Intraepineurial fat quantification and cross-sectional area analysis of the sciatic nerve using MRI in Charcot-Marie-Tooth disease type 1A patients
Abstract The objectives of this study were to assess the fat fraction (FF) and cross-sectional area (CSA) of the sciatic nerve in Charcot-Marie-Tooth disease type 1A (CMT1A) patients using Dixon-based proton density fat quantification MRI and to elucidate its potential association with clinical para...
Guardado en:
Autores principales: | , , , , , , , , |
---|---|
Formato: | article |
Lenguaje: | EN |
Publicado: |
Nature Portfolio
2021
|
Materias: | |
Acceso en línea: | https://doaj.org/article/826fbea9acd040d7aa6284b880f49b5b |
Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
id |
oai:doaj.org-article:826fbea9acd040d7aa6284b880f49b5b |
---|---|
record_format |
dspace |
spelling |
oai:doaj.org-article:826fbea9acd040d7aa6284b880f49b5b2021-11-08T10:51:37ZIntraepineurial fat quantification and cross-sectional area analysis of the sciatic nerve using MRI in Charcot-Marie-Tooth disease type 1A patients10.1038/s41598-021-00819-02045-2322https://doaj.org/article/826fbea9acd040d7aa6284b880f49b5b2021-11-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-00819-0https://doaj.org/toc/2045-2322Abstract The objectives of this study were to assess the fat fraction (FF) and cross-sectional area (CSA) of the sciatic nerve in Charcot-Marie-Tooth disease type 1A (CMT1A) patients using Dixon-based proton density fat quantification MRI and to elucidate its potential association with clinical parameters. Thigh MRIs of 18 CMT1A patients and 18 age- and sex-matched volunteers enrolled for a previous study were reviewed. Analyses for FF and CSA of the sciatic nerve were performed at three levels (proximal to distal). CSA and FF were compared between the two groups and among the different levels within each group. The relationship between the MRI parameters and clinical data were assessed in the CMT1A patients. The CMT1A patients showed significantly higher FF at level 3 (p = 0.0217) and significantly larger CSA at all three levels compared with the control participants (p < 0.0001). Comparisons among levels showed significantly higher FF for levels 2 and 3 than for level 1 and significantly larger CSA for level 2 compared with level 1 in CMT1A patients. CSA at level 3 correlated positively with the CMT neuropathy score version 2 (CMTNSv2). In conclusion, the sciatic nerve FF of CMT1A patients was significantly higher on level 3 compared with both the controls and the measurements taken on more proximal levels, suggesting the possibility of increased intraepineurial fat within the sciatic nerves of CMT1A patients, with a possible distal tendency. Sciatic nerve CSA at level 3 correlated significantly and positively with CMTNSv2, suggesting its potential value as an imaging marker for clinical severity.Hyun Su KimJi Hyun LeeYoung Cheol YoonMin Jae ChaSoo Hyun NamHye Mi KwonSeonwoo KimHojeong WonByung-Ok ChoiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021) |
institution |
DOAJ |
collection |
DOAJ |
language |
EN |
topic |
Medicine R Science Q |
spellingShingle |
Medicine R Science Q Hyun Su Kim Ji Hyun Lee Young Cheol Yoon Min Jae Cha Soo Hyun Nam Hye Mi Kwon Seonwoo Kim Hojeong Won Byung-Ok Choi Intraepineurial fat quantification and cross-sectional area analysis of the sciatic nerve using MRI in Charcot-Marie-Tooth disease type 1A patients |
description |
Abstract The objectives of this study were to assess the fat fraction (FF) and cross-sectional area (CSA) of the sciatic nerve in Charcot-Marie-Tooth disease type 1A (CMT1A) patients using Dixon-based proton density fat quantification MRI and to elucidate its potential association with clinical parameters. Thigh MRIs of 18 CMT1A patients and 18 age- and sex-matched volunteers enrolled for a previous study were reviewed. Analyses for FF and CSA of the sciatic nerve were performed at three levels (proximal to distal). CSA and FF were compared between the two groups and among the different levels within each group. The relationship between the MRI parameters and clinical data were assessed in the CMT1A patients. The CMT1A patients showed significantly higher FF at level 3 (p = 0.0217) and significantly larger CSA at all three levels compared with the control participants (p < 0.0001). Comparisons among levels showed significantly higher FF for levels 2 and 3 than for level 1 and significantly larger CSA for level 2 compared with level 1 in CMT1A patients. CSA at level 3 correlated positively with the CMT neuropathy score version 2 (CMTNSv2). In conclusion, the sciatic nerve FF of CMT1A patients was significantly higher on level 3 compared with both the controls and the measurements taken on more proximal levels, suggesting the possibility of increased intraepineurial fat within the sciatic nerves of CMT1A patients, with a possible distal tendency. Sciatic nerve CSA at level 3 correlated significantly and positively with CMTNSv2, suggesting its potential value as an imaging marker for clinical severity. |
format |
article |
author |
Hyun Su Kim Ji Hyun Lee Young Cheol Yoon Min Jae Cha Soo Hyun Nam Hye Mi Kwon Seonwoo Kim Hojeong Won Byung-Ok Choi |
author_facet |
Hyun Su Kim Ji Hyun Lee Young Cheol Yoon Min Jae Cha Soo Hyun Nam Hye Mi Kwon Seonwoo Kim Hojeong Won Byung-Ok Choi |
author_sort |
Hyun Su Kim |
title |
Intraepineurial fat quantification and cross-sectional area analysis of the sciatic nerve using MRI in Charcot-Marie-Tooth disease type 1A patients |
title_short |
Intraepineurial fat quantification and cross-sectional area analysis of the sciatic nerve using MRI in Charcot-Marie-Tooth disease type 1A patients |
title_full |
Intraepineurial fat quantification and cross-sectional area analysis of the sciatic nerve using MRI in Charcot-Marie-Tooth disease type 1A patients |
title_fullStr |
Intraepineurial fat quantification and cross-sectional area analysis of the sciatic nerve using MRI in Charcot-Marie-Tooth disease type 1A patients |
title_full_unstemmed |
Intraepineurial fat quantification and cross-sectional area analysis of the sciatic nerve using MRI in Charcot-Marie-Tooth disease type 1A patients |
title_sort |
intraepineurial fat quantification and cross-sectional area analysis of the sciatic nerve using mri in charcot-marie-tooth disease type 1a patients |
publisher |
Nature Portfolio |
publishDate |
2021 |
url |
https://doaj.org/article/826fbea9acd040d7aa6284b880f49b5b |
work_keys_str_mv |
AT hyunsukim intraepineurialfatquantificationandcrosssectionalareaanalysisofthesciaticnerveusingmriincharcotmarietoothdiseasetype1apatients AT jihyunlee intraepineurialfatquantificationandcrosssectionalareaanalysisofthesciaticnerveusingmriincharcotmarietoothdiseasetype1apatients AT youngcheolyoon intraepineurialfatquantificationandcrosssectionalareaanalysisofthesciaticnerveusingmriincharcotmarietoothdiseasetype1apatients AT minjaecha intraepineurialfatquantificationandcrosssectionalareaanalysisofthesciaticnerveusingmriincharcotmarietoothdiseasetype1apatients AT soohyunnam intraepineurialfatquantificationandcrosssectionalareaanalysisofthesciaticnerveusingmriincharcotmarietoothdiseasetype1apatients AT hyemikwon intraepineurialfatquantificationandcrosssectionalareaanalysisofthesciaticnerveusingmriincharcotmarietoothdiseasetype1apatients AT seonwookim intraepineurialfatquantificationandcrosssectionalareaanalysisofthesciaticnerveusingmriincharcotmarietoothdiseasetype1apatients AT hojeongwon intraepineurialfatquantificationandcrosssectionalareaanalysisofthesciaticnerveusingmriincharcotmarietoothdiseasetype1apatients AT byungokchoi intraepineurialfatquantificationandcrosssectionalareaanalysisofthesciaticnerveusingmriincharcotmarietoothdiseasetype1apatients |
_version_ |
1718442541158760448 |