Lupus & antiphospholipid syndrome

Microstructural changes of the white matter in systemic lupus erythematosus patients without neuropsychiatric symptoms: a multi-shell diffusion imaging study

Arthritis Res TherPublished Cross-sectional study

Authors' conclusion

This study suggested that DKI and NODDI metrics can complementarily detect WM abnormalities in non-NPSLE patients and revealed ODI as a more sensitive and specific biomarker than DKI

Study context

Population
SLE patients without neuropsychiatric symptoms and matched healthy controls
Participants
49 vs 41
Exposure
Non-NPSLE patients vs healthy controls
  • Non-NPSLEn = 49
  • Healthy controlsn = 41reference
Outcome
Group differences in brain WM microstructure on 10 diffusion kurtosis imaging (DKI) and neurite orientation dispersion and density imaging (NODDI) diffusion metrics
Methodological detailsage-, sex-, and education-matched healthy controls, multi-shell diffusion MRI, tract-based spatial statistics (TBSS) and atlas-based region-of-interest (ROI) analyses
  • Age-, sex-, and education-matched healthy controls
  • Multi-shell diffusion MRI
  • TBSS and atlas-based ROI analyses

Main finding

As reported in the abstract

WM microstructure (TBSS and atlas-based ROI analyses)
TBSS: reduced FA, AD and RK and increased ODI in the white matter (WM) of non-NPSLE patients (family-wise error corrected)
P < 0.05

Observational data: associations, not effects.

Original publication

Microstructural changes of the white matter in systemic lupus erythematosus patients without neuropsychiatric symptoms: a multi-shell diffusion imaging study. Arthritis Res Ther. Published 28 May 2024. doi:10.1186/s13075-024-03344-3

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