Using human spinal cord tissue donated to the International Spinal Cord Injury Biobank, we quantitatively correlated binarized histological stains for myelin and axons with myelin- and axon-sensitive advanced MRI metrics (myelin water fraction (MWF), inhomogeneous magnetization transfer (ihMT), diffusion tensor imaging (fractional anisotropy (FA), axial diffusivity (AD), radial diffusivity, RD), diffusion basis spectrum imaging (fibre fraction, FF)). MWF, ihMT and RD had significant, moderately strong correlations with Luxol fast blue staining for myelin phospholipids. FA, AD and FF did not have any significant correlation with phosphorylated neurofilament immunohistochemistry.
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