One-year MRI scan predicts clinical response to interferon beta in multiple sclerosis
Background and purpose: To define the predictive value of clinical and magnetic resonance imaging (MRI) characteristics in identifying relapsing‐remitting multiple sclerosis (RR‐MS) patients with sustained disability progression during interferon beta (IFNB) treatment. Methods: All patients receiv...
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| Published in: | European journal of neurology Vol. 16; no. 11; pp. 1202 - 1209 |
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| Main Authors: | , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Oxford, UK
Blackwell Publishing Ltd
01.11.2009
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| ISSN: | 1351-5101, 1468-1331, 1468-1331 |
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| Abstract | Background and purpose: To define the predictive value of clinical and magnetic resonance imaging (MRI) characteristics in identifying relapsing‐remitting multiple sclerosis (RR‐MS) patients with sustained disability progression during interferon beta (IFNB) treatment.
Methods: All patients receiving treatment with one of the available IFNB formulations for at least 1 year were included in this single‐centre, prospective and post‐marketing study. Demographic, clinical and MRI data were collected at IFNB start and at 1 year of therapy; patients were followed‐up at least yearly. Poor clinical response was defined as the occurrence of a sustained disability progression of ≥1 point in the Expanded Disability Status Scale (EDSS) during the follow‐up period.
Results: Out of 454 RR‐MS patients starting IFNB therapy, data coming from 394 patients with a mean follow‐up of 4.8 (2.4) years were analysed. Sixty patients were excluded because of too short follow‐up. Less than 1/3 (30.4%) of the patients satisfied the criterion of ‘poor responders’. Patients presenting new lesions on T2‐weighted MRI scan after 1 year of therapy (compared with baseline) had a higher risk of being poor responder to treatment with IFNB during the follow‐up period (HR 16.8, 95% CI 7.6–37.1, P < 0.001). An augmented risk increasing the number of lesions was observed, with a 10‐fold increase for each new lesion.
Conclusions: Developing new T2‐hyperintense lesions during IFNB treatment was the best predictor of long‐term poor response to therapy. MRI scans performed after 1 year of IFNB treatment may be useful in contributing to early identification of poor responders. |
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| AbstractList | To define the predictive value of clinical and magnetic resonance imaging (MRI) characteristics in identifying relapsing-remitting multiple sclerosis (RR-MS) patients with sustained disability progression during interferon beta (IFNB) treatment.BACKGROUND AND PURPOSETo define the predictive value of clinical and magnetic resonance imaging (MRI) characteristics in identifying relapsing-remitting multiple sclerosis (RR-MS) patients with sustained disability progression during interferon beta (IFNB) treatment.All patients receiving treatment with one of the available IFNB formulations for at least 1 year were included in this single-centre, prospective and post-marketing study. Demographic, clinical and MRI data were collected at IFNB start and at 1 year of therapy; patients were followed-up at least yearly. Poor clinical response was defined as the occurrence of a sustained disability progression of > or =1 point in the Expanded Disability Status Scale (EDSS) during the follow-up period.METHODSAll patients receiving treatment with one of the available IFNB formulations for at least 1 year were included in this single-centre, prospective and post-marketing study. Demographic, clinical and MRI data were collected at IFNB start and at 1 year of therapy; patients were followed-up at least yearly. Poor clinical response was defined as the occurrence of a sustained disability progression of > or =1 point in the Expanded Disability Status Scale (EDSS) during the follow-up period.Out of 454 RR-MS patients starting IFNB therapy, data coming from 394 patients with a mean follow-up of 4.8 (2.4) years were analysed. Sixty patients were excluded because of too short follow-up. Less than 1/3 (30.4%) of the patients satisfied the criterion of 'poor responders'. Patients presenting new lesions on T2-weighted MRI scan after 1 year of therapy (compared with baseline) had a higher risk of being poor responder to treatment with IFNB during the follow-up period (HR 16.8, 95% CI 7.6-37.1, P < 0.001). An augmented risk increasing the number of lesions was observed, with a 10-fold increase for each new lesion.RESULTSOut of 454 RR-MS patients starting IFNB therapy, data coming from 394 patients with a mean follow-up of 4.8 (2.4) years were analysed. Sixty patients were excluded because of too short follow-up. Less than 1/3 (30.4%) of the patients satisfied the criterion of 'poor responders'. Patients presenting new lesions on T2-weighted MRI scan after 1 year of therapy (compared with baseline) had a higher risk of being poor responder to treatment with IFNB during the follow-up period (HR 16.8, 95% CI 7.6-37.1, P < 0.001). An augmented risk increasing the number of lesions was observed, with a 10-fold increase for each new lesion.Developing new T2-hyperintense lesions during IFNB treatment was the best predictor of long-term poor response to therapy. MRI scans performed after 1 year of IFNB treatment may be useful in contributing to early identification of poor responders.CONCLUSIONSDeveloping new T2-hyperintense lesions during IFNB treatment was the best predictor of long-term poor response to therapy. MRI scans performed after 1 year of IFNB treatment may be useful in contributing to early identification of poor responders. To define the predictive value of clinical and magnetic resonance imaging (MRI) characteristics in identifying relapsing-remitting multiple sclerosis (RR-MS) patients with sustained disability progression during interferon beta (IFNB) treatment. All patients receiving treatment with one of the available IFNB formulations for at least 1 year were included in this single-centre, prospective and post-marketing study. Demographic, clinical and MRI data were collected at IFNB start and at 1 year of therapy; patients were followed-up at least yearly. Poor clinical response was defined as the occurrence of a sustained disability progression of > or =1 point in the Expanded Disability Status Scale (EDSS) during the follow-up period. Out of 454 RR-MS patients starting IFNB therapy, data coming from 394 patients with a mean follow-up of 4.8 (2.4) years were analysed. Sixty patients were excluded because of too short follow-up. Less than 1/3 (30.4%) of the patients satisfied the criterion of 'poor responders'. Patients presenting new lesions on T2-weighted MRI scan after 1 year of therapy (compared with baseline) had a higher risk of being poor responder to treatment with IFNB during the follow-up period (HR 16.8, 95% CI 7.6-37.1, P < 0.001). An augmented risk increasing the number of lesions was observed, with a 10-fold increase for each new lesion. Developing new T2-hyperintense lesions during IFNB treatment was the best predictor of long-term poor response to therapy. MRI scans performed after 1 year of IFNB treatment may be useful in contributing to early identification of poor responders. Background and purpose: To define the predictive value of clinical and magnetic resonance imaging (MRI) characteristics in identifying relapsing‐remitting multiple sclerosis (RR‐MS) patients with sustained disability progression during interferon beta (IFNB) treatment. Methods: All patients receiving treatment with one of the available IFNB formulations for at least 1 year were included in this single‐centre, prospective and post‐marketing study. Demographic, clinical and MRI data were collected at IFNB start and at 1 year of therapy; patients were followed‐up at least yearly. Poor clinical response was defined as the occurrence of a sustained disability progression of ≥1 point in the Expanded Disability Status Scale (EDSS) during the follow‐up period. Results: Out of 454 RR‐MS patients starting IFNB therapy, data coming from 394 patients with a mean follow‐up of 4.8 (2.4) years were analysed. Sixty patients were excluded because of too short follow‐up. Less than 1/3 (30.4%) of the patients satisfied the criterion of ‘poor responders’. Patients presenting new lesions on T2‐weighted MRI scan after 1 year of therapy (compared with baseline) had a higher risk of being poor responder to treatment with IFNB during the follow‐up period (HR 16.8, 95% CI 7.6–37.1, P < 0.001). An augmented risk increasing the number of lesions was observed, with a 10‐fold increase for each new lesion. Conclusions: Developing new T2‐hyperintense lesions during IFNB treatment was the best predictor of long‐term poor response to therapy. MRI scans performed after 1 year of IFNB treatment may be useful in contributing to early identification of poor responders. Background and purpose: To define the predictive value of clinical and magnetic resonance imaging (MRI) characteristics in identifying relapsing‐remitting multiple sclerosis (RR‐MS) patients with sustained disability progression during interferon beta (IFNB) treatment. Methods: All patients receiving treatment with one of the available IFNB formulations for at least 1 year were included in this single‐centre, prospective and post‐marketing study. Demographic, clinical and MRI data were collected at IFNB start and at 1 year of therapy; patients were followed‐up at least yearly. Poor clinical response was defined as the occurrence of a sustained disability progression of ≥1 point in the Expanded Disability Status Scale (EDSS) during the follow‐up period. Results: Out of 454 RR‐MS patients starting IFNB therapy, data coming from 394 patients with a mean follow‐up of 4.8 (2.4) years were analysed. Sixty patients were excluded because of too short follow‐up. Less than 1/3 (30.4%) of the patients satisfied the criterion of ‘poor responders’. Patients presenting new lesions on T2‐weighted MRI scan after 1 year of therapy (compared with baseline) had a higher risk of being poor responder to treatment with IFNB during the follow‐up period (HR 16.8, 95% CI 7.6–37.1, P < 0.001). An augmented risk increasing the number of lesions was observed, with a 10‐fold increase for each new lesion. Conclusions: Developing new T2‐hyperintense lesions during IFNB treatment was the best predictor of long‐term poor response to therapy. MRI scans performed after 1 year of IFNB treatment may be useful in contributing to early identification of poor responders. Background and purpose: To define the predictive value of clinical and magnetic resonance imaging (MRI) characteristics in identifying relapsing-remitting multiple sclerosis (RR-MS) patients with sustained disability progression during interferon beta (IFNB) treatment.Methods: All patients receiving treatment with one of the available IFNB formulations for at least 1 year were included in this single-centre, prospective and post-marketing study. Demographic, clinical and MRI data were collected at IFNB start and at 1 year of therapy; patients were followed-up at least yearly. Poor clinical response was defined as the occurrence of a sustained disability progression of greater than or equal to 1 point in the Expanded Disability Status Scale (EDSS) during the follow-up period.Results: Out of 454 RR-MS patients starting IFNB therapy, data coming from 394 patients with a mean follow-up of 4.8 (2.4) years were analysed. Sixty patients were excluded because of too short follow-up. Less than 1-3 (30.4%) of the patients satisfied the criterion of 'poor responders'. Patients presenting new lesions on T2-weighted MRI scan after 1 year of therapy (compared with baseline) had a higher risk of being poor responder to treatment with IFNB during the follow-up period (HR 16.8, 95% CI 7.6-37.1, P < 0.001). An augmented risk increasing the number of lesions was observed, with a 10-fold increase for each new lesion.Conclusions: Developing new T2-hyperintense lesions during IFNB treatment was the best predictor of long-term poor response to therapy. MRI scans performed after 1 year of IFNB treatment may be useful in contributing to early identification of poor responders. |
| Author | Gallo, V. Prosperini, L. Pozzilli, C. Petsas, N. Borriello, G. |
| Author_xml | – sequence: 1 givenname: L. surname: Prosperini fullname: Prosperini, L. organization: Multiple Sclerosis Centre, Department of Neurological Sciences, S. Andrea Hospital, "La Sapienza" University, Rome, Italy – sequence: 2 givenname: V. surname: Gallo fullname: Gallo, V. organization: Multiple Sclerosis Centre, Department of Neurological Sciences, S. Andrea Hospital, "La Sapienza" University, Rome, Italy – sequence: 3 givenname: N. surname: Petsas fullname: Petsas, N. organization: Neurological Centre of Latium, Rome, Italy – sequence: 4 givenname: G. surname: Borriello fullname: Borriello, G. organization: Multiple Sclerosis Centre, Department of Neurological Sciences, S. Andrea Hospital, "La Sapienza" University, Rome, Italy – sequence: 5 givenname: C. surname: Pozzilli fullname: Pozzilli, C. organization: Multiple Sclerosis Centre, Department of Neurological Sciences, S. Andrea Hospital, "La Sapienza" University, Rome, Italy |
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Intramuscular interferon beta-1a for disease progression in relapsing multiple sclerosis. The Multiple Sclerosis Collaborative Research Group (MSCRG). Ann Neurol 1996; 39: 285-294. O'Rourke K, Walsh C, Hutchinson M. Outcome of Beta-interferon treatment in relapsing-remitting multiple sclerosis: a Bayesian analysis. J Neurol 2007; 254: 1547-1554. Koudriavtseva T, Pozzilli C, Fiorelli M, et al. Determinants of Gd-enhanced MRI response to IFN beta-1a treatment in relapsing-remitting multiple sclerosis. Mult Scler 1998; 4: 403-407. Rio J, Tintoré M, Nos C, et al. Interferon beta in relapsing-remitting multiple sclerosis: an eight years experience in a specialist multiple sclerosis centre. J Neurol 2005; 252: 795-800. O'Rourke K, Walsh C, Antonelli G, et al. Predicting beta-interferon failure in relapsing-remitting multiple sclerosis. Mult Scler 2007; 13: 336-342. Rio J, Nos C, Tintoré M, et al. Defining the response to interferon beta in relapsing-remitting multiple sclerosis patients. Ann Neurol 2006; 59: 344-352. Fisher E, Rudick RA, Simon JH, et al. Eight year follow-up study of brain atrophy in patients with MS. Neurology 2002; 59: 1412-1420. PRISMS (Prevention of Relapses and Disability by Interferon beta-1a Subcutaneously in Multiple Sclerosis) Study Group. Randomised double-blind placebo-controlled study of interferon beta-1a in relapsing/remitting multiple sclerosis. Lancet 1998; 352: 1498-1504. Durelli L, Berbero P, Bergui M, et al. MRI activity and neutralizing antibody as predictor of response to IFNB treatment in MS. J Neurol Neurosurg Psychiatry 2008; 79: 646-651. McFarland HF, Barkhof F, Antel J, Miller DH. The role of MRI as surrogate outcome measure in multiple sclerosis. Mult Scler 2002; 8: 40-51. Miller DH, Grossman R, Reingold S, et al. The role of magnetic resonance techniques in understanding and managing multiple sclerosis. Brain 1998; 121: 3-24. Roullet E, Dominique P, Le Canuet P, et al. Application of different criteria for clinical response to beta-interferon in relapsing-remitting multiple sclerosis. Neurology 2003; 60(Suppl. 1): A168. Rudick RA, Lee JC, Simon J, et al. Defining interferon beta response status in multiple sclerosis patients. Ann Neurol 2004; 56: 548-555. Kurtzke JF. Rating neurological impairment in multiple sclerosis. An expanded disability status scale (EDSS). Neurology 2003; 33: 1444-1452. Dubois BD, Keenan E, Porter BE, et al. Interferon beta in multiple sclerosis: experience in a British specialist multiple sclerosis centre. J Neurol Neurosurg Psychiatry 2003; 74: 946-949. Simon JH, Jacobs LD, Campion M, et al. Magnetic resonance studies of intramuscular interferon beta-1a for relapsing multiple sclerosis. The Multiple Sclerosis Collaborative research Group. Ann Neurol 1998; 43: 79-87. Rio J, Porcel J, Tellez N, et al. Factors related with treatment adherence to interferon beta and glatiramer acetate therapy in multiple sclerosis. Mult Scler 2005; 11: 306-309. McDonald WI, Compston A, Edan G, et al. Recommended diagnostic criteria for multiple sclerosis: guidelines form the International Panel on the diagnosis of Multiple Sclerosis. Ann Neurol 2001; 50: 121-127. Waubant E, Vukusic S, Gignoux L, et al. Clinical characteristics of responders to interferon therapy for relapsing MS. Neurology 2003; 61: 184-189. Sormani MP, Bruzzi P, Beckmann K, et al. The distribution of magnetic resonance imaging response to interferon beta-1b in multiple sclerosis. J Neurol 2005; 252: 1455-1458. Tremlett HL, Oger J. Interrupted therapy: stopping and switching of the beta-interferons prescribed for MS. Neurology 2003; 61: 551-554. Freedman MS, Patry DG, Grand'Maison F, et al. Canadian MS Working Group. Treatment optimization in multiple sclerosis. Can J Neurol Sci 2004; 31: 157-168. 2001; 50 2002; 59 1996; 39 2005; 252 1993; 43 2006; 59 2002; 8 2008; 14 2006; 253 2008; 79 1999; 42 1998; 352 1998; 43 2003; 74 2007; 13 2003; 33 2004; 31 2007; 254 2002; 125 2004; 56 2007; 61 2003; 60 2003; 61 1998; 121 1998; 4 2005; 11 e_1_2_9_30_2 e_1_2_9_10_2 Roullet E (e_1_2_9_12_2) 2003; 60 e_1_2_9_31_2 e_1_2_9_11_2 e_1_2_9_14_2 e_1_2_9_13_2 e_1_2_9_16_2 e_1_2_9_15_2 e_1_2_9_18_2 e_1_2_9_17_2 e_1_2_9_19_2 e_1_2_9_21_2 e_1_2_9_20_2 e_1_2_9_23_2 e_1_2_9_22_2 e_1_2_9_7_2 e_1_2_9_6_2 e_1_2_9_5_2 e_1_2_9_4_2 e_1_2_9_3_2 e_1_2_9_2_2 e_1_2_9_9_2 e_1_2_9_8_2 e_1_2_9_25_2 e_1_2_9_24_2 e_1_2_9_27_2 e_1_2_9_26_2 e_1_2_9_29_2 e_1_2_9_28_2 |
| References_xml | – reference: Roullet E, Dominique P, Le Canuet P, et al. Application of different criteria for clinical response to beta-interferon in relapsing-remitting multiple sclerosis. Neurology 2003; 60(Suppl. 1): A168. – reference: Rio J, Porcel J, Tellez N, et al. Factors related with treatment adherence to interferon beta and glatiramer acetate therapy in multiple sclerosis. Mult Scler 2005; 11: 306-309. – reference: Paty DW, Li DK. Interferon beta-1b is effective in relapsing-remitting multiple sclerosis. II. MRI analysis results of a multicenter, randomized, double-blind, placebo-controlled trial. UBC MS/MRI Study Group and the IFN Beta Multiple Sclerosis Study Group. Neurology 1993; 43: 662-667. – reference: Jacobs LD, Cookfair DL, Rudick RA, et al. Intramuscular interferon beta-1a for disease progression in relapsing multiple sclerosis. The Multiple Sclerosis Collaborative Research Group (MSCRG). Ann Neurol 1996; 39: 285-294. – reference: Kurtzke JF. Rating neurological impairment in multiple sclerosis. An expanded disability status scale (EDSS). Neurology 2003; 33: 1444-1452. – reference: Simon JH, Jacobs LD, Campion M, et al. Magnetic resonance studies of intramuscular interferon beta-1a for relapsing multiple sclerosis. The Multiple Sclerosis Collaborative research Group. Ann Neurol 1998; 43: 79-87. – reference: The IFN beta Study Group. Interferon beta-1b is effective in relapsing-remitting multiple sclerosis. I. Clinical results of a multicenter, randomized, double-blind, placebo-controlled trial. The IFN Beta Multiple Sclerosis Study Group. Neurology 1993; 43: 655-661. – reference: Tomassini V, Paolillo A, Russo P, et al. Predictors of long-term clinical response to interferon beta therapy in relapsing multiple sclerosis. J Neurol 2006; 253: 287-293. – reference: Miller DH, Albert PS, Barkhof F, et al. Guidelines for the use of magnetic resonance techniques in monitoring the treatment of multiple sclerosis. US National MS Society Task Force. Ann Neurol 1996; 39: 6-16. – reference: Miller DH, Grossman R, Reingold S, et al. The role of magnetic resonance techniques in understanding and managing multiple sclerosis. Brain 1998; 121: 3-24. – reference: O'Rourke K, Walsh C, Antonelli G, et al. Predicting beta-interferon failure in relapsing-remitting multiple sclerosis. Mult Scler 2007; 13: 336-342. – reference: Dubois BD, Keenan E, Porter BE, et al. Interferon beta in multiple sclerosis: experience in a British specialist multiple sclerosis centre. J Neurol Neurosurg Psychiatry 2003; 74: 946-949. – reference: Rio J, Rovira A, Tintoré M, et al. Relationship between MRI lesion activity and response to IFN-beta in relapsing-remitting multiple sclerosis patients. Mult Scler 2008; 14: 479-484. – reference: McDonald WI, Compston A, Edan G, et al. Recommended diagnostic criteria for multiple sclerosis: guidelines form the International Panel on the diagnosis of Multiple Sclerosis. Ann Neurol 2001; 50: 121-127. – reference: O'Rourke K, Walsh C, Hutchinson M. Outcome of Beta-interferon treatment in relapsing-remitting multiple sclerosis: a Bayesian analysis. J Neurol 2007; 254: 1547-1554. – reference: Rio J, Tintoré M, Nos C, et al. Interferon beta in relapsing-remitting multiple sclerosis: an eight years experience in a specialist multiple sclerosis centre. J Neurol 2005; 252: 795-800. – reference: Rudick RA, Lee JC, Simon J, et al. Defining interferon beta response status in multiple sclerosis patients. Ann Neurol 2004; 56: 548-555. – reference: Tremlett HL, Oger J. Interrupted therapy: stopping and switching of the beta-interferons prescribed for MS. Neurology 2003; 61: 551-554. – reference: Koudriavtseva T, Pozzilli C, Fiorelli M, et al. Determinants of Gd-enhanced MRI response to IFN beta-1a treatment in relapsing-remitting multiple sclerosis. Mult Scler 1998; 4: 403-407. – reference: Freedman MS, Patry DG, Grand'Maison F, et al. Canadian MS Working Group. Treatment optimization in multiple sclerosis. Can J Neurol Sci 2004; 31: 157-168. – reference: Fisher E, Rudick RA, Simon JH, et al. Eight year follow-up study of brain atrophy in patients with MS. Neurology 2002; 59: 1412-1420. – reference: McFarland HF, Barkhof F, Antel J, Miller DH. The role of MRI as surrogate outcome measure in multiple sclerosis. Mult Scler 2002; 8: 40-51. – reference: Trojano M, Pellegrini F, Fuiani A, et al. New natural history of interferon beta-treated relapsing multiple sclerosis. Ann Neurol 2007; 61: 300-306. – reference: Miller DH, Barkhof F, Frank JA, et al. Measurement of atrophy in multiple sclerosis: pathological basis, methodological aspects and clinical relevance. Brain 2002; 125: 1676-1695. – reference: Li DK, Paty DW. Magnetic Resonance Imaging results of the PRISMS trial: a randomized, double-blind, placebo-controlled study of interferon beta-1a in relapsing-remitting multiple sclerosis. Prevention of relapses and disability by interferon beta-1a subcutaneously in multiple sclerosis. Ann Neurol 1999; 42: 197-206. – reference: Waubant E, Vukusic S, Gignoux L, et al. Clinical characteristics of responders to interferon therapy for relapsing MS. Neurology 2003; 61: 184-189. – reference: Rio J, Nos C, Tintoré M, et al. Defining the response to interferon beta in relapsing-remitting multiple sclerosis patients. Ann Neurol 2006; 59: 344-352. – reference: Durelli L, Berbero P, Bergui M, et al. MRI activity and neutralizing antibody as predictor of response to IFNB treatment in MS. J Neurol Neurosurg Psychiatry 2008; 79: 646-651. – reference: PRISMS (Prevention of Relapses and Disability by Interferon beta-1a Subcutaneously in Multiple Sclerosis) Study Group. Randomised double-blind placebo-controlled study of interferon beta-1a in relapsing/remitting multiple sclerosis. Lancet 1998; 352: 1498-1504. – reference: Sormani MP, Bruzzi P, Beckmann K, et al. The distribution of magnetic resonance imaging response to interferon beta-1b in multiple sclerosis. J Neurol 2005; 252: 1455-1458. – volume: 42 start-page: 197 year: 1999 end-page: 206 article-title: Magnetic Resonance Imaging results of the PRISMS trial: a randomized, double‐blind, placebo‐controlled study of interferon beta‐1a in relapsing‐remitting multiple sclerosis. Prevention of relapses and disability by interferon beta‐1a subcutaneously in multiple sclerosis publication-title: Ann Neurol – volume: 254 start-page: 1547 year: 2007 end-page: 1554 article-title: Outcome of Beta‐interferon treatment in relapsing‐remitting multiple sclerosis: a Bayesian analysis publication-title: J Neurol – volume: 39 start-page: 285 year: 1996 end-page: 294 article-title: Intramuscular interferon beta‐1a for disease progression in relapsing multiple sclerosis. The Multiple Sclerosis Collaborative Research Group (MSCRG) publication-title: Ann Neurol – volume: 121 start-page: 3 year: 1998 end-page: 24 article-title: The role of magnetic resonance techniques in understanding and managing multiple sclerosis publication-title: Brain – volume: 59 start-page: 1412 year: 2002 end-page: 1420 article-title: Eight year follow‐up study of brain atrophy in patients with MS publication-title: Neurology – volume: 11 start-page: 306 year: 2005 end-page: 309 article-title: Factors related with treatment adherence to interferon beta and glatiramer acetate therapy in multiple sclerosis publication-title: Mult Scler – volume: 14 start-page: 479 year: 2008 end-page: 484 article-title: Relationship between MRI lesion activity and response to IFN‐beta in relapsing‐remitting multiple sclerosis patients publication-title: Mult Scler – volume: 61 start-page: 184 year: 2003 end-page: 189 article-title: Clinical characteristics of responders to interferon therapy for relapsing MS publication-title: Neurology – volume: 56 start-page: 548 year: 2004 end-page: 555 article-title: Defining interferon beta response status in multiple sclerosis patients publication-title: Ann Neurol – volume: 61 start-page: 300 year: 2007 end-page: 306 article-title: New natural history of interferon beta‐treated relapsing multiple sclerosis publication-title: Ann Neurol – volume: 352 start-page: 1498 year: 1998 end-page: 1504 article-title: Randomised double‐blind placebo‐controlled study of interferon beta‐1a in relapsing/remitting multiple sclerosis publication-title: Lancet – volume: 61 start-page: 551 year: 2003 end-page: 554 article-title: Interrupted therapy: stopping and switching of the beta‐interferons prescribed for MS publication-title: Neurology – volume: 4 start-page: 403 year: 1998 end-page: 407 article-title: Determinants of Gd‐enhanced MRI response to IFN beta‐1a treatment in relapsing‐remitting multiple sclerosis publication-title: Mult Scler – volume: 253 start-page: 287 year: 2006 end-page: 293 article-title: Predictors of long‐term clinical response to interferon beta therapy in relapsing multiple sclerosis publication-title: J Neurol – volume: 13 start-page: 336 year: 2007 end-page: 342 article-title: Predicting beta‐interferon failure in relapsing‐remitting multiple sclerosis publication-title: Mult Scler – volume: 59 start-page: 344 year: 2006 end-page: 352 article-title: Defining the response to interferon beta in relapsing‐remitting multiple sclerosis patients publication-title: Ann Neurol – volume: 8 start-page: 40 year: 2002 end-page: 51 article-title: The role of MRI as surrogate outcome measure in multiple sclerosis publication-title: Mult Scler – volume: 43 start-page: 655 year: 1993 end-page: 661 article-title: Interferon beta‐1b is effective in relapsing‐remitting multiple sclerosis. I. Clinical results of a multicenter, randomized, double‐blind, placebo‐controlled trial. The IFN Beta Multiple Sclerosis Study Group publication-title: Neurology – volume: 43 start-page: 79 year: 1998 end-page: 87 article-title: Magnetic resonance studies of intramuscular interferon beta‐1a for relapsing multiple sclerosis. The Multiple Sclerosis Collaborative research Group publication-title: Ann Neurol – volume: 252 start-page: 1455 year: 2005 end-page: 1458 article-title: The distribution of magnetic resonance imaging response to interferon beta‐1b in multiple sclerosis publication-title: J Neurol – volume: 79 start-page: 646 year: 2008 end-page: 651 article-title: MRI activity and neutralizing antibody as predictor of response to IFNB treatment in MS publication-title: J Neurol Neurosurg Psychiatry – volume: 125 start-page: 1676 year: 2002 end-page: 1695 article-title: Measurement of atrophy in multiple sclerosis: pathological basis, methodological aspects and clinical relevance publication-title: Brain – volume: 252 start-page: 795 year: 2005 end-page: 800 article-title: Interferon beta in relapsing‐remitting multiple sclerosis: an eight years experience in a specialist multiple sclerosis centre publication-title: J Neurol – volume: 31 start-page: 157 year: 2004 end-page: 168 article-title: Treatment optimization in multiple sclerosis publication-title: Can J Neurol Sci – volume: 60 start-page: A168 issue: Suppl. 1 year: 2003 article-title: Application of different criteria for clinical response to beta‐interferon in relapsing‐remitting multiple sclerosis publication-title: Neurology – volume: 50 start-page: 121 year: 2001 end-page: 127 article-title: Recommended diagnostic criteria for multiple sclerosis: guidelines form the International Panel on the diagnosis of Multiple Sclerosis publication-title: Ann Neurol – volume: 39 start-page: 6 year: 1996 end-page: 16 article-title: Guidelines for the use of magnetic resonance techniques in monitoring the treatment of multiple sclerosis. US National MS Society Task Force publication-title: Ann Neurol – volume: 74 start-page: 946 year: 2003 end-page: 949 article-title: Interferon beta in multiple sclerosis: experience in a British specialist multiple sclerosis centre publication-title: J Neurol Neurosurg Psychiatry – volume: 43 start-page: 662 year: 1993 end-page: 667 article-title: Interferon beta‐1b is effective in relapsing–remitting multiple sclerosis. II. MRI analysis results of a multicenter, randomized, double‐blind, placebo‐controlled trial. UBC MS/MRI Study Group and the IFN Beta Multiple Sclerosis Study Group publication-title: Neurology – volume: 33 start-page: 1444 year: 2003 end-page: 1452 article-title: Rating neurological impairment in multiple sclerosis. An expanded disability status scale (EDSS) publication-title: Neurology – ident: e_1_2_9_10_2 doi: 10.1007/s00415-007-0584-x – ident: e_1_2_9_24_2 doi: 10.1002/ana.20224 – ident: e_1_2_9_13_2 doi: 10.1002/ana.20740 – ident: e_1_2_9_29_2 doi: 10.1212/01.WNL.0000036271.49066.06 – ident: e_1_2_9_6_2 doi: 10.1002/ana.410430114 – ident: e_1_2_9_28_2 doi: 10.1093/brain/awf177 – ident: e_1_2_9_5_2 doi: 10.1212/WNL.43.4.662 – ident: e_1_2_9_4_2 doi: 10.1016/S0140-6736(98)03334-0 – ident: e_1_2_9_15_2 doi: 10.1212/01.WNL.0000078888.07196.0B – ident: e_1_2_9_17_2 doi: 10.1177/1352458506071309 – ident: e_1_2_9_30_2 doi: 10.1212/01.WNL.0000078885.05053.7D – ident: e_1_2_9_2_2 doi: 10.1212/WNL.43.4.655 – ident: e_1_2_9_21_2 doi: 10.1007/s00415-005-0885-x – ident: e_1_2_9_9_2 doi: 10.1007/s00415-005-0748-5 – ident: e_1_2_9_31_2 doi: 10.1191/1352458505ms1173oa – ident: e_1_2_9_23_2 doi: 10.1177/135245850200800109 – ident: e_1_2_9_27_2 doi: 10.1136/jnnp.2007.130229 – ident: e_1_2_9_22_2 doi: 10.1017/S0317167100053804 – ident: e_1_2_9_26_2 doi: 10.1177/135245859800400501 – ident: e_1_2_9_18_2 doi: 10.1093/brain/121.1.3 – ident: e_1_2_9_7_2 doi: 10.1002/1531-8249(199908)46:2<197::AID-ANA9>3.0.CO;2-P – ident: e_1_2_9_11_2 doi: 10.1002/ana.21102 – ident: e_1_2_9_14_2 doi: 10.1212/WNL.33.11.1444 – ident: e_1_2_9_3_2 doi: 10.1002/ana.410390304 – ident: e_1_2_9_8_2 doi: 10.1136/jnnp.74.7.946 – ident: e_1_2_9_16_2 doi: 10.1007/s00415-005-0979-5 – ident: e_1_2_9_25_2 doi: 10.1177/1352458507085555 – volume: 60 start-page: A168 issue: 1 year: 2003 ident: e_1_2_9_12_2 article-title: Application of different criteria for clinical response to beta‐interferon in relapsing‐remitting multiple sclerosis publication-title: Neurology – ident: e_1_2_9_20_2 doi: 10.1002/ana.410390104 – ident: e_1_2_9_19_2 doi: 10.1002/ana.1032 |
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| Snippet | Background and purpose: To define the predictive value of clinical and magnetic resonance imaging (MRI) characteristics in identifying relapsing‐remitting... Background and purpose: To define the predictive value of clinical and magnetic resonance imaging (MRI) characteristics in identifying relapsing‐remitting... To define the predictive value of clinical and magnetic resonance imaging (MRI) characteristics in identifying relapsing-remitting multiple sclerosis (RR-MS)... Background and purpose: To define the predictive value of clinical and magnetic resonance imaging (MRI) characteristics in identifying relapsing-remitting... |
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| SubjectTerms | Adolescent Adult Age of Onset Child Disease Progression Female Follow-Up Studies Humans interferon beta Interferon-beta - therapeutic use Longitudinal Studies magnetic resonance imaging Magnetic Resonance Imaging - methods Male Middle Aged multiple sclerosis Multiple Sclerosis, Relapsing-Remitting - drug therapy Predictive Value of Tests response to therapy Risk Factors Severity of Illness Index Time Factors Treatment Outcome |
| Title | One-year MRI scan predicts clinical response to interferon beta in multiple sclerosis |
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