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Abstract #2623

Longitudinal quantitative MRI changes in normal-appearing brain tissue of patients with multiple sclerosis

Alessandro Cagol1,2,3, Mario Ocampo-Pineda1,2,3, Lester Melie-Garcia1,2,3, Po-Jui Lu1,2,3, Muhamed Barakovic1,2,3, Matthias Weigel1,2,3,4, Xinjie Chen1,2,3, Antoine Lutti5, Thanh D. Nguyen6, Yi Wang6, Jens Kuhle2,3, Ludwig Kappos1,2,3, and Cristina Granziera1,2,3
1Translational Imaging in Neurology (ThINK) Basel, Department of Biomedical Engineering, University Hospital Basel and University of Basel, Basel, Switzerland, 2Department of Neurology, University Hospital Basel, Basel, Switzerland, 3Research Center for Clinical Neuroimmunology and Neuroscience Basel (RC2NB), University Hospital Basel and University of Basel, Basel, Switzerland, 4Division of Radiological Physics, Department of Radiology, University Hospital Basel, Basel, Switzerland, 5Laboratory for Research in Neuroimaging, Department of Clinical Neuroscience, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland, 6Department of Radiology, Weill Cornell Medical College, New York, NY, United States

Synopsis

Keywords: Multiple Sclerosis, Quantitative ImagingWe explored the value of multiple longitudinal quantitative MRI (qMRI) measures in detecting microstructural changes occurring in normal-appearing tissue of patients with multiple sclerosis (PwMS). While no differences in qMRI longitudinal changes were measured between PwMS and healthy controls, progressive PwMS showed accelerated T1-relaxometry increase in normal-appearing tissue with respect to both healthy controls and relapsing-remitting PwMS, reflecting increased micro/macrostructural damage. In PwMS the rates of qMRI changes during follow-up were associated with the severity of clinical disability, with higher neurological impairment being associated with qMRI changes reflecting accelerated micro/macrostructural damage, demyelination, and axon/dendrite loss.

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