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Post-mortem correlates of Virchow-Robin spaces detected on in vivo MRI

Haider, Lukas; Hametner, Simon; Endmayr, Verena; Mangesius, Stephanie; Eppensteiner, Andrea; Frischer, Josa M; Iglesias, Juan Eugenio; ... Kasprian, Gregor; + view all (2022) Post-mortem correlates of Virchow-Robin spaces detected on in vivo MRI. Journal of Cerebral Blood Flow & Metabolism 10.1177/0271678X211067455. (In press). Green open access

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Abstract

The purpose of our study is to quantify the extent to which Virchow-Robin spaces (VRS) detected on in vivo MRI are reproducible by post-mortem MRI.Double Echo Steady State 3T MRIs were acquired post-mortem in 49 double- and 32 single-hemispheric formalin-fixed brain sections from 12 patients, who underwent conventional diagnostic 1.5 or 3T MRI in median 22 days prior to death (25% to 75%: 12 to 134 days). The overlap of in vivo and post-mortem VRS segmentations was determined accounting for potential confounding factors.The reproducibility of VRS found on in vivo MRI by post-mortem MRI, in the supratentorial white matter was in median 80% (25% to 75%: 60 to 100). A lower reproducibility was present in the basal ganglia, with a median of 47% (25% to 75%: 30 to 50).VRS segmentations were histologically confirmed in one double hemispheric section.Overall, the majority of VRS found on in vivo MRI was stable throughout death and formalin fixation, emphasizing the translational potential of post-mortem VRS studies.

Type: Article
Title: Post-mortem correlates of Virchow-Robin spaces detected on in vivo MRI
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1177/0271678X211067455
Publisher version: https://doi.org/10.1177/0271678X211067455
Language: English
Additional information: This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
Keywords: Glymphatic system, Virchow-Robin spaces, histology, in vivo MRI, post-mortem MRI
UCL classification: UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Brain Repair and Rehabilitation
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Neuroinflammation
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10149986
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