In the Central Nervous System, CNS, MRI can be highly helpful to assess the white matter and the grey matter integrity and to observe its evolution in the course of time. These tissues are characterized by different cellular morphologies. The observation of water molecules diffusion by Diffusion Weighted Imaging (DWI) gives indirectly information on the different tissue morphologies. The figure 1 illustrates the contrast by DWI between the white and grey matters acquired on the spinal cord.
In the grey matter, the main presence of cell body makes an isotropic diffusion process of water molecules while in the white matter, the diffusion is anisotropic due to the presence of myelins and axonal fibers. Depending on the size of axonal diameter and myelin sheaths, the water mobility is modified. The figure 2 illustrates a Luxol Fast Blue staining with a Cresyl Violet counterstaining of the spinal cord at T10 level. The myelin is colored in blue and this substance is highly present in the white matter while the purple substance (Nissl body) is more present in the grey matter. By modeling several diffusion-weighted images, we can correlate DWI observations with histological staining.
Our research is focused on different models such as Diffusion Tensor Imaging (DTI), Diffusion Kurtosis Imaging (DKI) and multi-fascicles model to get a high reliability between DWI and histological observations in the spinal cord. Because the axonal fibers mainly have a uniaxial orientation in the spinal cord, DTI and DKI models provide a good approximation for this structural organization. Theses models make possible to highlight different areas in the white matter linked to the axonal diameter and fibers densities.
After a spinal cord injury, the nervous tissues are altered and the wallerian degeneration (WD) process is triggered off. This phenomenon is characterized by different sequential steps and followed by the demyelination of axons. Imaging at successive periods provides longitudinal information on this WD process in the CNS. The purpose is to quantify the degeneration process by measuring the rate of demyelination depending on the time and the location. Intermediate step of WD such as the clearance in the nervous tissue by phagocytosis has be also assessed in the course of time.
These developments for assessing the white matter integrity non-invasively are performed in collaboration with Louvain Drug Research Institute (PhD Annes des Rieux, UCL, Belgium). Several studies develop new pharmaceutical strategies to recover sensor and motor functionalities after SCI. One of further application for DWI could be used to assess the efficiency of new strategies for spinal cord regeneration in the course of time.
Last updated February 28, 2020, at 10:47 AM