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Updated: Jul 15, 2026

Magnetic Resonance Imaging of Multiple Sclerosis at 7.0 Tesla
Published on: February 19, 2021
Deep grey matter "black T2" on 3 tesla magnetic resonance imaging correlates with disability in multiple sclerosis
Abstract:
T2 hypointensity (black T2, BT2) in the deep grey matter of multiple sclerosis (MS) patients correlate weakly with disability at 1.5 T. BT2 is likely to be caused by abnormal iron deposition. We compared the correlation between disability and deep grey matter BT2 measured on 3 T MRI and on 1.5 T MRI in 17 MS patients. We observed a significant correlation between expanded disability status scale and signal intensity on 3 T MRI in the globus pallidus and the caudate nucleus (r = -0.5, P < 0.05). BT2 at 3 T may be a useful MRI measure associated with disability in MS and warrants further study.
Insights
Black T2 (BT2) MRI signal in multiple sclerosis (MS) deep grey matter shows a stronger link to patient disability at 3 Tesla. This finding suggests BT2 on 3 T MRI may be a valuable measure for assessing MS progression.
Area of Science:
- Neurology
- Radiology
- Biomedical Imaging
Background:
- T2 hypointensity (black T2, BT2) in deep grey matter is observed in multiple sclerosis (MS) patients.
- This phenomenon is weakly correlated with patient disability at 1.5 Tesla (T) MRI.
- Abnormal iron deposition is the suspected cause of BT2.
Purpose of the Study:
- To compare the correlation between deep grey matter BT2 and disability in MS patients using 3 T MRI versus 1.5 T MRI.
- To investigate the utility of 3 T MRI for quantifying BT2 in relation to MS disability.
Main Methods:
- Seventeen MS patients were included in the study.
- Deep grey matter BT2 was measured using 3 T MRI and 1.5 T MRI.
- Correlation analysis was performed between Expanded Disability Status Scale (EDSS) scores and signal intensity.
Main Results:
- A significant correlation was found between EDSS and signal intensity in the globus pallidus and caudate nucleus at 3 T MRI (r = -0.5, P < 0.05).
- The correlation between BT2 and disability was stronger at 3 T compared to 1.5 T MRI.
Conclusions:
- Black T2 imaging at 3 T MRI demonstrates a significant association with disability in MS patients.
- 3 T MRI-derived BT2 may serve as a useful imaging biomarker for MS disability and warrants further investigation.
Related Concept Videos
Magnetic Resonance Imaging
Multiple Sclerosis l: Introduction

