Imaging intralesional heterogeneity of sodium concentration in multiple sclerosis: Initial evidence from 23Na-MRI

J. Grist,F. Riemer,M. McLean,T. Matys,F. Zaccagna,S. Hilborne,J. P. Mason,I. Patterson,Rhys Slough,J. Kaggie,S. Deen,M. Graves,Joanne L. Jones,A. Coles,F. Gallagher

Published 2018 in Journal of Neurological Sciences

ABSTRACT

Sodium MRI (23Na-MRI) has been used to non-invasively quantify tissue sodium but has been limited by low spatial resolution. Here we demonstrate for the first time that high resolution 23Na-MRI reveals the spatial heterogeneity of sodium concentration within a multiple sclerosis (MS) lesion. A patient with treatment-naïve relapsing-remitting MS and a ring-enhancing lesion was imaged using 23Na-MRI. The periphery of the lesion demonstrated an elevated total sodium content compared to the normal appearing white and grey matter (p < 0.01), as well as a heterogeneous distribution of both the total tissue sodium concentration and the intracellular-weighted sodium concentration.

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