Decoding Gray Matter Involvement in Multiple Sclerosis via Imaging

Multiple sclerosis (MS) is increasingly understood not only as a white matter disease but also involving both the deep and cortical gray matter (GM). GM pathology in people with MS (pwMS) includes the presence of lesions, leptomeningeal inflammation, atrophy, altered iron concentration, and microstr...

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Vydáno v:Neuroimaging clinics of North America Ročník 34; číslo 3; s. 453
Hlavní autoři: Zivadinov, Robert, Schweser, Ferdinand, Jakimovski, Dejan, Bergsland, Niels, Dwyer, Michael G
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States 01.08.2024
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ISSN:1557-9867, 1557-9867
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Shrnutí:Multiple sclerosis (MS) is increasingly understood not only as a white matter disease but also involving both the deep and cortical gray matter (GM). GM pathology in people with MS (pwMS) includes the presence of lesions, leptomeningeal inflammation, atrophy, altered iron concentration, and microstructural changes. Studies using 7T and 3T MR imaging with optimized protocols established that GM damage is a principal driver of disease progression in pwMS. Future work is needed to incorporate the assessment of these GM imaging biomarkers into the clinical workup of pwMS and the assessment of treatment efficacy.
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ISSN:1557-9867
1557-9867
DOI:10.1016/j.nic.2024.03.007