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Abstract #3737

Diffusion MRI of white matter lesion dynamics in progressive multiple sclerosis

Jordan A. Chad1,2, Julia Rybkina3, Tania Bruno4,5, Brenda Colella3, Robin Green3,6, and Asaf Gilboa1,7
1Rotman Research Institute, Baycrest Academy for Research and Education, Toronto, ON, Canada, 2Department of Radiology, University of Calgary, Calgary, AB, Canada, 3KITE Research Institute, Toronto Rehabilitation Institute-University Health Network, Toronto, ON, Canada, 4Division of Physical Medicine and Rehabilitation, Toronto Rehabilitation Institute-University Health Network, Toronto, ON, Canada, 5Department of Medicine, University of Toronto, Toronto, ON, Canada, 6Department of Psychiatry, University of Toronto, Toronto, ON, Canada, 7Department of Psychology, University of Toronto, Toronto, ON, Canada

Synopsis

Keywords: Multiple Sclerosis, Multiple Sclerosis

Motivation: It is unclear how white matter lesions evolve during the progressive stage of multiple sclerosis (MS).

Goal(s): To measure four-month change in diffusion metrics within lesions of progressive MS patients.

Approach: We compare diffusion changes within the lesions with those in the normal-appearing white matter (NAWM).

Results: Diffusion metrics in the lesions generally follow opposite trajectories to those in the NAWM, often with greater magnitude.

Impact: This work indicates that it may be desirable to monitor the progressive stage of MS by assessing diffusion changes within white matter lesions, rather than merely within the NAWM as is customary.

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