Volumetric Examination of MS Plaques and Correlation with EDSS Ratings

S Gurwara1, B Hailey, A Thompson

  • 1Departments of Radiology and Neurology, LSUHSC-S; Shreveport, LA, USA - EGonz1@lsuhsc.edu.

The Neuroradiology Journal
|November 12, 2013
PubMed

Insights

This study found a positive correlation between multiple sclerosis plaque volume and patient disability, but it was not statistically significant. Further research with more patients is needed to confirm these findings.

Area of Science:

  • Neurology
  • Radiology
  • Medical Imaging

Background:

  • Multiple sclerosis (MS) is a chronic neurological disease.
  • Brain lesion volume on MRI is a potential biomarker for MS progression.
  • The Expanded Disability Status Scale (EDSS) is a standard measure of MS-related disability.

Purpose of the Study:

  • To investigate the relationship between total brain plaque volume and EDSS scores in patients with multiple sclerosis.
  • To determine if MRI-derived plaque volume correlates with clinical disability in MS.

Main Methods:

  • Retrospective analysis of 17 patients diagnosed with multiple sclerosis.
  • Quantification of total plaque volume from three different MRI scan sets.
  • Correlation analysis between plaque volume and EDSS ratings.

Main Results:

  • A positive relationship was observed between total plaque volume and EDSS scores in all correlation analyses.
  • None of the observed positive relationships reached statistical significance.
  • The study included a small sample size of 17 patients.

Conclusions:

  • While a trend suggests larger plaque volumes are associated with higher EDSS scores, the findings are not statistically significant.
  • A larger, more extensive study is required to establish statistical significance and confirm the relationship between MS plaque volume and disability.
  • Further research is warranted to explore the utility of MRI plaque volume as a predictive biomarker in multiple sclerosis.

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