Quantitative and Computational Spinal Imaging in Neurodegenerative Conditions and Acquired Spinal Disorders: Academic Advances and Clinical Prospects

<b>Introduction:</b> Quantitative spinal cord imaging has facilitated the objective appraisal of spinal cord pathology in a range of neurological conditions both in the academic and clinical setting. Diverse methodological approaches have been implemented, encompassing a range of morphom...

Full description

Saved in:
Bibliographic Details
Main Authors: Mary Clare McKenna, Jana Kleinerova, Alan Power, Angela Garcia-Gallardo, Ee Ling Tan, Peter Bede
Format: Article
Language:English
Published: MDPI AG 2024-11-01
Series:Biology
Subjects:
Online Access:https://www.mdpi.com/2079-7737/13/11/909
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850145078207578112
author Mary Clare McKenna
Jana Kleinerova
Alan Power
Angela Garcia-Gallardo
Ee Ling Tan
Peter Bede
author_facet Mary Clare McKenna
Jana Kleinerova
Alan Power
Angela Garcia-Gallardo
Ee Ling Tan
Peter Bede
author_sort Mary Clare McKenna
collection DOAJ
description <b>Introduction:</b> Quantitative spinal cord imaging has facilitated the objective appraisal of spinal cord pathology in a range of neurological conditions both in the academic and clinical setting. Diverse methodological approaches have been implemented, encompassing a range of morphometric, diffusivity, susceptibility, magnetization transfer, and spectroscopy techniques. Advances have been fueled both by new MRI platforms and acquisition protocols as well as novel analysis pipelines. The quantitative evaluation of specific spinal tracts and grey matter indices has the potential to be used in diagnostic and monitoring applications. The comprehensive characterization of spinal disease burden in pre-symptomatic cohorts, in carriers of specific genetic mutations, and in conditions primarily associated with cerebral disease, has contributed important academic insights. <b>Methods:</b> A narrative review was conducted to examine the clinical and academic role of quantitative spinal cord imaging in a range of neurodegenerative and acquired spinal cord disorders, including hereditary spastic paraparesis, hereditary ataxias, motor neuron diseases, Huntington’s disease, and post-infectious or vascular disorders. Results: The clinical utility of specific methods, sample size considerations, academic role of spinal imaging, key radiological findings, and relevant clinical correlates are presented in each disease group. <b>Conclusions:</b> Quantitative spinal cord imaging studies have demonstrated the feasibility to reliably appraise structural, microstructural, diffusivity, and metabolic spinal cord alterations. Despite the notable academic advances, novel acquisition protocols and analysis pipelines are yet to be implemented in the clinical setting.
format Article
id doaj-art-c961f6c78e354d998ca2b13bc0744e30
institution OA Journals
issn 2079-7737
language English
publishDate 2024-11-01
publisher MDPI AG
record_format Article
series Biology
spelling doaj-art-c961f6c78e354d998ca2b13bc0744e302025-08-20T02:28:11ZengMDPI AGBiology2079-77372024-11-01131190910.3390/biology13110909Quantitative and Computational Spinal Imaging in Neurodegenerative Conditions and Acquired Spinal Disorders: Academic Advances and Clinical ProspectsMary Clare McKenna0Jana Kleinerova1Alan Power2Angela Garcia-Gallardo3Ee Ling Tan4Peter Bede5Computational Neuroimaging Group, Trinity College Dublin, 152-160 Pearse St, 2 D02 R590 Dublin, IrelandComputational Neuroimaging Group, Trinity College Dublin, 152-160 Pearse St, 2 D02 R590 Dublin, IrelandComputational Neuroimaging Group, Trinity College Dublin, 152-160 Pearse St, 2 D02 R590 Dublin, IrelandComputational Neuroimaging Group, Trinity College Dublin, 152-160 Pearse St, 2 D02 R590 Dublin, IrelandComputational Neuroimaging Group, Trinity College Dublin, 152-160 Pearse St, 2 D02 R590 Dublin, IrelandComputational Neuroimaging Group, Trinity College Dublin, 152-160 Pearse St, 2 D02 R590 Dublin, Ireland<b>Introduction:</b> Quantitative spinal cord imaging has facilitated the objective appraisal of spinal cord pathology in a range of neurological conditions both in the academic and clinical setting. Diverse methodological approaches have been implemented, encompassing a range of morphometric, diffusivity, susceptibility, magnetization transfer, and spectroscopy techniques. Advances have been fueled both by new MRI platforms and acquisition protocols as well as novel analysis pipelines. The quantitative evaluation of specific spinal tracts and grey matter indices has the potential to be used in diagnostic and monitoring applications. The comprehensive characterization of spinal disease burden in pre-symptomatic cohorts, in carriers of specific genetic mutations, and in conditions primarily associated with cerebral disease, has contributed important academic insights. <b>Methods:</b> A narrative review was conducted to examine the clinical and academic role of quantitative spinal cord imaging in a range of neurodegenerative and acquired spinal cord disorders, including hereditary spastic paraparesis, hereditary ataxias, motor neuron diseases, Huntington’s disease, and post-infectious or vascular disorders. Results: The clinical utility of specific methods, sample size considerations, academic role of spinal imaging, key radiological findings, and relevant clinical correlates are presented in each disease group. <b>Conclusions:</b> Quantitative spinal cord imaging studies have demonstrated the feasibility to reliably appraise structural, microstructural, diffusivity, and metabolic spinal cord alterations. Despite the notable academic advances, novel acquisition protocols and analysis pipelines are yet to be implemented in the clinical setting.https://www.mdpi.com/2079-7737/13/11/909spinal cordMRIbiomarkerradiologyneurodegenerative conditionsALS
spellingShingle Mary Clare McKenna
Jana Kleinerova
Alan Power
Angela Garcia-Gallardo
Ee Ling Tan
Peter Bede
Quantitative and Computational Spinal Imaging in Neurodegenerative Conditions and Acquired Spinal Disorders: Academic Advances and Clinical Prospects
Biology
spinal cord
MRI
biomarker
radiology
neurodegenerative conditions
ALS
title Quantitative and Computational Spinal Imaging in Neurodegenerative Conditions and Acquired Spinal Disorders: Academic Advances and Clinical Prospects
title_full Quantitative and Computational Spinal Imaging in Neurodegenerative Conditions and Acquired Spinal Disorders: Academic Advances and Clinical Prospects
title_fullStr Quantitative and Computational Spinal Imaging in Neurodegenerative Conditions and Acquired Spinal Disorders: Academic Advances and Clinical Prospects
title_full_unstemmed Quantitative and Computational Spinal Imaging in Neurodegenerative Conditions and Acquired Spinal Disorders: Academic Advances and Clinical Prospects
title_short Quantitative and Computational Spinal Imaging in Neurodegenerative Conditions and Acquired Spinal Disorders: Academic Advances and Clinical Prospects
title_sort quantitative and computational spinal imaging in neurodegenerative conditions and acquired spinal disorders academic advances and clinical prospects
topic spinal cord
MRI
biomarker
radiology
neurodegenerative conditions
ALS
url https://www.mdpi.com/2079-7737/13/11/909
work_keys_str_mv AT maryclaremckenna quantitativeandcomputationalspinalimaginginneurodegenerativeconditionsandacquiredspinaldisordersacademicadvancesandclinicalprospects
AT janakleinerova quantitativeandcomputationalspinalimaginginneurodegenerativeconditionsandacquiredspinaldisordersacademicadvancesandclinicalprospects
AT alanpower quantitativeandcomputationalspinalimaginginneurodegenerativeconditionsandacquiredspinaldisordersacademicadvancesandclinicalprospects
AT angelagarciagallardo quantitativeandcomputationalspinalimaginginneurodegenerativeconditionsandacquiredspinaldisordersacademicadvancesandclinicalprospects
AT eelingtan quantitativeandcomputationalspinalimaginginneurodegenerativeconditionsandacquiredspinaldisordersacademicadvancesandclinicalprospects
AT peterbede quantitativeandcomputationalspinalimaginginneurodegenerativeconditionsandacquiredspinaldisordersacademicadvancesandclinicalprospects