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Abstract #0294

Tracking evolution of multiple sclerosis lesions during medication switch: a quantitative multiparametric 7T MRI approach

Myrte Strik1, Warda T Syeda1, Yasmin Blunck1,2, Vivien Li3,4,5, Rebecca Glarin1, Scott C Kolbe6, Bradford A Moffat1, Leigh A Johnston1,2, Elaine Lui1,7,8, and Trevor J Kilpatrick3,4,5
1Radiology, Melbourne Brain Centre Imaging Unit, University of Melbourne, Melbourne, Australia, 2Biomedical Engineering, University of Melbourne, Melbourne, Australia, 3Neuroimmunology and Remyelination Laboratory, Florey Institute for Neuroscience and Mental Health, Melbourne, Australia, 4Florey Department of Neuroscience and Mental Health, University of Melbourne, Melbourne, Australia, 5Neurology, Royal Melbourne Hospital, Melbourne, Australia, 6Research Partnerships & Translation, RMIT University, Melbourne, Australia, 7Radiology, University of Melbourne, Melbourne, Australia, 8Radiology, Royal Melbourne Hospital, Melbourne, Australia

Synopsis

Multiple sclerosis patients may need to switch disease modifying treatments due to various reasons, with risk of recurrent disease activity during transition period. Identifying patients at risk is challenging. In this pilot study we used a non-conventional quantitative multi-modal 7T MRI approach to assess evolution of lesions when switching medication. We observed altered diffusion, susceptibility and T1 values three months after stopping, and these metrics returning to baseline values three months after starting new medication. Multi-modal quantitative MR techniques at ultra-high field MRI may be more sensitive to detect subtle changes over time to potentially better inform underlying disease activity.

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