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One step diagnosis of multiple sclerosis disease activity, dissemination in time and space using diffusion weighted MRI

Research Authors
Moustafa EM Radwan, Khaled O Aboshaera
Research Journal
The Egyptian Journal of Radiology and Nuclear Medicine
Research Publisher
NULL
Research Rank
1
Research Vol
Vol. 47- Issue. 4
Research Website
NULL
Research Year
2016
Research_Pages
pp. 1557-1563
Research Abstract

Objectives To assess the value of DWI with its two components (DWI-b1000 and DWI b0)
images in assessment of active MS and in defining dissemination in time (DIT) and
dissemination in space (DIS) in those patients. Methods Brain MRI studies were performed
using T1WI, T2WI, FLAIR and DWI and CE T1WI. Results Twenty-one patients
(Males/Females= 6/15) of age range 18–50 years were included. Forty lesions were
hyperintense on DWI-b1000 that had significant link to enhancement seen on contrast-
enhanced T1WI (100%) indicating disease activity. Using the 2010 revised McDonald
criteria: In 9 patients (42.85%), there were [Asymptomatic active lesions (n= 17)]. Those
lesions were simultaneously present along with [Non-active demyelinating lesions]; DIT
could be diagnosed in these cases based alone on MRI findings. In 12 patients (57.14%) …