Diffusely abnormal white matter (DAWM) is found in the brain of some multiple sclerosis (MS) and clinically isolated syndrome (CIS) subjects. DAWM has poorly defined boundaries, with signal intensity higher than normal appearing white matter (NAWM) but not as high as lesions on FLAIR, proton density and T2-weighted MRI. We compared results from myelin water imaging, T1 and diffusion basis spectrum imaging in areas of DAWM and corresponding areas of NAWM in 20 MS/CIS participants. No significant differences in measures sensitive to myelin, axons, oedema and inflammation were found, although trends for increased T1 and reduced fibre fraction were observed.
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