Thalamic volume differentiates multiple sclerosis from neuromyelitis optica spectrum disorder: MRI-based retrospective study

Multiple sclerosis (MS) and neuromyelitis optica spectrum disorders (NMOSD) are distinct demyelinating diseases of the central nervous system, each characterized by unique patterns of motor, sensory, and visual dysfunction. While MS typically affects the brain and spinal cord, NMOSD predominantly ta...

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Main Authors: Manal Alosaimi, Hatham Alkanhal, Saleh Aldeligan, Nuha Alkhawajah, Alaa Albishi, Bander Hilabi, Salman Aljarallah
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Neurology
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Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2024.1491193/full
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author Manal Alosaimi
Hatham Alkanhal
Saleh Aldeligan
Nuha Alkhawajah
Alaa Albishi
Bander Hilabi
Salman Aljarallah
author_facet Manal Alosaimi
Hatham Alkanhal
Saleh Aldeligan
Nuha Alkhawajah
Alaa Albishi
Bander Hilabi
Salman Aljarallah
author_sort Manal Alosaimi
collection DOAJ
description Multiple sclerosis (MS) and neuromyelitis optica spectrum disorders (NMOSD) are distinct demyelinating diseases of the central nervous system, each characterized by unique patterns of motor, sensory, and visual dysfunction. While MS typically affects the brain and spinal cord, NMOSD predominantly targets the optic nerves and spinal cord. This study aims to elucidate the morphometric differences between MS and NMOSD by focusing on gray matter volume changes in specific brain regions. We also examined if temporal changes in follow-up MRI differentiate the two disorders. We analyzed anatomical T1-weighted MRI scans from 24 patients with NMOSD and 25 patients with MS using the CAT12 toolbox. Our analysis revealed significant differences in gray matter structure between the two patient groups. Notably, the thalamus was found to be consistently smaller in patients with MS compared to those with NMOSD. This finding aligns with previous research highlighting thalamic atrophy as a hallmark of MS and further underscores the thalamus’s role in the disease’s pathology. These results provide valuable insights into the distinct neuroanatomical features of MS and NMOSD, contributing to a better understanding of the mechanisms underlying these diseases. The study also emphasizes the importance of advanced imaging techniques in differentiating between MS and NMOSD, which may have implications for diagnosis and treatment strategies.
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institution Kabale University
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publishDate 2025-01-01
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spelling doaj-art-49a4ef904c984b32a5c4adcecffb58d72025-01-03T06:47:36ZengFrontiers Media S.A.Frontiers in Neurology1664-22952025-01-011510.3389/fneur.2024.14911931491193Thalamic volume differentiates multiple sclerosis from neuromyelitis optica spectrum disorder: MRI-based retrospective studyManal Alosaimi0Hatham Alkanhal1Saleh Aldeligan2Nuha Alkhawajah3Alaa Albishi4Bander Hilabi5Salman Aljarallah6Department of Radiological Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi ArabiaDepartment of Radiological Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi ArabiaDepartment of Medicine, College of Medicine, King Saud University, Riyadh, Saudi ArabiaDepartment of Medicine, College of Medicine, King Saud University, Riyadh, Saudi ArabiaDepartment of Health Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi ArabiaDepartment of Medical Imaging Administration, King Saud Medical City, Riyadh, Saudi ArabiaDepartment of Medicine, College of Medicine, King Saud University, Riyadh, Saudi ArabiaMultiple sclerosis (MS) and neuromyelitis optica spectrum disorders (NMOSD) are distinct demyelinating diseases of the central nervous system, each characterized by unique patterns of motor, sensory, and visual dysfunction. While MS typically affects the brain and spinal cord, NMOSD predominantly targets the optic nerves and spinal cord. This study aims to elucidate the morphometric differences between MS and NMOSD by focusing on gray matter volume changes in specific brain regions. We also examined if temporal changes in follow-up MRI differentiate the two disorders. We analyzed anatomical T1-weighted MRI scans from 24 patients with NMOSD and 25 patients with MS using the CAT12 toolbox. Our analysis revealed significant differences in gray matter structure between the two patient groups. Notably, the thalamus was found to be consistently smaller in patients with MS compared to those with NMOSD. This finding aligns with previous research highlighting thalamic atrophy as a hallmark of MS and further underscores the thalamus’s role in the disease’s pathology. These results provide valuable insights into the distinct neuroanatomical features of MS and NMOSD, contributing to a better understanding of the mechanisms underlying these diseases. The study also emphasizes the importance of advanced imaging techniques in differentiating between MS and NMOSD, which may have implications for diagnosis and treatment strategies.https://www.frontiersin.org/articles/10.3389/fneur.2024.1491193/fullmultiple sclerosisneuromyelitis opticathalamusvolumeCAT12MRI
spellingShingle Manal Alosaimi
Hatham Alkanhal
Saleh Aldeligan
Nuha Alkhawajah
Alaa Albishi
Bander Hilabi
Salman Aljarallah
Thalamic volume differentiates multiple sclerosis from neuromyelitis optica spectrum disorder: MRI-based retrospective study
Frontiers in Neurology
multiple sclerosis
neuromyelitis optica
thalamus
volume
CAT12
MRI
title Thalamic volume differentiates multiple sclerosis from neuromyelitis optica spectrum disorder: MRI-based retrospective study
title_full Thalamic volume differentiates multiple sclerosis from neuromyelitis optica spectrum disorder: MRI-based retrospective study
title_fullStr Thalamic volume differentiates multiple sclerosis from neuromyelitis optica spectrum disorder: MRI-based retrospective study
title_full_unstemmed Thalamic volume differentiates multiple sclerosis from neuromyelitis optica spectrum disorder: MRI-based retrospective study
title_short Thalamic volume differentiates multiple sclerosis from neuromyelitis optica spectrum disorder: MRI-based retrospective study
title_sort thalamic volume differentiates multiple sclerosis from neuromyelitis optica spectrum disorder mri based retrospective study
topic multiple sclerosis
neuromyelitis optica
thalamus
volume
CAT12
MRI
url https://www.frontiersin.org/articles/10.3389/fneur.2024.1491193/full
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