In multiple sclerosis (MS), immune cells damage the brain and spinal cord, often causing irreversible disability. Current imaging strategies visualize the resulting damage, but the heterogeneity of the damage observed complicates image interpretation. Evidence has emerged that the immunological attacks in MS are initiated in central nervous system-draining lymph nodes. Here, we demonstrate the potential of chemical exchange saturation transfer (CEST) MRI to monitor changes in these lymph nodes as disability progressed in a mouse model of experimental autoimmune encephalomyelitis.
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