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Article abstract-We attempted to define the role of subtle changes in the normal-appearing white matter (NAWM) in the development of disability in multiple sclerosis (MS). Twenty-seven clinically definite MS patients with either relapsing-remitting or chronic-progressive courses and 10 sex- and age-matched controls entered the study. For each patient and control, we studied two NAWM areas in the frontal lobe with magnetization transfer imaging (MTI). For patients, we also calculated the MT ratios (MTRs) for three contiguous areas of NAWM progressively further from "isolated" lesions visible on conventional MRI. Frontal NAWM in MS patients had lower mean MTRs than the frontal white matter of the controls (p = 0.02). MTRs in the NAWM adjacent to isolated lesions increased with distance from them to the cortical gray matter (p = 0.04). This pattern was typical for patients with chronic-progressive MS whose MTRs in the first two regions of NAWM adjacent to lesions were lower than those of the same regions of patients with relapsing-remitting MS. This study confirms that there are alterations in the NAWM of MS patients and suggests that such changes might be relevant to the disability in MS.
NEUROLOGY 1995;45: 478-482
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P. Sarchielli, O. Presciutti, G. P. Pelliccioli, R. Tarducci, G. Gobbi, P. Chiarini, A. Alberti, F. Vicinanza, and V. Gallai Absolute quantification of brain metabolites by proton magnetic resonance spectroscopy in normal-appearing white matter of multiple sclerosis patients Brain, March 1, 1999; 122(3): 513 - 521. [Abstract] [Full Text] [PDF] |
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V. L. Stevenson, D. H. Miller, M. Rovaris, F. Barkhof, B. Brochet, V. Dousset, V. Dousset, M. Filippi, X. Montalban, C. H. Polman, et al. Primary and transitional progressive MS: A clinical and MRI cross-sectional study Neurology, March 1, 1999; 52(4): 839 - 839. [Abstract] [Full Text] [PDF] |
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M. Filippi, M. A. Rocca, L. Minicucci, V. Martinelli, A. Ghezzi, R. Bergamaschi, and G. Comi Magnetization transfer imaging of patients with definite MS and negative conventional MRI Neurology, March 1, 1999; 52(4): 845 - 845. [Abstract] [Full Text] |
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S. G. M. Edwards, Q. Y. Gong, C. Liu, M. E. Zvartau, T. Jaspan, N. Roberts, and L. D. Blumhardt Infratentorial atrophy on magnetic resonance imaging and disability in multiple sclerosis Brain, February 1, 1999; 122(2): 291 - 301. [Abstract] [Full Text] [PDF] |
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M. Filippi, G. Iannucci, C. Tortorella, L. Minicucci, M. A. Horsfield, B. Colombo, M. P. Sormani, and G. Comi Comparison of MS clinical phenotypes using conventional and magnetization transfer MRI Neurology, February 1, 1999; 52(3): 588 - 588. [Abstract] [Full Text] [PDF] |
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M. Filippi, M. A. Rocca, C. Gasperini, M. P. Sormani, S. Bastianello, M. A. Horsfield, C. Pozzilli, and G. Comi Interscanner Variation in Brain MR Lesion Load Measurements in Multiple Sclerosis Using Conventional Spin-Echo, Rapid Relaxation-Enhanced, and Fast-FLAIR Sequences AJNR Am. J. Neuroradiol., January 1, 1999; 20(1): 133 - 137. [Abstract] [Full Text] |
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O. Vladimirova, J. O'Connor, A. Cahill, H. Alder, C. Butunoi, and B. Kalman Oxidative damage to DNA in plaques of MS brains Multiple Sclerosis, October 1, 1998; 4(5): 413 - 418. [Abstract] [PDF] |
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S. J. Khoury and H. L. Weiner Multiple Sclerosis: What Have We Learned From Magnetic Resonance Imaging Studies? Arch Intern Med, March 23, 1998; 158(6): 565 - 573. [Abstract] [Full Text] [PDF] |
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A R Massaro and P Tonali Cerebrospinal fluid markers in multiple sclerosis: an overview Multiple Sclerosis, February 1, 1998; 4(1): 1 - 4. [Abstract] [PDF] |
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W. Rooney, D. Goodkin, N. Schuff, D. Meyerhoff, D. Norman, and M. Weiner 1H MRSI of normal appearing white matter in multiple sclerosis Multiple Sclerosis, August 1, 1997; 3(4): 231 - 237. [Abstract] [PDF] |
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