PMID- 21778100 OWN - NLM STAT- MEDLINE DCOM- 20120228 LR - 20211020 IS - 1096-7206 (Electronic) IS - 1096-7192 (Print) IS - 1096-7192 (Linking) VI - 104 IP - 3 DP - 2011 Nov TI - New frontiers in neuroimaging applications to inborn errors of metabolism. PG - 195-205 LID - 10.1016/j.ymgme.2011.06.020 [doi] AB - Most inborn errors of metabolism (IEMs) are associated with potential for injury to the developing central nervous system resulting in chronic encephalopathy, though the etiopathophysiology of neurological injury have not been fully established in many disorders. Shared mechanisms can be envisioned such as oxidative injury due to over-activation of N-Methyl-d-Aspartate (NMDA) receptors with subsequent glutamatergic damage, but other causes such as energy depletion or inflammation are possible. Neuroimaging has emerged as a powerful clinical and research tool for studying the brain in a noninvasive manner. Several platforms exist to study neural networks underlying cognitive processes, white matter/myelin microstructure, and cerebral metabolism in vivo. The scope and limitations of these methods will be discussed in the context of valuable information they provide in the study and management of selected inborn errors of metabolism. This review is not meant to be an exhaustive coverage of diagnostic findings on MRI in multiple IEMs, but rather to illustrate how neuroimaging modalities beyond T1 and T2 images, can add depth to an understanding of the underlying brain changes evoked by the selected IEMs. Emphasis will be placed on techniques that are available in the clinical setting. Though technically complex, many of these modalities have moved - or soon will - to the clinical arena. CI - Copyright A(c) 2011 Elsevier Inc. All rights reserved. FAU - Prust, Morgan J AU - Prust MJ AD - Department of Neurology, Children's National Medical Center, Washington, D.C. 20010, USA. FAU - Gropman, Andrea L AU - Gropman AL FAU - Hauser, Natalie AU - Hauser N LA - eng GR - U54 HD061221/HD/NICHD NIH HHS/United States GR - U54 RR019453/RR/NCRR NIH HHS/United States PT - Journal Article PT - Review DEP - 20110630 PL - United States TA - Mol Genet Metab JT - Molecular genetics and metabolism JID - 9805456 SB - IM MH - Diffusion Tensor Imaging/*methods MH - Humans MH - Magnetic Resonance Imaging/*methods MH - Magnetic Resonance Spectroscopy/*methods MH - Metabolism, Inborn Errors/*diagnosis/pathology MH - Nerve Net/*pathology PMC - PMC3758691 MID - NIHMS499499 COIS- Conflict of interest The authors have no conflicts of interest to declare that impact the content of this review. EDAT- 2011/07/23 06:00 MHDA- 2012/03/01 06:00 PMCR- 2013/08/31 CRDT- 2011/07/23 06:00 PHST- 2011/03/13 00:00 [received] PHST- 2011/06/25 00:00 [revised] PHST- 2011/06/26 00:00 [accepted] PHST- 2011/07/23 06:00 [entrez] PHST- 2011/07/23 06:00 [pubmed] PHST- 2012/03/01 06:00 [medline] PHST- 2013/08/31 00:00 [pmc-release] AID - S1096-7192(11)00207-1 [pii] AID - 10.1016/j.ymgme.2011.06.020 [doi] PST - ppublish SO - Mol Genet Metab. 2011 Nov;104(3):195-205. doi: 10.1016/j.ymgme.2011.06.020. Epub 2011 Jun 30.