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Association of MRI metrics and cognitive impairment in radiologically isolated syndromes.
MedLine Citation:
PMID:  22262744     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE:To evaluate cognitive changes in a cohort of radiologically isolated syndromes (RIS) suggestive of multiple sclerosis (MS) and to assess their relationship with quantitative magnetic resonance (MR) measures such as white matter (WM), lesion loads, and cerebral atrophy. METHODS:We assessed the cognitive performance in a group of 29 subjects with RIS recruited from 5 Italian MS centers and in a group of 26 patients with relapsing-remitting MS (RRMS). A subgroup of 19 subjects with RIS, 26 patients with RRMS, and 21 healthy control (HC) subjects also underwent quantitative MR assessments, which included WM T1 and T2 lesion volumes and global and cortical brain volumes. RESULTS:Cognitive impairment of the same profile as that of RRMS was found in 27.6% of our subjects with RIS. On MR scans, we found comparable levels of lesion loads and brain atrophy in subjects with RIS and well-established RRMS. In subjects with RIS, high T1 lesion volume (ρ = 0.526, p = 0.025) and low cortical volume (ρ = -0.481, p = 0.043) were associated with worse cognitive performance. CONCLUSIONS:These findings emphasize the importance of including accurate neuropsychological testing and quantitative MR metrics in subjects with RIS suggestive of MS. They can provide a better characterization of these asymptomatic subjects, potentially useful for diagnostic and therapeutic decisions.
Authors:
M P Amato; B Hakiki; B Goretti; F Rossi; M L Stromillo; A Giorgio; M Roscio; A Ghezzi; L Guidi; M L Bartolozzi; E Portaccio; N De Stefano;
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-1-18
Journal Detail:
Title:  Neurology     Volume:  -     ISSN:  1526-632X     ISO Abbreviation:  -     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-1-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401060     Medline TA:  Neurology     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
From the Department of Neurology (M.P.A., B.H., B.B., E.P.), University of Florence, Florence; Department of Neurology (F.R., M.L.S., A.G., N.D.), University of Siena, Siena; Multiple Sclerosis Centre (M.R., A.G.), Hospital of Gallarate, Gallarate; and Neurology Unit (L.G., M.L.B.), Hospital of Empoli, Florence, Italy.
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