In: Gillard J, Waldman A, Barker P (eds) Clinical MR neuroimaging. Cambridge, UK: Cambridge University Press, London, pp 54-85.

    Google Scholar 

  22. Koopmans R, Li D, Redekop W, Zhao G, Palmer M, Kastrukoff L, Paty D (1993) The use of magnetic resonance imaging in monitoring interferon therapy of multiple sclerosis. J Neuroimaging 3:163-168

    CAS  PubMed  Google Scholar 

  23. Loevner L, Grossman R, Cohen J, Lexa F, Kessler D, Kolson D (1995) Microscopic disease in normal-appearing white matter on conventional MR images in patients with multiple sclerosis: Assessment with magnetization-transfer measurements. Radiology 196:511-515

    CAS  PubMed  Google Scholar 

  24. Matthews PM, Pioro E, Narayanan S, De Stefano N, Fu L, Francis G, Antel J, Wolfson C, Arnold DL (1996) Assessment of lesion pathology in multiple sclerosis using quantitative MRI morphometry and magnetic resonance spectroscopy. Brain 119:715-722

    Article  PubMed  Google Scholar 

  25. Merkler D, Boretius S, Stadelmann C, Ernsting T, Michaelis T, Frahm J, Bruck W (2005) Multicontrast MRI of remyelination in the central nervous system. NMR Biomed 18:395-403

    Article  PubMed  Google Scholar 

  26. Miller DH, McDonald WI (1994) Neuroimaging in multiple sclerosis. Clin Neurosci 2:215-224

    CAS  PubMed  Google Scholar 

  27. Moore G, Leung E, MacKay A, Vavasour I, Whittall K, Cover K, Li D, Hashimoto S, Oger J, Sprinkle T, Paty D (2000) A pathology-MRI study of the short-T2 component in formalinfixed multiple sclerosis brain. Neurology 55:1506-1510

    CAS  PubMed  Google Scholar 

  28. Moseley M, Cohen Y, Kucharczyk J, Asgari H, Wendland M, Tsuruda J, Norman D (1990) Diffusion-weighted MR imaging of anisotropic water diffusion in cat central nervous system. Radiology 176:439-445

    CAS  PubMed  Google Scholar 

  29. Narayana P (2005) Magnetic resonance spectroscopy in the monitoring of multiple sclerosis. J Neuroimaging 15S:46S-57S

    Article  PubMed  Google Scholar 

  30. Nesbit GM, Forbes GS, Scheithauer BW, Okazaki H, Rodriguez M (1991) Multiple sclerosis: Histopathologic and MR and/or CT correlation in 37 cases at biopsy and three cases at autopsy. Radiology 180:467-474

    CAS  PubMed  Google Scholar 

  31. Paty DW, Li DKB (1993) Interferon beta-1b is effective in relapsing-remitting multiple sclerosis. II. MRI analysis of a multicenter, randomized, double-blind, placebo-controlled trial. Neurology 43:662-667

    CAS  PubMed  Google Scholar 

  32. Pirko I, Ciric B, Gamez J, Bieber AJ, Warrington AE, Johnson AJ, Hanson DP, Pease LR, Macura SI, Rodriguez M (2004) A human antibody that promotes remyelination enters the CNS and decreases lesion load as detected by T2-weighted spinal cord MRI in a virus-induced murine model of MS. FASEB J 18:1577-1579

    CAS  PubMed  Google Scholar 

  33. Poduslo J, Curran G, Peterson J, McCormick D, Fauq A, Khan M, Wengenack T (2004) Design and chemical synthesis of a magnetic resonance contrast agent with enhanced in vitro binding, high blood-brain barrier permeability, and in vivo targeting to Alzheimer’s disease amyloid plaques. Biochemistry 43:6064-6075

    Article  CAS  PubMed  Google Scholar 

  34. Raine C, Wu E (1993) Multiple sclerosis: Remyelination in acute lesions. J Neuropathol Exp Neurol 52:199-204

    Article  CAS  PubMed  Google Scholar 

  35. Richert N, Bagnato F, Howard T (2003) Whole brain magnetization transfer analysis of relapsing-remitting multiple sclerosis patients treated with ifnb-1b or glatiramer acetate (abstract P273). Mult Scler 9:S64

    Google Scholar 

  36. Simmons M, Frondoza C, Coyle J (1991) Immunocytochemical localization of n-acetylaspartate with monoclonal antibodies. Neuroscience 45:37-45

    Article  CAS  PubMed  Google Scholar 

  37. Stankoff B, Wang Y, Bottlaender M, Aigrot M, Dolle F, Wu C, Feinstein D, Huang G, Mathis C, Klunk W, Gould R, Lubetzki C, Zalc B (2006) Imaging of CNS myelin by positron-emitting tomography. Proc Natl Acad Sci U S A 103:9304-9309

    Article  CAS  PubMed  Google Scholar 

  38. Stejskal E, Tanner J (1965) Spin diffusion measurements: Spin echoes in the presence of a time-dependent field gradient. J Chem Phys 42:288-292

    Article  CAS  Google Scholar 

  39. Van Waesberghe J, Kamphorst W, De Groot C, van Walderveen M, Castelijns J, Ravid R, Lycklama G, van der Valk P, Polman C, Thompson A, Barkhof F (1999) Axonal loss in multiple sclerosis lesions: Magnetic resonance imaging insights into substrates of disability. Ann Neurol 46:747-754

    Article  CAS  PubMed  Google Scholar 

  40. Van Walderveen M, Kamphorst W, Scheltens P, van Waesberghe J, Ravid R, Valk J, Polman C, Barkhof F (1998) Histopathologic correlate of hypointense lesions on T1-weighted spinecho MRI in multiple sclerosis. Neurology 50:1282-1288

    CAS  PubMed  Google Scholar 

  41. Van Walderveen MAA, Barkhof F, Hommes OR, Polman CH et al (1995) Correlating MRI and clinical disease activity in multiple sclerosis relevance of hypointense lesions on shortTR/short-TE (T1-weighted) spin-echo images. Neurology 45:1684-1690

    CAS  PubMed  Google Scholar 

  42. Wolinsky JS, Narayana PA, Fenstermacher MJ (1990) Proton magnetic resonance spectroscopy in multiple sclerosis. Neurology 40:1764-1769

    CAS  PubMed  Google Scholar 

  43. Zhao G, Li D, Wolinsky J, Koopmans R, Mietlowski W, Redekop W, Riddehough A, Cover K, Paty D (1997) Clinical and magnetic resonance imaging changes correlate in a clinical trial monitoring cyclosporine therapy for multiple sclerosis. The MS study group. J Neuroimaging 7:1-7

    CAS  PubMed  Google Scholar 

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Erickson, B.J. (2008). Imaging of Remyelination and Neuronal Health. In: Rodriguez, M. (eds) Advances in multiple Sclerosis and Experimental Demyelinating Diseases. Current Topics in Microbiology and Immunology, vol 318. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-73677-6_4

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