MRI criteria for MS in patients with clinically isolated syndromes

被引:183
作者
Montalban, X. [1 ]
Tintore, M. [1 ]
Swanton, J. [2 ,3 ]
Barkhof, F. [4 ,5 ]
Fazekas, F. [6 ]
Filippi, M. [7 ]
Frederiksen, J. [8 ,9 ]
Kappos, L. [10 ]
Palace, J. [11 ]
Polman, C. [4 ,5 ]
Rovaris, M. [12 ]
de Stefano, N. [13 ]
Thompson, A. [2 ,3 ]
Yousry, T. [2 ,3 ]
Rovira, A. [1 ]
Miller, D. H. [2 ,3 ]
机构
[1] Hosp Univ Vall Hebron, Unit Clin Neuroimmunol, Multiple Sclerosis Ctr Catalonia CEMcat, Barcelona 08035, Spain
[2] UCL, Inst Neurol, NMR Res Unit, Dept Neuroinflammat & Brain Repair, London, England
[3] UCL, Inst Neurol, NMR Res Unit, Dept Rehabil,Dept Neuroradiol, London, England
[4] Vrije Univ Amsterdam, Med Ctr, Dept Neuroradiol, Amsterdam, Netherlands
[5] Vrije Univ Amsterdam, Med Ctr, Dept Neurol, Amsterdam, Netherlands
[6] Med Univ Graz, Dept Neurol, Graz, Austria
[7] Inst Sci, Dept Neurol, Neuroimaging Res Unit, Milan, Italy
[8] Glostrup Univ Hosp, Dept Neurol, Copenhagen, Denmark
[9] Glostrup Univ Hosp, MRI Res Unit, Copenhagen, Denmark
[10] Univ Basel Hosp, Dept Neurol, CH-4031 Basel, Switzerland
[11] John Radcliffe Hosp, Dept Neurol, MS Unit, Oxford OX3 9DU, England
[12] Fdn Don C Gnocchi, Sci Inst Santa Maria Nascente, Multiple Sclerosis Ctr, Milan, Italy
[13] Univ Siena, Dept Neurol & Behav Sci, I-53100 Siena, Italy
关键词
SUSPECTED MULTIPLE-SCLEROSIS; DIAGNOSTIC-CRITERIA; FOLLOW-UP; DIFFERENTIAL-DIAGNOSIS; PREDICT CONVERSION; EVOKED-POTENTIALS; MCDONALD CRITERIA; IMAGING CRITERIA; IN-VIVO; LESIONS;
D O I
10.1212/WNL.0b013e3181cec45c
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
In recent years, criteria for the diagnosis of multiple sclerosis (MS) have changed, mainly due to the incorporation of new MRI criteria. While the new criteria are a logical step forward, they are complex and-not surprisingly-a good working knowledge of them is not always evident among neurologists and neuroradiologists. In some circumstances, several MRI examinations are needed to achieve an accurate and prompt diagnosis. This provides an incentive for continued efforts to refine the incorporation of MRI-derived information into the diagnostic workup of patients presenting with a clinically isolated syndrome. Within the European multicenter collaborative research network that studies MRI in MS (MAGNIMS), a workshop was held in London in November 2007 to review information that may simplify the existing MS diagnostic criteria, while maintaining a high specificity that is essential to minimize false positive diagnoses. New data that are now published were reviewed and discussed and together with a new proposal are integrated in this position paper. Neurology(R) 2010;74:427-434
引用
收藏
页码:427 / 434
页数:8
相关论文
共 34 条
[1]  
Bagnato F, 2006, AM J NEURORADIOL, V27, P2161
[2]   Comparison of MRI criteria at first presentation to predict conversion to clinically definite multiple sclerosis [J].
Barkhof, F ;
Filippi, M ;
Miller, DH ;
Scheltens, P ;
Campi, A ;
Polman, CH ;
Comi, G ;
Ader, HJ ;
Losseff, N ;
Valk, J .
BRAIN, 1997, 120 :2059-2069
[3]  
Beck RW, 2003, ARCH OPHTHALMOL-CHIC, V121, P944
[4]   Differentiation of multiple sclerosis from other inflammatory disorders and cerebrovascular disease: Valus of spinal MR imaging [J].
Bot, JCJ ;
Barkhof, F ;
Nijeholt, GLA ;
van Schaardenburg, D ;
Voskuyl, AE ;
Ader, HJ ;
Pijnenburg, JAL ;
Polman, CH ;
Uitdehaag, BMJ ;
Vermeulen, EGJ ;
Castelijns, JA .
RADIOLOGY, 2002, 223 (01) :46-56
[5]   MRI in the diagnosis of pediatric multiple sclerosis [J].
Callen, D. J. A. ;
Shroff, M. M. ;
Branson, H. M. ;
Lotze, T. ;
Li, D. K. ;
Stephens, D. ;
Banwell, B. L. .
NEUROLOGY, 2009, 72 (11) :961-967
[6]   Initial evaluations for multiple sclerosis in a university multiple sclerosis center - Outcomes and role of magnetic resonance imaging in referral [J].
Carmosino, MJ ;
Brousseau, KM ;
Arciniegas, DB ;
Corboy, JR .
ARCHIVES OF NEUROLOGY, 2005, 62 (04) :585-590
[7]   MRI and the diagnosis of multiple sclerosis: expanding the concept of "no better explanation" [J].
Charil, Arnaud ;
Yousry, Tarek A. ;
Rovaris, Marco ;
Barkhof, Frederik ;
De Stefano, Nicola ;
Fazekas, Franz ;
Miller, David H. ;
Montalban, Xavier ;
Simon, Jack H. ;
Polman, Chris ;
Filippi, Massimo .
LANCET NEUROLOGY, 2006, 5 (10) :841-852
[8]   Application of the new McDonald criteria to patients with clinically isolated syndromes suggestive of multiple sclerosis [J].
Dalton, CM ;
Brex, PA ;
Miszkiel, KA ;
Hickman, SJ ;
MacManus, DG ;
Plant, GT ;
Thompson, AJ ;
Miller, DH .
ANNALS OF NEUROLOGY, 2002, 52 (01) :47-53
[9]   CRITERIA FOR AN INCREASED SPECIFICITY OF MRI INTERPRETATION IN ELDERLY SUBJECTS WITH SUSPECTED MULTIPLE-SCLEROSIS [J].
FAZEKAS, F ;
OFFENBACHER, H ;
FUCHS, S ;
SCHMIDT, R ;
NIEDERKORN, K ;
HORNER, S ;
LECHNER, H .
NEUROLOGY, 1988, 38 (12) :1822-1825
[10]   Disability and T2 MRI lesions:: a 20-year follow-up of patients with relapse onset of multiple sclerosis [J].
Fisniku, L. K. ;
Brex, P. A. ;
Altmann, D. R. ;
Miszkiel, K. A. ;
Benton, C. E. ;
Lanyon, R. ;
Thompson, A. J. ;
Miller, D. H. .
BRAIN, 2008, 131 :808-817