Changes of Radial Diffusivity and Fractional Anisotopy in the Optic Nerve and Optic Radiation of Glaucoma Patients

Purpose of this study was to evaluate with diffusion-tensor imaging (DTI) changes of radial diffusivity (RD) and fractional anisotropy (FA) in the optic nerve (ON) and optic radiation (OR) in glaucoma and to determine whether changes in RD and FA correlate with disease severity. Therefore, glaucoma...

Full description

Saved in:
Bibliographic Details
Main Authors: Tobias Engelhorn, Georg Michelson, Simone Waerntges, Marlen Otto, Ahmed El-Rafei, Tobias Struffert, Arnd Doerfler
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1100/2012/849632
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832558031589605376
author Tobias Engelhorn
Georg Michelson
Simone Waerntges
Marlen Otto
Ahmed El-Rafei
Tobias Struffert
Arnd Doerfler
author_facet Tobias Engelhorn
Georg Michelson
Simone Waerntges
Marlen Otto
Ahmed El-Rafei
Tobias Struffert
Arnd Doerfler
author_sort Tobias Engelhorn
collection DOAJ
description Purpose of this study was to evaluate with diffusion-tensor imaging (DTI) changes of radial diffusivity (RD) and fractional anisotropy (FA) in the optic nerve (ON) and optic radiation (OR) in glaucoma and to determine whether changes in RD and FA correlate with disease severity. Therefore, glaucoma patients and controls were examined using 3T. Regions of interest were positioned on RD and FA maps, and mean values were calculated for ON and OR and correlated with optic nerve atrophy and reduced spatial-temporal contrast sensitivity (STCS) of the retina. We found, that RD in glaucoma patients was significantly higher in the ON (0.74 ± 0.21 versus 0.58 ± 0.17⋅10−3 mm2 s−1; P<0.05) and OR (0.79 ± 0.23 versus 0.62 ± 0.14⋅10−3 mm2 s−1; P<0.05) compared to controls. Aside, FA was significantly decreased (0.48 ± 0.15 versus 0.66 ± 0.12 and 0.50 ± 0.20 versus 0.66 ± 0.11; P<0.05). Hereby, correlation between changes in RD/FA and optic nerve atrophy/STCS was observed (r>0.77). In conclusion, DTI at 3 Tesla allows robust RD and FA measurements in the ON and OR. Hereby, the extent of RD increase and FA decrease in glaucoma correlate with established ophthalmological examinations.
format Article
id doaj-art-56b1cbfce31a42e2a66a91817318a7dd
institution Kabale University
issn 1537-744X
language English
publishDate 2012-01-01
publisher Wiley
record_format Article
series The Scientific World Journal
spelling doaj-art-56b1cbfce31a42e2a66a91817318a7dd2025-02-03T01:33:26ZengWileyThe Scientific World Journal1537-744X2012-01-01201210.1100/2012/849632849632Changes of Radial Diffusivity and Fractional Anisotopy in the Optic Nerve and Optic Radiation of Glaucoma PatientsTobias Engelhorn0Georg Michelson1Simone Waerntges2Marlen Otto3Ahmed El-Rafei4Tobias Struffert5Arnd Doerfler6Department of Neuroradiology, University of Erlangen-Nuremberg, Schwabachanlage 6, 91054 Erlangen, GermanyDepartment of Ophthalmology, University of Erlangen-Nuremberg, Schwabachanlage 6, 91054 Erlangen, GermanyDepartment of Ophthalmology, University of Erlangen-Nuremberg, Schwabachanlage 6, 91054 Erlangen, GermanyDepartment of Neuroradiology, University of Erlangen-Nuremberg, Schwabachanlage 6, 91054 Erlangen, GermanyDepartment of Computer Science, University of Erlangen-Nuremberg, Martensstrasse 3, 91058 Erlangen, GermanyDepartment of Neuroradiology, University of Erlangen-Nuremberg, Schwabachanlage 6, 91054 Erlangen, GermanyDepartment of Neuroradiology, University of Erlangen-Nuremberg, Schwabachanlage 6, 91054 Erlangen, GermanyPurpose of this study was to evaluate with diffusion-tensor imaging (DTI) changes of radial diffusivity (RD) and fractional anisotropy (FA) in the optic nerve (ON) and optic radiation (OR) in glaucoma and to determine whether changes in RD and FA correlate with disease severity. Therefore, glaucoma patients and controls were examined using 3T. Regions of interest were positioned on RD and FA maps, and mean values were calculated for ON and OR and correlated with optic nerve atrophy and reduced spatial-temporal contrast sensitivity (STCS) of the retina. We found, that RD in glaucoma patients was significantly higher in the ON (0.74 ± 0.21 versus 0.58 ± 0.17⋅10−3 mm2 s−1; P<0.05) and OR (0.79 ± 0.23 versus 0.62 ± 0.14⋅10−3 mm2 s−1; P<0.05) compared to controls. Aside, FA was significantly decreased (0.48 ± 0.15 versus 0.66 ± 0.12 and 0.50 ± 0.20 versus 0.66 ± 0.11; P<0.05). Hereby, correlation between changes in RD/FA and optic nerve atrophy/STCS was observed (r>0.77). In conclusion, DTI at 3 Tesla allows robust RD and FA measurements in the ON and OR. Hereby, the extent of RD increase and FA decrease in glaucoma correlate with established ophthalmological examinations.http://dx.doi.org/10.1100/2012/849632
spellingShingle Tobias Engelhorn
Georg Michelson
Simone Waerntges
Marlen Otto
Ahmed El-Rafei
Tobias Struffert
Arnd Doerfler
Changes of Radial Diffusivity and Fractional Anisotopy in the Optic Nerve and Optic Radiation of Glaucoma Patients
The Scientific World Journal
title Changes of Radial Diffusivity and Fractional Anisotopy in the Optic Nerve and Optic Radiation of Glaucoma Patients
title_full Changes of Radial Diffusivity and Fractional Anisotopy in the Optic Nerve and Optic Radiation of Glaucoma Patients
title_fullStr Changes of Radial Diffusivity and Fractional Anisotopy in the Optic Nerve and Optic Radiation of Glaucoma Patients
title_full_unstemmed Changes of Radial Diffusivity and Fractional Anisotopy in the Optic Nerve and Optic Radiation of Glaucoma Patients
title_short Changes of Radial Diffusivity and Fractional Anisotopy in the Optic Nerve and Optic Radiation of Glaucoma Patients
title_sort changes of radial diffusivity and fractional anisotopy in the optic nerve and optic radiation of glaucoma patients
url http://dx.doi.org/10.1100/2012/849632
work_keys_str_mv AT tobiasengelhorn changesofradialdiffusivityandfractionalanisotopyintheopticnerveandopticradiationofglaucomapatients
AT georgmichelson changesofradialdiffusivityandfractionalanisotopyintheopticnerveandopticradiationofglaucomapatients
AT simonewaerntges changesofradialdiffusivityandfractionalanisotopyintheopticnerveandopticradiationofglaucomapatients
AT marlenotto changesofradialdiffusivityandfractionalanisotopyintheopticnerveandopticradiationofglaucomapatients
AT ahmedelrafei changesofradialdiffusivityandfractionalanisotopyintheopticnerveandopticradiationofglaucomapatients
AT tobiasstruffert changesofradialdiffusivityandfractionalanisotopyintheopticnerveandopticradiationofglaucomapatients
AT arnddoerfler changesofradialdiffusivityandfractionalanisotopyintheopticnerveandopticradiationofglaucomapatients