Evidence map›Paper›PMID 40511618›Full record

ArticleEuropean journal of neurology2025

Nerve Diameter and DTI Parameters Maybe Potential Markers for Clinical Trial in Patients With Charcot-Marie-Tooth Disease Type 1A.

Yuchen Zhu, Xingwen Sun, Dongsheng Fan, Xiaoxuan Liu

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Article in European journal of neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

4 authors.

Yuchen ZhuDepartment of Neurology, Peking University Third Hospital, Beijing, Haidian, China.ORCID 0009-0009-2655-1728
Xingwen SunDepartment of Radiology, Peking University Third Hospital, Beijing, Haidian, China.
Dongsheng FanDepartment of Neurology, Peking University Third Hospital, Beijing, Haidian, China.ORCID 0000-0002-3129-9821
Xiaoxuan LiuDepartment of Neurology, Peking University Third Hospital, Beijing, Haidian, China.ORCID 0000-0003-4021-8744

Funding

Beijing Natural Science Foundation General Project 7242170Clinical Cohort Construction Program of Peking University Third Hospital BYSYDL2024008Clinical Cohort Construction Program of Peking University Third Hospital BYSYZD2022009
6 · The paper itself

Abstract

backgroundCharcot-Marie-Tooth disease type 1A (CMT1A) is the most common form of CMT, varying from asymptomatic to severe. The aim of this study was to investigate whether the diffusion tensor imaging (DTI) parameters and diameter of the proximal nerves, as measured by magnetic resonance neurography, can be used as a potential marker to reflect the progression.

methodsThis was a prospective study including 45 consecutive patients with CMT1A, divided into three subgroups by foot dorsiflexion muscle strength: mild cases (Group 1), moderate cases (Group 2), and severe cases (Group 3). We compared the diameter, fractional anisotropy (FA), mean diffusivity (MD), axial diffusivity (AD), and radial diffusivity (RD) of the L4-L5 nerve roots, femoral nerve (FN), and sciatic nerve (SN) of patients with CMT1A with those of healthy controls (HCs), and among subgroups. We followed 19 patients for 15 months and analyzed the change.

resultsThe diameters of the L4 nerve roots and SN were significantly larger in Group 3 than in Group 1 and HCs. FA was decreased and MD and AD were increased significantly in Group 3 compared to Group 1, with the differences being more pronounced in SN and L4 nerve roots. After the follow-up period, the diameters, FA, MD, AD, and RD of the nerve roots were changed significantly.

conclusionsNerve diameter, FA, MD, and AD on DTI could be sensitive measures reflecting disease severity and progression in patients with CMT1A, prominently in proximal nerve roots. SN and L4 nerve roots may be suitable indices.

Indexed as

Charcot-Marie-Tooth DiseaseDiffusion Tensor ImagingFemoral NerveSciatic NerveSpinal Nerve RootsAdultDisease ProgressionFemaleHumansMaleMiddle AgedProspective StudiesYoung AdultCharcot–Marie–Tooth disease type 1Adiffusion tensor imagingmagnetic resonance imagingsciatic nervespinal nerve root

Identifiers

PMID40511618
PMCPMC12163648

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