“…Diffusion-weighted imaging (DWI) and DTI, for example, can be used to study microstructural variance in white matter fiber tracts [14,15], whereas MRS is used to measure brain metabolism in static and dynamic models [16], namely lactate and N-acetylasparate levels in patients with mitochondrial disorders. Functional MRI can be used to study the neural nodes and networks underlying cognitive operations [17] that may be damaged in patients with mitochondrial disorders and would be done best in the stable state to assess degree of damage and can be repeated after an intervention or to track disease progression, mainly on a research basis. Using these various methods, 1 can probe focal, regional, and global neuropathological sequelae, and monitor disease progression and response to therapies.…”