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Magnetic Resonance Imaging in the Assessment of Disease Activity in Multiple Sclerosis

Published online by Cambridge University Press:  18 September 2015

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Abstract:

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Magnetic resonance imaging (MRI) has been shown to be a good method of visualizing the lesions in MS. We have studied several applications of MRI to the evaluation of patients and experimental models. In diagnosis, MRI is the most sensitive test for the demonstration of dissemination of lesions in space. Pathological correlation studies show that MRI reliably measures the extent of chronic demyelination. Experimental studies show that MRI detects acute inflammatory lesions and measures their evolution. MRI also is a reliable measure of the extent of the MS process, serial MRI scans detect evidence of disease activity in MS not always disclosed by clinical evaluation. MRI will have an enormous future impact on the evaluation of patients in clinical studies and in understanding the evolution of pathological processes.

Type
Special Features And Reviews
Copyright
Copyright © Canadian Neurological Sciences Federation 1988

References

REFERENCES

1.Hallpike, JF, Adams, CWM, Tourtellote, WW, Multiple sclerosis:pathology, diagnosis and management Baltimore: Williams and Wilkins 1983.Google Scholar
2.Ebers, G, Paty, DW, The major histocompatibility complex, the immune system and multiple sclerosis. Clin Neurol Neurosurg 1979; Vol. 81–69-86.Google ScholarPubMed
3.Hashimoto, SA, Paty, DW, In: Cotsonas, NJ, ed. Disease-a-Month. Multiple Sclerosis 1986; 22 9.Google Scholar
4.Schapira, K, Poskanzer, DC. Newell, DJ. Miller, H. Marriage, pregnancy and multiple sclerosis. Brain 1966; 89: 419428.CrossRefGoogle ScholarPubMed
5.Sibley, WA, Bamford, C, Clark, K, Clinical virus infections and multiple sclerosis. Lancet 1985; 1: 13131315.CrossRefGoogle ScholarPubMed
6.Paty, DW, Li, DKB, Neuroimaging in multiple sclerosis. In: Theodore, W, ed. Clinical Neuroimaging Allan Liss, Inc 1988.Google Scholar
7.Brant-Zawadki, M, Norman, D, eds. Magnetic Resonance Imaging in the Central Nervous System. NY: Raven Press 1987.Google Scholar
8.Schumacher, GA, Becke, G, Kibler, RF, et al. Problems of experimental trials of therapy in multiple sclerosis: report by the panel on the evaluation of experimental trials of therapy in multiple sclerosis. Ann NY Acad Sci 1965; 122: 522568.CrossRefGoogle Scholar
9.Ebers, GC, Paty, DW, CSF electrophoresis in one thousand patients. Can J Neurol Sci 1980; 7: 275280.CrossRefGoogle ScholarPubMed
10.Poser, CM, Paty, DW, Scheinberg, L, Davis, FA, Ebers, GC, Johnson, KP, Sibley, WA, Silberberg, DH, Tourtellott, WW, New diagnostic criteria for multiple sclerosis: guidelines for research protocols. Ann Neurol 1983; 13: 227231.CrossRefGoogle ScholarPubMed
11.Young, IR, Hall, AS, Pallis, CA, Bydder, GM, Legg, NJ, Steiner, RES, Nuclear magnetic resonance imaging of the brain in multiple sclerosis. Lancet 1981; 11: 1063–3.CrossRefGoogle Scholar
12.Lukes, SA, Crooks, LE, Aminoff, MJ, Kaufman, L, Panitch, HS, Mills, C, Norman, D. Nuclear magnetic resonance imaging in multiple sclerosis. Ann Neurol 1983; 13: 592601.CrossRefGoogle ScholarPubMed
13.Jackson, JA, Leake, DR, Schneiders, NJ, Rolak, LA, Kelley, GR, Ford, JJ, Appeal, SH, Bryan, RN, Magnetic resonance imaging in multiple sclerosis: results in 32 cases. Am J Neuroradiol 1985; 6: 171–6.Google ScholarPubMed
14.Gebarski, SS, Gabrielsen, TO, Gilman, S, Knake, JE, Kelley, GR, Latack, JT, Aisen, AM, The initial diagnosis of multiple sclerosis: clinical impact of magnetic resonance imaging. Ann Neurol 1985; 13: 592601.Google Scholar
15.Robertson, WD, Li, DKB, Mayo, JR, Fache, JS, Paty, DW, Assessment of multiple sclerosis lesions by magnetic resonance imaging. J Can Assoc Radiol 1987; 38: 177182.Google ScholarPubMed
16.Paty, DW, Oger, JJF, Kastrukoff, LF, Hashimoto, SA, Hooge, JP, Eisen, AA, Eisen, KA, Purves, SJ, Low, MD,Brandejs, V, Robertson, WD, Li, DKB, MRI in the diagnosis of MS: a prospective study with comparison of clinical evaluation, evoked potentials, oligoclonal banding and CT. Neurology 1988; 38: 180185.CrossRefGoogle Scholar
17.Paty, DW, Asbury, AK, Herndon, RM, McFarland, HF, McDonald, WI, Prineas, JW, Scheinberg, LC, Wolinsky, JS, Use of magnetic resonance imaging in the diagnosis of multiple sclerosis: policy statement. Neurology 1986; 36: 1575.Google Scholar
18.Stewart, WA, Hall, LD, Berry, K, Paty, DW, Correlation between NMR scan and brain slice: Data in multiple sclerosis. Lancet 1984; 2: 412.CrossRefGoogle ScholarPubMed
19.Stewart, WA, Hall, LD, Berry, K, Churg, A, Oger, J, Hashimoto, SA, Paty, DW, Magnetic resonance imaging (MRI) in multiple sclerosis(MS): pathological correlation studies in eight cuses. Neurology 1986; 36 (Suppl1): 109.Google Scholar
20.Stewart, WA, Alvord, EC, Hruby, S, Hall, LD, Paty, DW, Magnetic resonance imaging (MRI) of experimental allergic encephalomyelitis (EAE) in primatesAm Assoc of Neuropathology, Seattle, June. 1987. Manuscript in preparation.Google Scholar
21.Alvord, EC Jr, Shaw, CM, Hruby, S, Petersen, R, Rose, LM, Clark, EA, Richards, TL, Ericsson, LH, Paty, DW, Kies, MW, Experimental allergic encephalomyelitis in non-human primates:an excellent model of multiple sclerosis. In: Jonker, M, ed.Biomedical Research in Primates. 1988.In press.Google Scholar
22.Karlik, SJ, Strejan, G, Gilbert, JJ, Noseworthy, JH, NMR studies in experimental allergic encephalomyelitis (EAE): Normalizationof Tl and T2 with parenchymal cellular infiltration. Neurology 1986; 36: 11121114.CrossRefGoogle Scholar
23.Paty, DW, Bergstrom, M, Palmer, M, MacFadyen, DJ, Li, DKB, et al. A quantitation magnetic resonance image of the multiple sclerosis brain. Neurology 1985; 35 (SupplI): 137.Google Scholar
24.Palmer, MR, Bergstrom, M, Grochowski, E, Apted, C, Li, DKB, Genton, M,Hashimoto, SA, Paty, DW, Magnetic resonance imaging(MRI) in multiple sclerosis (MS): quantitation changes in the size of lesions over 6 months in the placebo limb of a therapeutic trial. Can J Neurol Sci 1986; 13: 168.Google Scholar
25.Honer, WG, Hurwitz, T, Li, DKB, Palmer, DW, Temporal lobe involvement in multiple sclerosis patients with psychiatric disorders. Arch Neurol 1987; 44: 187190.CrossRefGoogle ScholarPubMed
26.Koopmans, RA, Li, DKB, Grochowski, E,Cutler, PJ, Paty, DW, MRI characteristics of benign and chronic progressive multiple sclerosis. Can J Neurol Sci 1987; 14: 241.Annals of Neurology (Inpress).Google Scholar
27.Li, DKB, Mayo, J, Fache, S, Robertson, WD, Paty, DW, Genton, MEarly experience in nuclear magnetic resonance imaging in multiple sclerosis. Ann NY Acad Sci 1984; 436: 483486.CrossRefGoogle Scholar
28.Isaac, C, Li, DKB, Genton, M, Jardine, C, Grochowski, E, Palmer, M, Kastrukoff, LF, Oger, J, Paty, DWMultiple Sclerosis: A serial study using MRI in relapsing patients. Neurology 1988 (inpress)s.CrossRefGoogle ScholarPubMed
29.Willoughby, EW, Grochowski, E, Li, DKB, Oger, J, Kastrukoff, LF, Paty, DWSerial magnetic resonance scanning in multiple sclerosis:A prospective study in relapsing patients. Neurology 1988(in press).Google Scholar
30.Paty, DW, Multiple sclerosis: Assessment of disease progression and effects of treatment. Can J Neurol Sci 1987; 14: 518520.CrossRefGoogle ScholarPubMed