Amyotrophic Lateral Sclerosis
Conditions
Brief summary
The investigators want to know if magnetic resonance imaging can accurately provide an early diagnosis of amyotrophic lateral sclerosis (ALS).
Detailed description
Currently there is no definitive diagnostic test for amyotrophic lateral sclerosis (ALS). The investigators' goal is to determine if magnetic resonance imaging can provide an accurate diagnosis of ALS by looking at chemical concentrations in the spinal cord at the neck level which show up in MRI imaging and compare these chemical concentrations to corresponding measures in healthy control subjects.
Interventions
Subjects will have magnetic resonance imaging(MRI)scans of the cervical spine(neck). This involves lying on a table and sliding into a scanner consisting of a large magnet. This will take approximately one hour to complete. All subjects will be instructed to remove all jewelry and other metal-containing objects for the scan. During the MRI scan loud noises may be heard. Subjects may have a soft brace for the neck for positioning purposes.
Brief neurological exam will be performed.
Sponsors
Study design
Eligibility
Inclusion criteria
1\. Adults age 18 to 80 years of age.
Exclusion criteria
1. Do not have active substance abuse 2. Do not have co-morbid psychiatric disease 3. Do not have opportunistic central nervous system infection 4. Do not have cerebrovascular disease 5. Do not have a contraindication for magnetic resonance imaging(MRI)(e.g. cardiac pacemaker, ferromagnetic or metallic implants). 6. Are not pregnant 7. Have not had cervical spinal surgery(neck) -
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Study levels of N-acetylaspartate (NAA)in the cervical spinal cord. | 60 minutes or as needed (rarely more than 2 hours) | 1\. Study investigators will measure the differences in the spinal cord metabolite, N-acetylaspartate in ALS subjects compared to healthy controls using magnetic spectroscopy. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Fractional anisotropy in the cervical spinal cord | 3 years | Study fractional anisotropy levels (unitless) using diffusion tensor imaging in ALS patients compared to healthy controls in the cervical spinal cord. |
Countries
United States