2017 McDonald criteria for multiple sclerosis: Earlier diagnosis with reduced specificity?

被引:30
作者
Gobbin, Francesca [1 ,2 ]
Zanoni, Mattia [1 ,2 ]
Marangi, Antonio [1 ,2 ]
Orlandi, Riccardo [1 ,2 ]
Crestani, Laura [3 ]
Benedetti, Maria Donata [1 ,2 ]
Gajofatto, Alberto [1 ,2 ]
机构
[1] Univ Verona, Dept Neurosci Biomed & Movement Sci, Piazzale LA Scuro 10, I-37134 Verona, Italy
[2] Azienda Osped Univ Integrata Verona, Neurol Unit B, Piazzale LA Scuro 10, I-37134 Verona, Italy
[3] GPI SpA, Verona, Italy
关键词
D O I
10.1016/j.msard.2019.01.008
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: McDonald criteria for multiple sclerosis (MS) diagnosis were revised in 2017. Objective: Aim of our study was to evaluate and compare the sensitivity and specificity of 2017 and 2010 McDonald criteria in patients presenting with an initial demyelinating event (IDE). Methods: We retrospectively identified patients with an IDE and collected clinical, MRI and CSF data in order to demonstrate fulfilment of 2010 and 2017 McDonald criteria. Results: 2017 McDonald criteria showed 100% (86.8-100%) sensitivity and 13.8% (3.9-31.7%) specificity. Conclusion: 2017 McDonald criteria appear to have higher sensitivity but reduced specificity compared to 2010 McDonald criteria.
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收藏
页码:23 / 25
页数:3
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