Microstructural alterations in brain tissue of ME/CFS and long COVID using diffusion tensor imaging and diffusion kurtosis imaging - Report - MDSpire

Investigating Microstructural Changes in Brain Tissue of ME/CFS and Long COVID through Diffusion Tensor and Kurtosis Imaging Techniques

  • By

  • Tanoj Bahadur Singh

  • Sonya Marshall-Gradisnik

  • Leighton Barnden

  • Natalie Eaton-Fitch

  • Tuong Hieu Huynh

  • Maira Inderyas

  • Kiran Thapaliya

  • July 17, 2026

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Clinical Report: Investigating Microstructural Changes in Brain Tissue of ME/CFS and Long COVID

Overview

This study investigates microstructural brain changes in individuals with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) and long COVID using Diffusion Tensor Imaging (DTI) and Diffusion Kurtosis Imaging (DKI). Distinct alterations were identified in brain regions associated with both conditions.

Background

ME/CFS and long COVID share debilitating symptoms such as fatigue and cognitive impairment, significantly impacting patients' quality of life. Neuroimaging techniques, particularly MRI, have been employed to explore brain dysfunction in these conditions. However, no prior studies have directly compared microstructural differences between ME/CFS and long COVID using DTI and DKI.

Data Highlights

GroupAltered Regionsp-value
ME/CFSCingulum, Supplementary Motor Areas, Corpus Callosum< 0.05
Long COVIDFusiform Gyrus, Precentral Gyrus, Major White Matter Tracks< 0.05
ComparisonLeft Corona Radiata0.001

Key Findings

  • ME/CFS participants exhibited microstructural alterations in the cingulum and corpus callosum.
  • Long COVID participants showed changes in the fusiform gyrus and precentral gyrus.
  • Statistical analysis revealed significant differences in the left corona radiata between ME/CFS and long COVID groups.
  • All findings were statistically significant with p-values < 0.05.
  • The study utilized advanced imaging techniques (DTI and DKI) to assess brain microstructure.

Clinical Implications

Clinicians should consider the identified microstructural changes when evaluating patients with overlapping symptoms.

Conclusion

This research identifies distinct microstructural differences in brain tissue between ME/CFS and long COVID.

Related Resources & Content

  1. Frontiers in Neurology, 2026 -- Multimodal MRI reveals three-tiered pathological co-alterations in prolonged disorders of consciousness: structural disconnection, network disintegration, and regional hyperconnectivity
  2. Brain, 2026 -- Structural covariance analysis for neurodegenerative and neuroinflammatory brain disorders
  3. Frontiers in Pain Research, 2026 -- Diffusion tensor imaging in chronic tension-type headache
  4. Acta Neuropathologica, 2024 -- Comprehensive Spatial Immune Profiling Uncovers an Innate Immune Signature in Brains of Individuals Post-COVID-19
  5. Long COVID Clinical Guidance | Long COVID | CDC, 2026
  6. Diffusion tensor imaging after COVID-19 infection: A systematic review, 2025
  7. Long COVID Clinical Guidance | Long COVID | CDC
  8. Diffusion tensor imaging after COVID-19 infection: A systematic review - ScienceDirect
  9. https://www.nature.com/articles/s41598-025-09379-z.pdf

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