Lesion load is the main predictor of future disability in multiple sclerosis (MS) but its predictive power is limited possibly because key aspects of lesions, such as their spatial distribution, morphology or pathological substrate are not being considered. Here we demonstrate the relevance of shape and spatial features of white matter lesions in the development of disability in MS through a novel approach. This new methodological framework (SSPACE-MS) is based on the analysis of the covariance matrix defined by the spatial position of lesional voxels. It can be applied longitudinally and is easily implementable in clinical practice.
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