MRI criteria for the diagnosis of multiple sclerosis: MAGNIMS consensus guidelines.

MRI criteria for the diagnosis of multiple sclerosis: MAGNIMS consensus guidelines.
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DOI:
10.1016/s1474-4422(15)00393-2
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发表时间:
2016-03
期刊:
The Lancet. Neurology
影响因子:
--
通讯作者:
MAGNIMS Study Group
MAGNIMS Study Group
中科院分区:
其他
文献类型:
--
作者:
Filippi M;Rocca MA;Ciccarelli O;De Stefano N;Evangelou N;Kappos L;Rovira A;Sastre-Garriga J;Tintorè M;Frederiksen JL;Gasperini C;Palace J;Reich DS;Banwell B;Montalban X;Barkhof F;MAGNIMS Study Group

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对于出现临床孤立综合征 (CIS) 的患者,磁共振成像 (MRI) 可以支持和替代多发性硬化症 (MS) 诊断的临床信息,显示疾病在空间 (DIS) 和时间 (DIT) 中的传播,并有助于排除可能模仿 MS 的其他病症。自2001年纳入MS诊断检查以来,人们对MRI诊断标准提出了一些修改,试图简化显示DIS的病灶计数模型,改变显示DIT的MRI扫描时间,并增加脊髓成像的价值。自上次更新这些标准以来,有关应用 MRI 演示 DIS 和 DIT 的新数据已经可用,并且 MRI 技术也得到了改进。 MAGNIMS 研讨会讨论了这些患者的最先进的 MRI 结果,其目标是就诊断 MRI 标准的修改提供基于证据和专家意见的共识。
In patients presenting with a clinically isolated syndrome (CIS), magnetic resonance imaging (MRI) can support and substitute clinical information for multiple sclerosis (MS) diagnosis demonstrating disease dissemination in space (DIS) and time (DIT) and helping to rule out other conditions that can mimic MS. From their inclusion in the diagnostic work-up for MS in 2001, several modifications of MRI diagnostic criteria have been proposed, in the attempt to simplify lesion-count models for demonstrating DIS, change the timing of MRI scanning for demonstrating DIT, and increase the value of spinal cord imaging. Since the last update of these criteria, new data regarding the application of MRI for demonstrating DIS and DIT have become available and improvement in MRI technology has occurred. State-of-the-art MRI findings in these patients were discussed in a MAGNIMS workshop, the goal of which was to provide an evidence-based and expert-opinion consensus on diagnostic MRI criteria modifications.