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Multiple Sclerosis and Magnetic Resonance Imaging
Advancement in Linking the Pictures With the Progression
Arch Neurol. 2001;58:35-36.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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MAGNETIC RESONANCE (MR) imaging (MRI) is currently the best paraclinical
tool for the diagnosis of multiple sclerosis (MS). Conventional spin-echo
images of the brain are routinely used in clinical practice because of their
high sensitivity in the detection of lesions of MS. The burden of disease
as measured by T2 lesion volume has been used as a quantitative outcome measure
in several recent phase 3 MS clinical trials. Interestingly, although MS plaques
detected on postmortem examination colocalize with T2 lesions, there is a
weak correlation between T2 disease burden and clinical disability. The reason
for this poor correlation is not clear. However, one possibility is that the
pathologic processes being represented by T2-weighted lesions of the brain
are quite diverse. Inflammation, demyelination, edema, gliosis, and axonal
loss are all processes that can be represented by T2-weighted images of the
MS brain, yet only axonal loss and chronic demyelination would be . . . [Full Text of this Article]
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