Upcoming Events

Society for Magnetic Resonance Angiography 30th Annual International Conference Aug 29, 2018 - Aug 31, 2018 — University of Glasgow
Future of Minimally Invasive Endoscopy Workshop Sep 05, 2018 09:30 AM - 04:30 PM — thestudio, 67 Hope Street, Glasgow
British Association for Cognitive Neuroscience Meeting 2018 Sep 06, 2018 - Sep 07, 2018 — University of Glasgow
Predictive Intelligence in Medicine MICCAI 2018 Workshop Sep 16, 2018 12:00 AM — Granada, Spain
Scottish Molecular Imaging Meeting 2018 Sep 19, 2018 09:00 AM - 07:00 PM — Beatson Institute for Cancer Research (BICR), Glasgow

SINAPSE Image of the Month: MR spectroscopy of brain white matter

August 2018 SINAPSE Image of the Month

Courtesy of Prof Ian Marshall, this image shows a magnetic resonance spectroscopic imaging (MRSI) slice for measuring brain metabolites in an individual with secondary progressive multiple sclerosis. The spectroscopic excitation volume is shown with a red outline, and tissue segmentation is illustrated with coloured shading: green indicates normal-appearing white matter and pale blue indicates white matter lesions (WML) which are characteristic of multiple sclerosis.

MRSI estimates metabolite concentrations in voxels within the brain, and can be used to investigate differences in metabolite levels between tissue types within individuals. In a group of patients with secondary progressive multiple sclerosis, MRSI showed higher levels of choline, creatine and myo-inositol in WML relative to normal-appearing white matter. These differences are indicative of higher myelin turnover, higher metabolic rate and increased glial activity in WML, suggesting that the lesions have ongoing abnormal metabolism, which may represent a target for repair therapies.

 

The image is taken from a recent study published in Journal of Neurology:

Marshall I, Thrippleton MJ, Bastin ME, Mollison D, Dickie DA, Chappell FM, Semple SIK, Cooper A, Pavitt S, Giovannoni G, Wheeler-Kingshott CAMG, Solanky BS, Weir CJ, Stallard N, Hawkins C, Sharrack B, Chataway J, Connick P, Chandran S; for the MS-SMART Trialists. Characterisation of tissue-type metabolic content in secondary progressive multiple sclerosis: a magnetic resonance spectroscopic imaging study. J Neurol 2018; 265:1795-1802.