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Fig. 1C. Series of images of 25-year-old woman shows process used to compare
region of abnormal white matter (WM) on conventional MR images and fractional
anisotropy (FA) maps in patients with multiple sclerosis (MS). Area of
abnormal WM, as determined by FA values, was entered on FA maps by placing
small ROIs around MS plaque (3) and at mirror-image site (4) on contralateral
side. Threshold of 40% decrease in FA values was chosen because that number
represented average reduction in FA values in all plaques in this study. ROIs
that had FA value at least 40% reduced compared with that of contralateral
side were recorded. Area of these periplaque regions was added to area of
plaque to give total area of abnormal-appearing WM on FA maps. ROIs have been
placed on T2-weighted image for purposes of clarity. The ROIs marked 1 and 2
are the same as those seen in B.