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Ultra-high field MR spectroscopic imaging at 7 Tesla in Multiple Sclerosis: metabolic fingerprinting of iron rim lesions
Alexandra Lipka1,2, Wolfgang Bogner1,2, Assunta Dal-Bianco3, Gilbert Hangel1, Bernhard Strasser1, Stanislav Motyka1, Lukas Hingerl1, Paulus Rommer3, Fritz Leutmezer3, Stephan Gruber1, Siegfried Trattnig1,2, and Eva Heckova1
1High Field MR Centre, Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria, 2Christian Doppler Laboratory for Clinical Molecular MR Imaging, Vienna, Austria, 3Department of Neurology, Medical University of Vienna, Vienna, Austria
Free Induction Decay(FID)-MRSI at 7T shows metabolic changes associated with different types of iron accumulation and a metabolic gradient spanning from within the iron rim lesion to its close proximity
Figure 1: T2-FLAIR, SWI and overlaid FLAIR-SWI images of(a) lesions categorized as “transition” with yellow arrow pointing towards an example, (b) “area” iron deposition indicated by a red arrow and (c) “rim” lesion with an abundant iron rim indicated by a green arrow.
Figure 2: Boxplot diagram for mIns/tNAA, mIns/tCr, tNAA/tCr and tCho/tCr and the different lesion categories “no iron”, “area”, “transition” and “rim”. Significant results were found between lesion categories for mIns/tNAA and tNAA/tCr, but mIns/tCr stays constantly elevated for all “black hole” lesions.