Document Detail


Novel MRI approaches to assess patients with multiple sclerosis.
MedLine Citation:
PMID:  20164769     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE OF REVIEW: This review summarizes novel MRI approaches for the investigation of lesion burden and understanding of the pathophysiology of multiple sclerosis (MS). RECENT FINDINGS: Recent technical advances are improving our ability to detect and define the nature of focal lesions and 'diffuse' tissue damage in MS as well as the functional consequences of such structural abnormalities. New contrast agents allow to monitor the pluriformity of MS inflammation. Double inversion recovery sequences enable us to detect and monitor the evolution of MS lesions in the cortex. High and ultra-high field scanners are improving imaging of MS-related abnormalities at an unprecedented resolution. Furthermore, this new generation of scanners has the potential to ameliorate structural and functional MR studies of the disease. All of this has contributed, and is likely to continue to contribute, to the definition of the factors associated with the development of irreversible disability in MS. Finally, new analysis methods have allowed to track regional disease-related changes and are resulting in an increased correlation between MRI and clinical deficits. SUMMARY: Novel MR approaches highlighted previously unrecognized or neglected aspects of MS pathophysiology, which are likely to improve our understanding of the heterogeneous clinical manifestations of this condition.
Authors:
Massimo Filippi; Maria A Rocca
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current opinion in neurology     Volume:  23     ISSN:  1473-6551     ISO Abbreviation:  Curr. Opin. Neurol.     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-05     Completed Date:  2010-08-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9319162     Medline TA:  Curr Opin Neurol     Country:  England    
Other Details:
Languages:  eng     Pagination:  212-7     Citation Subset:  IM    
Affiliation:
Neuroimaging Research Unit, Division of Neuroscience, Scientific Institute and University Hospital San Raffaele, Milan, Italy. m.filippi@hsr.it
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MeSH Terms
Descriptor/Qualifier:
Central Nervous System / pathology*,  physiopathology
Cerebral Cortex / pathology,  physiopathology
Contrast Media / diagnostic use
Diagnosis, Differential
Disability Evaluation
Disease Progression
Humans
Image Processing, Computer-Assisted / methods,  trends
Magnetic Resonance Imaging / methods*,  trends*
Multiple Sclerosis / diagnosis*,  physiopathology
Myelin Sheath / pathology
Chemical
Reg. No./Substance:
0/Contrast Media

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