Inhomogeneous magnetization transfer (ihMT) is a new MR imaging modality weighted by the dipolar relaxation time (T1D), which has demonstrated a strong linear correlation with myelin-specific fluorescence signal measured in genetically-modified mice, hence validating the technique as a myelin biomarker. In the current study, the ihMT sensitivity has been evaluated on a cuprizone mouse model, a widely used model of de- and remyelination. A longitudinal analysis has been performed in vivo and quantitative signal was compared to myelin amount measured by GFP quantification at remarkable time points in order to evaluate the ihMT sensitivity for monitoring in vivo myelin state.
Typical GFP and ihMTR images are shown on Fig.3 for relevant time points. Mean signal values measured in CC with fluorescence microscopy and ihMT technique are plotted in Fig.4a and 4b respectively. GFP and ihMTR signals start from their maximum at W0 (baseline); a progressive drop can be appreciated starting from W3 and reaching a minimum signal at W5 (peak of demyelination). After the cuprizone was diet stopped, GFP and ihMTR signals recover from W5+2 to W5+4. These results demonstrate the sensitivity of ihMT for myelin status in a de- and remyelination mouse model. Of interest, differences between GFP microscopy and ihMT could however be noticed. A fractional signal loss of 67% was measured with GFP at the peak of demyelination (W5) compared to baseline (W0), whereas ihMTR signal decreased by 24% only. Myelin destruction process leads to progressive modification of myelin sheath structure, hence potentially leading to reduced T1D value. However, the saturation parameters used in this study minimally filtered short T1D component signal4 and hence, a fraction of the total ihMT signal measured at W5 could originated from myelin debris with short T1D, thus underestimating the ihMT fraction signal loss due to demyelination effect. The other difference is the signal intensity at W3, significantly different from W5 for ihMT but not for GFP fluorescence. This result can be explained by the different main source of signal of both modalities. While GFP fluorescence comes from the oligodendrocyte cytosol, the main part of ihMT signal comes from highly concentrated lipids in myelin sheath, which may explain W3 signal discordance: oligodendrocyte death precedes myelin destruction.9,14
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