CORRELATIONS BETWEEN CHANGES IN DISABILITY AND T-2-WEIGHTED BRAIN MRI ACTIVITY IN MULTIPLE-SCLEROSIS - A FOLLOW-UP-STUDY

被引:234
作者
FILIPPI, M
PATY, DW
KAPPOS, L
BARKHOF, F
COMPSTON, DAS
THOMPSON, AJ
ZHAO, GJ
WILES, CM
MCDONALD, WI
MILLER, DH
机构
[1] UCL INST NEUROL, NMR RES UNIT, LONDON WC1N 3BG, ENGLAND
[2] UNIV BRITISH COLUMBIA, DEPT MED, DIV NEUROL, VANCOUVER, BC V6T 1W5, CANADA
[3] UNIV WURZBURG, DEPT NEUROL, CLIN RES UNIT MULTIPLE SCLEROSIS, WURZBURG, GERMANY
[4] UNIV BASEL, KANTONSSPITAL BASEL, NEUROL KLIN, CH-4003 BASEL, SWITZERLAND
[5] FREE UNIV AMSTERDAM, DEPT DIAGNOST RADIOL, AMSTERDAM, NETHERLANDS
[6] UNIV CAMBRIDGE, ADDENBROOKES HOSP, NEUROL UNIT, CAMBRIDGE, ENGLAND
[7] ST THOMAS HOSP, LONDON, ENGLAND
关键词
D O I
10.1212/WNL.45.2.255
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We obtained two conventional unenhanced T-2-weighted brain MRI scans, separated by an interval of 24 to 36 months, in 281 patients with multiple sclerosis (MS). At the time of each scan, clinical disability was rated using the Kurtake Expanded Disability Status Scale (EDSS). Changes in disability between the two examinations correlated weakly but significantly with the number of new (Spearman's rank correlation coefficient = 0.13; p = 0.02) and enlarging (Spearman's rank correlation coefficient = 0.18; p = 0.002) MRI lesions. This result suggests that brain T-2-weighted MRI is a useful supplementary marker of disease activity in definitive (phase III) clinical treatment trials in MS.
引用
收藏
页码:255 / 260
页数:6
相关论文
共 27 条
[1]   PROTON MAGNETIC-RESONANCE SPECTROSCOPY OF HUMAN BRAIN INVIVO IN THE EVALUATION OF MULTIPLE-SCLEROSIS - ASSESSMENT OF THE LOAD OF DISEASE [J].
ARNOLD, DL ;
MATTHEWS, PM ;
FRANCIS, G ;
ANTEL, J .
MAGNETIC RESONANCE IN MEDICINE, 1990, 14 (01) :154-159
[2]   QUANTITATIVE MULTIPLE-SCLEROSIS PLAQUE ASSESSMENT WITH MAGNETIC-RESONANCE IMAGING - ITS CORRELATION WITH CLINICAL-PARAMETERS, EVOKED-POTENTIALS, AND INTRA-BLOOD-BRAIN BARRIER IGG SYNTHESIS [J].
BAUMHEFNER, RW ;
TOURTELLOTTE, WW ;
SYNDULKO, K ;
WALUCH, V ;
ELLISON, GW ;
MEYERS, LW ;
COHEN, SN ;
OSBORNE, M ;
SHAPSHAK, P .
ARCHIVES OF NEUROLOGY, 1990, 47 (01) :19-26
[3]   GADOLINIUM PENTETIC ACID MAGNETIC-RESONANCE-IMAGING IN PATIENTS WITH RELAPSING REMITTING MULTIPLE-SCLEROSIS [J].
CAPRA, R ;
MARCIANO, N ;
VIGNOLO, LA ;
CHIESA, A ;
GASPAROTTI, R .
ARCHIVES OF NEUROLOGY, 1992, 49 (07) :687-689
[4]   QUANTITATIVE BRAIN MRI LESION LOAD PREDICTS THE COURSE OF CLINICALLY ISOLATED SYNDROMES SUGGESTIVE OF MULTIPLE-SCLEROSIS [J].
FILIPPI, M ;
HORSFIELD, MA ;
MORRISSEY, SP ;
MACMANUS, DG ;
RUDGE, P ;
MCDONALD, WI ;
MILLER, DH .
NEUROLOGY, 1994, 44 (04) :635-641
[5]   BENIGN AND SECONDARY PROGRESSIVE MULTIPLE-SCLEROSIS - A PRELIMINARY QUANTITATIVE MRI STUDY [J].
FILIPPI, M ;
BARKER, GJ ;
HORSFIELD, MA ;
SACARES, PR ;
MACMANUS, DG ;
THOMPSON, AJ ;
TOFTS, PS ;
MCDONALD, WI ;
MILLER, DH .
JOURNAL OF NEUROLOGY, 1994, 241 (04) :246-251
[6]   CORRELATION OF MAGNETIZATION-TRANSFER RATIO WITH CLINICAL DISABILITY IN MULTIPLE-SCLEROSIS [J].
GASS, A ;
BARKER, GJ ;
KIDD, D ;
THORPE, JW ;
MACMANUS, D ;
BRENNAN, A ;
TOFTS, PS ;
THOMPSON, AJ ;
MCDONALD, WI ;
MILLER, DH .
ANNALS OF NEUROLOGY, 1994, 36 (01) :62-67
[7]   THE INITIAL DIAGNOSIS OF MULTIPLE-SCLEROSIS - CLINICAL IMPACT OF MAGNETIC-RESONANCE IMAGING [J].
GEBARSKI, SS ;
GABRIELSEN, TO ;
GILMAN, S ;
KNAKE, JE ;
LATACK, JT ;
AISEN, AM .
ANNALS OF NEUROLOGY, 1985, 17 (05) :469-474
[8]   SERIAL GADOLINIUM-ENHANCED MAGNETIC-RESONANCE-IMAGING SCANS IN PATIENTS WITH EARLY, RELAPSING-REMITTING MULTIPLE-SCLEROSIS - IMPLICATIONS FOR CLINICAL-TRIALS AND NATURAL-HISTORY [J].
HARRIS, JO ;
FRANK, JA ;
PATRONAS, N ;
MCFARLIN, DE ;
MCFARLAND, HF .
ANNALS OF NEUROLOGY, 1991, 29 (05) :548-555
[9]   MULTIPLE-SCLEROSIS - A SERIAL STUDY USING MRI IN RELAPSING PATIENTS [J].
ISAAC, C ;
LI, DKB ;
GENTON, M ;
JARDINE, C ;
GROCHOWSKI, E ;
PALMER, M ;
KASTRUKOFF, LF ;
OGER, J ;
PATY, DW .
NEUROLOGY, 1988, 38 (10) :1511-1515
[10]   HETEROGENEITY OF BLOOD-BRAIN-BARRIER CHANGES IN MULTIPLE-SCLEROSIS - AN MRI STUDY WITH GADOLINIUM-DTPA ENHANCEMENT [J].
KERMODE, AG ;
TOFTS, PS ;
THOMPSON, AJ ;
MACMANUS, DG ;
RUDGE, P ;
KENDALL, BE ;
KINGSLEY, DPE ;
MOSELEY, IF ;
DUBOULAY, EPGH ;
MCDONALD, WI .
NEUROLOGY, 1990, 40 (02) :229-235