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Adrenoleukodystrophy other imaging findings

Introduction

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Overview

Overview

Proton Magnetic Resonance Spectroscopic (MRS) imaging and Diffusion Tensor Imaging (DTI) may be helpful in the diagnosis of adrenoleukodystrophy

Other Imaging Findings

Other Imaging Findings

Proton Magnetic Resonance Spectroscopic (MRS) imaging and Diffusion Tensor Imaging (DTI) may be helpful in the diagnosis of adrenoleukodystrophy.

  • These imaging techniques show changes in metabolic rates and water diffusion parameters. MRS imaging was able to demonstrate low NAA and high choline levels in white matter as a first indicator of metabolic dysfunction, prior to MRI changes in ALD. [1]
  • High directionality and structure of white matter, resulting from the directional morphology of myelinated axons, is quantified by a higher relative Fractional anisotropic (FA) with DTI.[2] A decreased FA can be seen in central cALD lesion areas.[1]
References

References

  1. ↑ 1.0 1.1 Pizzini F, Fatemi AS, Barker PB, Nagae-Poetscher LM, HorskΓ‘ A, Zimmerman AW; et al. (2003). “Proton MR spectroscopic imaging in Pelizaeus-Merzbacher disease”. AJNR Am J Neuroradiol. 24 (8): 1683–9. PMIDΒ 13679292.
  2. ↑ Turk, Bela R.; Moser, Ann B.; Fatemi, Ali (2017). “Therapeutic strategies in adrenoleukodystrophy”. Wiener Medizinische Wochenschrift. 167 (9–10): 219–226. doi:10.1007/s10354-016-0534-2. ISSNΒ 0043-5341.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: