Document Detail


Contrast-enhanced magnetic resonance activity in relapsing remitting multiple sclerosis patients: a short term natural history study.
MedLine Citation:
PMID:  10694845     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Magnetic resonance imaging (MRI) has been used to study the history of multiple sclerosis (MS). We analyze the relationship between MRI activity in the first scan compared to the subsequent five scans, and we evaluate whether a shorter observation period of 3 months may predict the subsequent 3 months. Monthly enhanced MRI was performed in 103 relapsing remitting (RR) MS patients for 6 months. Thirty-five per cent of patients had an inactive scan on the initial examination. More than 80% of them developed MRI activity during the following 5 months. Eighteen per cent of patients had three consecutive inactive scans; 65% of them had at least one active scan on the subsequent 3 monthly MRI's. The relationship between the first scan and all subsequent scans demonstrates a clear weakening over time. Eighty-two per cent of patients had at least one active scan during the initial 3 consecutive months, the chance of becoming inactive decreased from 23% to 0% over the subsequent 3 months, according with the mean number of enhancing lesions during the first 3 months. These results suggest that neither a single scan nor a short baseline of 3 months may adequately describe the natural history of disease in an individual RRMS patient.
Authors:
F Bagnato; A Tancredi; N Richert; C Gasperini; S Bastianello; C Bash; H McFarland; C Pozzilli; J A Frank
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Publication Detail:
Type:  Journal Article; Multicenter Study    
Journal Detail:
Title:  Multiple sclerosis (Houndmills, Basingstoke, England)     Volume:  6     ISSN:  1352-4585     ISO Abbreviation:  Mult. Scler.     Publication Date:  2000 Feb 
Date Detail:
Created Date:  2000-04-28     Completed Date:  2000-04-28     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9509185     Medline TA:  Mult Scler     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  43-9     Citation Subset:  IM    
Affiliation:
Department of Neurological Science, University of Rome La Sapienza, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adult
Clinical Trials as Topic / methods
Cohort Studies
Female
Gadolinium / diagnostic use
Humans
Longitudinal Studies
Magnetic Resonance Imaging / methods*
Male
Multiple Sclerosis, Relapsing-Remitting / diagnosis*
Poisson Distribution
Predictive Value of Tests
Chemical
Reg. No./Substance:
7440-54-2/Gadolinium

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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