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Sex-based differences in tissue microstructure in multiple sclerosis detected using multi-model diffusion MRI
Olayinka Adeoluwa Oladosu1, Cayden Murray2, Syed Rizvi2, Mariana Bento3,4, G Bruce Pike3,4, and Yunyan Zhang3,4
1Neuroscience, University of Calgary, Calgary, AB, Canada, 2University of Calgary, Calgary, AB, Canada, 3Radiology, University of Calgary, Calgary, AB, Canada, 4Clinical Neurosciences, University of Calgary, Calgary, AB, Canada
Women and men appear to have different microstructure patterns in multiple sclerosis. Men had greater lesion microstructural damage and women showed different microstructure patterns associated with injectable and oral medications according to diffusion MRI.
Figure 1. Lesion-NAWM asymmetries compared between men and women. Diffusion tensor imaging (top), high angular resolution compartment (middle), and diffusion orientation analyses indicate differences in lesion-NAWM asymmetry between women and men. *p<0.05, **p<0.01
Figure 2. Diffusion metrics reflecting significant differences in microstructure pathology between men and women. Calculation of diffusion measures took advantage of the A) average diffusion b0. Measures showing significant sex-differences in microstructure include B) radial diffusivity, C) mean diffusivity, and D) fractional anisotropy diffusion tensor measures as well as E) axonal density, F) axonal diameter, G) intracellular volume fraction and H) orientation distribution function energy.