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Published on: July 19, 2019
Imaging Pediatric Multiple Sclerosis-Challenges and Recent Advances
Katrin Parmar1, Brenda L Banwell2, Nadine Akbar3
1Department of Neurology, University Hospital Basel, Basel, Switzerland.
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.
Abstract:
Pediatric onset multiple sclerosis (POMS) is a rare disease with an incidence of 0.07 to 2.9/100'000 children per year. It follows a relapsing-remitting disease course and is characterized by rapid accrual of inflammatory lesions, high relapse frequency, and early cognitive impairment. Magnetic resonance imaging (MRI) plays a pivotal role in the diagnosis of POMS, and in the exclusion of other disorders mimicking POMS. Furthermore, MRI aids in disease monitoring, and in the evaluation of therapeutic efficacy in both clinical practice and clinical trials. Volumetric MRI studies, diffusion tensor imaging, resting-state, and task-based functional MRI provide deeper insight into the impact of POMS on maturing neural networks. This review article aims to highlight the importance of MRI in the care of POMS patients and to provide an overview on the different MRI techniques used in the management of POMS.
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