Fast Five Quiz: Brain and Spine Imaging in Multiple Sclerosis

Christopher Luzzio, MD


April 08, 2020

Figure 1. This sagittal T2 FLAIR MRI image shows a focal demyelinating plaque involving the middle cerebellar peduncle.

The Consortium of MS Centers Task Force is an international group of neurologists and radiologists that have standardized MS imaging. According to the task force recommendations, a brain MRI with gadolinium is recommended for the diagnosis of MS.

Routine brain MR imaging should be considered every 6 months to 2 years for all patients with relapsing MS.

A brain MRI, rather than a spinal cord MRI, is recommended to establish a baseline before starting or modifying therapy.

The spinal cord MRI protocol includes sagittal T1-weighted and proton attenuation/density, short T1 inversion recovery (STIR) or phase-sensitive inversion recovery, axial T2- or T2*-weighted imaging through suspicious lesions, and in some cases, postcontrast gadolinium-enhanced T1-weighted imaging.

Learn more about recommendations from the Consortium of MS Centers Task Force on brain and spinal cord imaging.


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