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Neuroimaging in Multiple Sclerosis (Paperback)
Loot Price: R2,233
Discovery Miles 22 330
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Neuroimaging in Multiple Sclerosis (Paperback)
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Multiple sclerosis (MS) is a chronic inflammatory demyelinating
disease that affects the whole brain. Neuroimaging techniques that
can help elucidate and characterise the nature and mechanism of
tissue injury and disease progression in MS are of particular
importance, given their roles in seeking successful preventive and
therapeutic treatments for the disease. Imaging biomarkers of MS
include multiple lesions, brain atrophy and normal appearing brain
tissue abnormalities. Although MS is considered to be an autoimmune
inflammatory disease that primarily activates haematogenous
macrophages that destroy myelin, growing evidence strongly suggests
that MS is a diffused neurodegenerative disease. Imaging myelin in
the brain has great potential in revealing the myelination and
maturation process in the brain, and can help further explain the
link between the initial inflammatory event and subsequent
degenerative processes of the disease. While myelin is most
abundant in white matter, forefront studies suggest that
demyelination could occur in grey matter during aging and MS.
Further improvements are expected in this active research field in
terms of quantification and improvement of myelin detection
accuracy. The neuroimaging techniques in MS detection can be
further extended to other neurodegenerative diseases including
Alzheimers disease, schizophrenia and white matter injuries
following stroke. Furthermore, cerebrovascular reactivity (CVR)
describes the compensatory dilatory capacity of cerebral
vasculature in upregulating perfusion. Investigating the
hypercapnia-induced CVR characteristics using well-validated
pseudo-continuous ASL (pCASL) for CBF and BOLD fMRI acquisitions
could provide a physiological clue to the underlying neurovascular
and vascular inflammatory mechanism in the aetiology of MS. The
authors hope to introduce the readers to some perspectives using
multi-modality imaging for MS disease detection and diagnosis,
including two imaging hallmark-demyelination and inflammation.
Various advanced technical developments and applications will be
demonstrated, including conventional and homotopic functional and
structural connectivity, underlying pathological investigation with
robust blood-flow and BOLD-based vascular reactivity techniques,
and longitudinal monitoring of multiparametric MRI data. Therefore,
the book will present some forefront, up-to-date and interesting
examples in the MS research field. This book will hopefully capture
the interests of colleagues in this challenging field and help
convey the technical and developmental information of the
neuroimaging applications in MS.
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