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What insights have new imaging techniques given into aggressive forms of MS – different forms of MS or different from MS?Neuroradiology Unit, Neurological Institute IRCCS "Fondazione C. Mondino," Pavia, Italy anna.pichiecchio{at}mondino.it
Multiple Sclerosis Centre, Neurological Institute IRCCS "Fondazione C. Mondino," Pavia, Italy
Neuroradiology Unit, Neurological Institute IRCCS "Fondazione C. Mondino," Pavia, Italy
Department of Hematology and Oncology, Hospital Hotel-Dieu, Paris, France
Multiple Sclerosis Centre, Neurological Institute IRCCS "Fondazione C. Mondino," Pavia, Italy
Department of Neuroscience, Ophthalmology and Genetics, University of Genoa, Genoa, Italy
Neuroimaging Laboratory, IRCCS "Fondazione Santa Lucia," Rome, Italy
Multiple Sclerosis Centre, Neurological Institute IRCCS "Fondazione C. Mondino," Pavia, Italy
Neuroradiology Unit, Neurological Institute IRCCS "Fondazione C. Mondino," Pavia, Italy "Aggressive" multiple sclerosis (MS) is still a challenging diagnosis, in spite of the relevant progresses concerning the comprehension of the disease mechanisms, especially through pathology studies and the advent of conventional magnetic resonance imaging (MRI). Some reviews have been already published on their clinical and therapeutical aspects, but no systematic review is available in literature about the neuroradiological features, using both conventional and advanced techniques. In particular, advanced MRI techniques, namely diffusion-weighted and tensor imaging, magnetization transfer imaging, and proton magnetic resonance spectroscopy, are giving new insights to find specific and appropriate radiological parameters that can help in targeting the diagnosis. We report a review of literature on the neuroradiological findings of aggressive forms of MS, focusing specifically on the role of advanced MRI techniques in the diagnostic phase and during follow-up.
Key Words: aggressive MS DWI magnetization transfer MR spectroscopy pseudotumoral MS
This version was published on March
1, 2009 Multiple Sclerosis, Vol. 15, No. 3,
285-293 (2009) |
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