showed a trendP = 0.08
Longitudinally, spinal cord cross-sectional area decreased by 2.4% per year relative to baseline ( P = 4 × 10 −4 ), the ratio tNAA/mIns decreased by 5.8% per year ( P = 0.03), and fractional anisotropy showed a trend to decrease (−3.2% per year, P = 0.08).