Imaging of the Spinal Cord in Multiple Sclerosis: Past, Present, Future

Spinal cord imaging in multiple sclerosis (MS) plays a significant role in diagnosing and tracking disease progression. The spinal cord is one of four key areas of the central nervous system where documenting the dissemination in space in the McDonald criteria for diagnosing MS. Spinal cord lesion l...

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Main Authors: Yongsheng Chen, Ewart Mark Haacke, Evanthia Bernitsas
Format: Article
Language:English
Published: MDPI AG 2020-11-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/10/11/857
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author Yongsheng Chen
Ewart Mark Haacke
Evanthia Bernitsas
author_facet Yongsheng Chen
Ewart Mark Haacke
Evanthia Bernitsas
author_sort Yongsheng Chen
collection DOAJ
description Spinal cord imaging in multiple sclerosis (MS) plays a significant role in diagnosing and tracking disease progression. The spinal cord is one of four key areas of the central nervous system where documenting the dissemination in space in the McDonald criteria for diagnosing MS. Spinal cord lesion load and the severity of cord atrophy are believed to be more relevant to disability than white matter lesions in the brain in different phenotypes of MS. Axonal loss contributes to spinal cord atrophy in MS and its degree correlates with disease severity and prognosis. Therefore, measures of axonal loss are often reliable biomarkers for monitoring disease progression. With recent technical advances, more and more qualitative and quantitative MRI techniques have been investigated in an attempt to provide objective and reliable diagnostic and monitoring biomarkers in MS. In this article, we discuss the role of spinal cord imaging in the diagnosis and prognosis of MS and, additionally, we review various techniques that may improve our understanding of the disease.
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spelling doaj.art-8c68ee9ce1d349f8839f18cbee903fe32023-11-20T20:50:55ZengMDPI AGBrain Sciences2076-34252020-11-01101185710.3390/brainsci10110857Imaging of the Spinal Cord in Multiple Sclerosis: Past, Present, FutureYongsheng Chen0Ewart Mark Haacke1Evanthia Bernitsas2Department of Neurology, Wayne State University School of Medicine, Detroit, MI 48021, USADepartment of Neurology, Wayne State University School of Medicine, Detroit, MI 48021, USADepartment of Neurology, Wayne State University School of Medicine, Detroit, MI 48021, USASpinal cord imaging in multiple sclerosis (MS) plays a significant role in diagnosing and tracking disease progression. The spinal cord is one of four key areas of the central nervous system where documenting the dissemination in space in the McDonald criteria for diagnosing MS. Spinal cord lesion load and the severity of cord atrophy are believed to be more relevant to disability than white matter lesions in the brain in different phenotypes of MS. Axonal loss contributes to spinal cord atrophy in MS and its degree correlates with disease severity and prognosis. Therefore, measures of axonal loss are often reliable biomarkers for monitoring disease progression. With recent technical advances, more and more qualitative and quantitative MRI techniques have been investigated in an attempt to provide objective and reliable diagnostic and monitoring biomarkers in MS. In this article, we discuss the role of spinal cord imaging in the diagnosis and prognosis of MS and, additionally, we review various techniques that may improve our understanding of the disease.https://www.mdpi.com/2076-3425/10/11/857multiple sclerosisspinal cordmagnetic resonance imagingspinal cord atrophymagnetization transfer ratiodiffusion imaging
spellingShingle Yongsheng Chen
Ewart Mark Haacke
Evanthia Bernitsas
Imaging of the Spinal Cord in Multiple Sclerosis: Past, Present, Future
Brain Sciences
multiple sclerosis
spinal cord
magnetic resonance imaging
spinal cord atrophy
magnetization transfer ratio
diffusion imaging
title Imaging of the Spinal Cord in Multiple Sclerosis: Past, Present, Future
title_full Imaging of the Spinal Cord in Multiple Sclerosis: Past, Present, Future
title_fullStr Imaging of the Spinal Cord in Multiple Sclerosis: Past, Present, Future
title_full_unstemmed Imaging of the Spinal Cord in Multiple Sclerosis: Past, Present, Future
title_short Imaging of the Spinal Cord in Multiple Sclerosis: Past, Present, Future
title_sort imaging of the spinal cord in multiple sclerosis past present future
topic multiple sclerosis
spinal cord
magnetic resonance imaging
spinal cord atrophy
magnetization transfer ratio
diffusion imaging
url https://www.mdpi.com/2076-3425/10/11/857
work_keys_str_mv AT yongshengchen imagingofthespinalcordinmultiplesclerosispastpresentfuture
AT ewartmarkhaacke imagingofthespinalcordinmultiplesclerosispastpresentfuture
AT evanthiabernitsas imagingofthespinalcordinmultiplesclerosispastpresentfuture