Marek Sąsiadek1, Katarzyna Katulska2, Agata Majos3, Małgorzata Siger4, Marcin Hartel5, Alicja Kalinowska6, Jerzy Walecki7. 1. Department of General and Interventional Radiology and Neuroradiology, Wroclaw Medical University, Poland. Electronic address: marek.sasiadek@umed.wroc.pl. 2. Department of Neuroradiology, Poznan University of Medical Sciences, Poznan, Poland. Electronic address: katarzyna_katulska@op.pl. 3. Department of Radiological and Isotopic Diagnosis and Therapy, Medical University of Lodz, Poland. 4. Department of Neurology, Medical University of Lodz, Poland. 5. Medical Diagnostic Center Voxel, Katowice, Poland. 6. Department of Neurology, Division of Neurochemistry and Neuropathology, Poznan University of Medical Sciences, Poland. 7. Department of Radiology, Medical Centre for Postgraduate Education, Warsaw, Poland.
Abstract
Magnetic resonance imaging is widely used in diagnosing multiple sclerosis as a basic method for detecting and monitoring the disease. INTRODUCTION: Polish Medical Society of Radiology presents the second version of the recommendations for the routinely conducted MRI in multiple sclerosis, which include new data and practical remarks for radiographers and radiologists. The recommended protocol aims to improve the imaging procedure and, most importantly, to standardize conducting MRI scans in all MRI departments. This is crucial for monitoring the patients with MS, which directly contributes to essential clinical decisions. AIM OF THE GUIDELINES: Multiple sclerosis (MS) is a chronic inflammatory demyelinating and degenerative disease of the central nervous system (CNS) with its etiology still unknown. The fundamental requirement of the disease is the CNS destruction process disseminated in time (DIT) and space (DIS). MR imaging detects focal lesions in white and gray matter with high sensitivity and is the best way to assess brain atrophy in MS patients. It is unquestionably the best diagnostic tool to follow-up the clinical course of the disease and treatment of MS patients. However, to achieve a diagnosis based on MRI scans, and follow-up MS patients according to the latest standards, an MRI scan has to meet certain quality criteria that are the subject of this work.
Magnetic resonance imaging is widely used in diagnosing multiple sclerosis as a basic method for detecting and monitoring the disease. INTRODUCTION: Polish Medical Society of Radiology presents the second version of the recommendations for the routinely conducted MRI in multiple sclerosis, which include new data and practical remarks for radiographers and radiologists. The recommended protocol aims to improve the imaging procedure and, most importantly, to standardize conducting MRI scans in all MRI departments. This is crucial for monitoring the patients with MS, which directly contributes to essential clinical decisions. AIM OF THE GUIDELINES: Multiple sclerosis (MS) is a chronic inflammatory demyelinating and degenerative disease of the central nervous system (CNS) with its etiology still unknown. The fundamental requirement of the disease is the CNS destruction process disseminated in time (DIT) and space (DIS). MR imaging detects focal lesions in white and gray matter with high sensitivity and is the best way to assess brain atrophy in MSpatients. It is unquestionably the best diagnostic tool to follow-up the clinical course of the disease and treatment of MSpatients. However, to achieve a diagnosis based on MRI scans, and follow-up MSpatients according to the latest standards, an MRI scan has to meet certain quality criteria that are the subject of this work.
Authors: Marek Sąsiadek; Marcin Hartel; Małgorzata Siger; Katarzyna Katulska; Agata Majos; Ewa Kluczewska; Halina Bartosik-Psujek; Alina Kułakowska; Agnieszka Słowik; Barbara Steinborn; Monika Adamczyk-Sowa; Alicja Kalinowska; Ewa Krzystanek; Robert Bonek; Zbigniew Serafin; Jarosław Sławek; Przemysław Nowacki; Adam Stępień; Sergiusz Jóżwiak; Konrad Rejdak; Krzysztof Selmaj; Jerzy Walecki Journal: Pol J Radiol Date: 2020-05-26