Published in:
01-05-2018 | Neuro
Peripheral nerve diffusion tensor imaging (DTI): normal values and demographic determinants in a cohort of 60 healthy individuals
Authors:
Moritz Kronlage, Véronique Schwehr, Daniel Schwarz, Tim Godel, Lorenz Uhlmann, Sabine Heiland, Martin Bendszus, Philipp Bäumer
Published in:
European Radiology
|
Issue 5/2018
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Abstract
Objective
To identify demographic determinants of peripheral nerve diffusion tensor imaging (DTI) and to establish normal values for fractional anisotropy (FA), axial diffusivity (AD), radial diffusivity (RD), and mean diffusivity (MD).
Methods
Sixty subjects were examined at 3 Tesla by single-shot DTI. FA, AD, RD, and MD were collected for the sciatic, tibial, median, ulnar, and radial nerve and were correlated with demographic variables.
Results
Mean FA of all nerves declined with increasing age (r = −0.77), which could be explained by RD increasing (r = 0.56) and AD declining (r = −0.40) with age. Moreover, FA was inversely associated with height (r = −0.28), weight (r = −0.38) and BMI (r = −0.35). Although FA tended to be lower in men than women (p = 0.052), this difference became completely negligible after adjustment to body weight. A multiple linear regression model for FA was calculated with age and weight as predictors (defined by backward variable selection), yielding an R
2 = 0.71 and providing a correction formula to adjust FA for age and weight.
Conclusion
Peripheral nerve DTI parameters depend on demographic variables. The most important determinants age and weight should be considered in all studies employing peripheral nerve DTI.
Key points
• Peripheral nerve diffusion tensor imaging (DTI) parameters depend on demographic variables.
• Fractional anisotropy (FA) declines with increasing age and weight.
• Gender does not systematically affect peripheral nerve DTI.
• The formula presented here allows adjustment of FA for demographic variables.