Imaging Pediatric Multiple Sclerosis-Challenges and Recent Advances

Katrin Parmar1, Brenda L Banwell2, Nadine Akbar3

  • 1Department of Neurology, University Hospital Basel, Basel, Switzerland.

Neuropediatrics
|February 27, 2018
PubMed

Insights

Pediatric onset multiple sclerosis (POMS) is rare but serious. Magnetic resonance imaging (MRI) is crucial for diagnosing POMS, monitoring disease progression, and evaluating treatment effectiveness in children.

Area of Science:

  • Neurology
  • Pediatrics
  • Radiology

Background:

  • Pediatric onset multiple sclerosis (POMS) is a rare neurological disorder affecting children.
  • POMS is characterized by relapsing-remitting disease, rapid lesion accumulation, frequent relapses, and early cognitive deficits.
  • Early diagnosis and management are critical for improving outcomes in POMS patients.

Purpose of the Study:

  • To emphasize the critical role of magnetic resonance imaging (MRI) in managing pediatric onset multiple sclerosis.
  • To provide a comprehensive overview of various MRI techniques utilized in POMS care.
  • To highlight MRI's utility in diagnosis, disease monitoring, and therapeutic efficacy evaluation.

Main Methods:

  • Review of current literature on MRI applications in POMS.
  • Discussion of standard and advanced MRI sequences (e.g., volumetric, DTI, fMRI).
  • Analysis of MRI's role in differential diagnosis and disease monitoring.

Main Results:

  • MRI is indispensable for POMS diagnosis and excluding mimics.
  • Advanced MRI techniques offer insights into POMS's impact on neural networks.
  • MRI facilitates disease monitoring and assessment of treatment response.

Conclusions:

  • Magnetic resonance imaging is fundamental in the comprehensive care of pediatric onset multiple sclerosis patients.
  • A range of MRI techniques aids in diagnosis, monitoring, and treatment evaluation.
  • Continued research into advanced MRI applications will further enhance POMS management.

Related Concept Videos

Multiple Allele Traits01:49

Multiple Allele Traits

The Concept of Multiple Allelism
38.2K
Overview of Advanced Functional Groups02:22

Overview of Advanced Functional Groups


Functional groups are groups of atoms with specific chemical properties that occur within organic molecules and are sometimes denoted as “R”. Functional groups can “functionalize” a compound by enabling it to adopt different physical and chemical properties.
Types of Advanced Functional Groups
The table below summarizes some of the major functional groups in organic chemistry.
30.4K
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
279
Extraction: Advanced Methods00:56

Extraction: Advanced Methods

Metal ions can be separated from one another by complexation with organic ligands–the chelating agent– to form uncharged chelates. Here, the chelating agent must contain hydrophobic groups and behave as a weak acid, losing a proton to bind with the metal. Since most organic ligands used in this process are insoluble or undergo oxidation in the aqueous phase, the chelating agent is initially added to the organic phase and extracted into the aqueous phase. The metal-ligand complex is...
1.2K
Multiple Regression01:25

Multiple Regression

Multiple regression assesses a linear relationship between one response or dependent variable and two or more independent variables. It has many practical applications.
Farmers can use multiple regression to determine the crop yield based on more than one factor, such as water availability, fertilizer, soil properties, etc. Here, the crop yield is the response or dependent variable as it depends on the other independent variables. The analysis requires the construction of a scatter plot...
4.0K
Pharmacokinetics in Pediatric Patients: Drug Distribution01:17

Pharmacokinetics in Pediatric Patients: Drug Distribution

Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight,...
334