Cited by 168Multiple Sclerosis Research StudiesAdvanced MRI Techniques and ApplicationsInfectious Diseases and Tuberculosis

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Differentiation of Multiple Sclerosis from Other Inflammatory Disorders and Cerebrovascular Disease: Value of Spinal MR Imaging

Bot, Joost C. J., Barkhof, Frederik, à Nijeholt, Geert Lycklama, van Schaardenburg, Dirkjan, Voskuyl, Alexandre E., Ader, Herman J., Pijnenburg, Jolanda A. L., Polman, Chris H., Uitdehaag, Bernard M. J., Vermeulen, Erik G. J., Castelijns, Jonas A.·2002·Radiology

DOI 10.1148/radiol.2231010707

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Abstract

Purpose To determine the value of magnetic resonance (MR) imaging in the spinal cord to differentiate multiple sclerosis (MS) from other inflammatory disorders and cerebrovascular diseases (together, other neurologic disease [OND]). Materials and methods The study population included 66 patients with OND and 25 patients with MS, who were matched for age, sex, and symptom duration or severity. Brain MR imaging included gadolinium-enhanced T1-weighted and dual-echo T2-weighted spin-echo sequences to assess the number, size, and appearance of lesions, contrast enhancement, and compatibility with diagnostic criteria for MS. Spinal cord MR imaging included cardiac-triggered gadolinium-enhanced sagittal T1-weighted spin-echo and dual-echo T2-weighted sequences to assess the general appearance (normal, focal lesion, diffuse abnormality) and number or size of focal lesions. Images obtained in MS and OND patients were compared. Specificity, sensitivity, accuracy, and positive and negative predictive values with MR images were calculated. Results Brain images were abnormal in all MS patients and in 65% of OND patients. Abnormal cord images were found in 92% of MS and 6% of OND patients. The combination of brain and spinal cord images increased accuracy of diagnosis compared with use of brain images alone. Conclusion In contrast to MS, cord lesions are very uncommon in OND. This finding can help differentiate these disorders.

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Authors: Bot, J. C. J., Barkhof, F., à Nijeholt, G. L., van Schaardenburg, D., Voskuyl, A. E., Ader, H. J., Pijnenburg, J. A. L., Polman, C. H., Uitdehaag, B. M. J., Vermeulen, E. G. J., & Castelijns, J. A.
Affiliations: Amsterdam UMC Location Vrije Universiteit Amsterdam (NL)
Vrije Universiteit Amsterdam (NL)
Neurology, Inc (US)
ORCID: Bot, Joost C. J.
Barkhof, Frederik
van Schaardenburg, Dirkjan
Voskuyl, Alexandre E.
Polman, Chris H.
Uitdehaag, Bernard M. J.
Castelijns, Jonas A.
Venue: Radiology
Publisher: Radiological Society of North America (RSNA)
Published: 2002-04
Volume: 223
Issue: 1
Pages: 46-56
ISSN: 0033-8419 (ISSN-L)
1527-1315
DOI: 10.1148/radiol.2231010707
OpenAlex: W2092959805
Cited by: 168
References: 57
Citations by year: 2026: 2 · 2025: 5 · 2024: 1 · 2023: 2 · 2022: 5 · 2021: 6 · 2020: 4 · 2019: 5 · 2018: 7 · 2017: 5 · 2016: 11 · 2015: 11 · 2014: 10 · 2013: 8 · 2012: 13
FWCI: 3.56
Type: journal article
Language: en
Open access: closed
Locations: Radiology (publishedVersion)
PubMed (publishedVersion)
Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
Data Archiving and Networked Services (DANS) (submittedVersion)
Topics: Health Sciences › Medicine › Clinical Neurology › Multiple Sclerosis Research Studies
Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced MRI Techniques and Applications
Health Sciences › Medicine › Infectious Diseases › Infectious Diseases and Tuberculosis
Keywords: multiple sclerosis, spinal cord lesions, differential diagnosis, cerebrovascular disease, gadolinium-enhanced MRI, brain MRI, diagnostic accuracy, spinal cord MRI
MeSH terms: Adult, Cerebrovascular Disorders, Diagnosis, Differential, Female, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Multiple Sclerosis, Myelitis, Sensitivity and Specificity

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Differentiation of Multiple Sclerosis from Other Inflammatory Disorders and Cerebrovascular Disease: Value of Spinal MR Imaging

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