Myelin-sensitive MRI metrics correlate with inflammation in human traumatic spinal cord injury

Abstract

We investigated the correlation of inhomogeneous magnetisation transfer ratio (ihMTR), myelin water fraction (MWF) and intra/extra-cellular water geometric mean T2 (I/EW gmT2) with the distribution of inflammatory cells as measured by HLA-DR and CD68 histological staining for macrophages and activated microglia in human traumatic spinal cord injury. We found that ihMTR and MWF decreases were strongly correlated with the presence of HLA/CD68+ immune cells in white matter and both ihMTR and MWF were strongly correlated with LFB, a stain for myelin lipids. Our results demonstrate a strong link between ihMTR and MWF and inflammation.