Clinical and neuroimaging findings in MOGAD-MRI and OCT

Frederik Bartels1,2, Angelo Lu3,4, Frederike Cosima Oertel3,4

  • 1Department of Neurology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.

Insights

Myelin oligodendrocyte glycoprotein antibody-associated disorders (MOGAD) are rare autoimmune neuroinflammatory conditions distinct from MS and NMOSD. Neuroimaging reveals unique features in MOGAD patients, aiding diagnosis and future research.

Area of Science:

  • Neuroimmunology
  • Neuroinflammation
  • Autoimmune disorders

Background:

  • Myelin oligodendrocyte glycoprotein antibody-associated disorders (MOGAD) are rare autoimmune neuroinflammatory conditions.
  • MOGAD is increasingly recognized as distinct from aquaporin-4 antibody-associated neuromyelitis optica spectrum disorder (NMOSD) and multiple sclerosis (MS).

Purpose of the Study:

  • To review key clinical and neuroimaging characteristics of pediatric and adult MOGAD.
  • To discuss the utility of in-vivo imaging techniques in studying MOGAD.
  • To highlight recent insights from image analysis in MOGAD.

Main Methods:

  • Review of clinical data and neuroimaging findings in MOGAD patients.
  • In-vivo imaging techniques including MRI of the brain, spinal cord, and optic nerves.
  • Retinal imaging using optical coherence tomography (OCT).

Main Results:

  • MOGAD exhibits distinguishing neuroimaging features compared to NMOSD and MS.
  • MRI and OCT provide valuable insights into MOGAD pathophysiology.
  • Image analysis methods are crucial for understanding MOGAD and guiding future research.

Conclusions:

  • MOGAD represents a unique autoimmune neuroinflammatory disorder.
  • Neuroimaging plays a critical role in the diagnosis and characterization of MOGAD.
  • Further research utilizing advanced imaging analysis is warranted for MOGAD.

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