2011
DOI: 10.3174/ajnr.a2395
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Apparent Diffusion Coefficients of Metabolites in Patients with MELAS Using Diffusion-Weighted MR Spectroscopy

Abstract: BACKGROUND AND PURPOSE: DW-MR spectroscopy can detect the diffusion coefficients of NAA, Cr, PCr, and Cho and can, therefore, provide some useful information. The aims of this study were to probe the mechanisms underlying the pathogenesis of MELAS and to see whether DW-MR spectroscopy is a useful technique for other diseases besides cerebral infarction.

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Cited by 17 publications
(10 citation statements)
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“…This allowed us to more accurately estimate tissue‐specific metabolite ADC values and in particular metabolite ADC in GM, whereas previous studies (including our own) reported values obtained from large VOIs where partial volume of WM is unavoidable. In our study, GM metabolite ADC values of all three metabolites were lower than values reported previously . Values reported previously for metabolite ADC in WM (e.g., for tNAA) are comparable to those reported here .…”
Section: Discussionsupporting
confidence: 81%
“…This allowed us to more accurately estimate tissue‐specific metabolite ADC values and in particular metabolite ADC in GM, whereas previous studies (including our own) reported values obtained from large VOIs where partial volume of WM is unavoidable. In our study, GM metabolite ADC values of all three metabolites were lower than values reported previously . Values reported previously for metabolite ADC in WM (e.g., for tNAA) are comparable to those reported here .…”
Section: Discussionsupporting
confidence: 81%
“…More recently, NAA radial ADC was found to increase in schizophrenia (~20%), accompanied by reduced myelin content, indicating axonal abnormalities in this disease (34). In patients with mitochondrial neuronopathy (mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes, termed as MELAS), drastic increases of ADCs of NAA (67%), tCr (50%), and Cho (50%) were observed in the normal-appearing frontal grey matter as well as the lesion regions, demonstrating that MELAS involves the entire brain (51). Aging-related intracellular diffusion environment changes may also affect brain metabolite ADCs, as shown by a recent study where NAA, Cr, and Cho ADCs decreased in healthy elder volunteers when compared with those in young controls (50).…”
Section: Diffusion Mrs In Pathological Brainsmentioning
confidence: 99%
“…Previous observations have provided strong evidence for the important physiological role of the CK system for normal brain function, and suggested that energy dysfunction processes are crucially related to cell death not only in neurodegenerative disorders but even in normal aging (Andres, et al, 2008). So far, DW-MRS has been applied to study normal aging (Zheng, et al, 2012) as well as disease pathophysiology in brain tumors (Colvin, et al, 2008,Harada, et al, 2002, acute cerebral ischemia (Harada, et al, 2002,Zheng, et al, 2012, multiple sclerosis (Wood, et al, 2012), psychiatric disorders (Du, et al, 2013), and mitochondrial cytopathies (Liu, et al, 2011). Here we employed DW-MRS in combination with DTI in order to separately detect and quantify intra-axonal damage and demyelination in healthy aging in the anterior body of the corpus callosum (CC).…”
Section: Introductionmentioning
confidence: 99%