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Magnetic Resonance Imaging of Multiple Sclerosis at 7.0 Tesla
Published on: February 19, 2021
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Imaging in Pediatric Multiple Sclerosis : An Iconographic Review
Gonzalo Barraza1, Kumaran Deiva2,3, Béatrice Husson4,5
1Pediatric Radiology Department, Hôpitaux Universitaires Paris-Sud, Bicêtre AP-HP, 94270, Le Kremlin-Bicêtre, France. gonzabarraza@gmail.com.
Clinical Neuroradiology
|July 18, 2020
Summary
Pediatric-onset multiple sclerosis (POMS) requires diagnosis using magnetic resonance imaging (MRI) to identify dissemination in time and space. This guide details POMS lesions on MRI, aiding differential diagnosis in children.
Area of Science:
- Neurology
- Pediatrics
- Radiology
Background:
- Pediatric-onset multiple sclerosis (POMS) is a rare neurological disorder.
- Diagnosis relies on identifying dissemination in time (DIT) and space (DIS).
- Magnetic resonance imaging (MRI) is crucial for POMS diagnosis and monitoring.
Purpose of the Study:
- To present a guide for identifying Pediatric-onset multiple sclerosis (POMS) lesions.
- To aid in the differential diagnosis of central nervous system events in children.
- To highlight the role of MRI in distinguishing POMS from other conditions.
Main Methods:
- Review of MRI characteristics of POMS lesions.
- Categorization of lesions by location (periventricular, juxtacortical, etc.).
- Comparison with imaging patterns of mimic disorders (inflammatory, metabolic, tumoral).
Main Results:
- Specific MRI lesion patterns are characteristic of POMS.
- MRI aids in excluding other potential diagnoses.
- The 2017 McDonald criteria are increasingly utilized and validated.
Conclusions:
- MRI is the cornerstone for diagnosing and monitoring Pediatric-onset multiple sclerosis (POMS).
- A systematic approach to MRI lesion identification improves diagnostic accuracy.
- This guide assists clinicians in recognizing POMS and differentiating it from other pediatric neurological conditions.
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