0602317 - ÚI 2025 RIV CH eng J - Journal Article
Filip, P. - Vojtíšek, L. - Jičínská, A. M. - Valenta, Zdeněk - Horák, O. - Hrunka, M. - Mangia, S. - Michaeli, S. - Jabandžiev, P.
Wide-spread brain alterations early after the onset of Crohn’s disease in children in remission—a pilot study.
Frontiers in Neuroscience. Roč. 18, 03 December 2024 (2024), č. článku 1491770. ISSN 1662-453X. E-ISSN 1662-453X
R&D Projects: GA MŠMT(CZ) EH22_008/0004643
Institutional support: RVO:67985807
Keywords : Crohn’s disease * diffusion tensor imaging * neuroinflammation * brain oedema * MRI relaxometry
OECD category: Clinical neurology
Impact factor: 3.2, year: 2023 ; AIS: 1.156, rok: 2023
Method of publishing: Open access
Result website:
https://doi.org/10.3389/fnins.2024.1491770DOI: https://doi.org/10.3389/fnins.2024.1491770

BACKGROUND: The research on possible cerebral involvement in Crohn’s disease (CD) has been largely marginalized and failed to capitalize on recent developments in magnetic resonance imaging (MRI). OBJECTIVE: This cross-sectional pilot study searches for eventual macrostructural and microstructural brain affection in CD in remission and early after the disease onset. METHODS: 14 paediatric CD patients and 14 healthy controls underwent structural, diffusion weighted imaging and quantitative relaxation metrics acquisition, both conventional free precession and adiabatic rotating frame transverse and longitudinal relaxation time constants as markers of myelination, iron content and cellular loss. RESULTS: While no inter-group differences in cortical thickness and relaxation metrics were found, lower mean diffusivity and higher intracellular volume fraction were detected in CD patients over vast cortical regions essential for the regulation of the autonomous nervous system, sensorimotor processing, cognition and behavior, pointing to wide-spread cytotoxic oedema in the absence of demyelination, iron deposition or atrophy. CONCLUSION: Although still requiring further validation in longitudinal projects enrolling larger numbers of subjects, this study provides an indication of wide-spread cortical oedema in CD patients very early after the disease onset and sets possible directions for further research
Permanent Link: https://hdl.handle.net/11104/0359452