ISSN: 1899-0967
Polish Journal of Radiology
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1/2020
vol. 85
 
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Neuroradiology
abstract:
Guidelines/recommendations

Recommendations of the Polish Medical Society of Radiology and the Polish Society of Neurology for the routinely used magnetic resonance imaging protocol in patients with multiple sclerosis

Marek Sąsiadek
1
,
Marcin Hartel
2
,
Małgorzata Siger
3
,
Katarzyna Katulska
4
,
Agata Majos
5
,
Ewa Kluczewska
6
,
Halina Bartosik-Psujek
7
,
Alina Kułakowska
8
,
Agnieszka Słowik
9
,
Barbara Steinborn
4
,
Monika Adamczyk-Sowa
10
,
Alicja Kalinowska
11
,
Ewa Krzystanek
12
,
Robert Bonek
13
,
Zbigniew Serafin
14
,
Jarosław Sławek
15
,
Przemysław Nowacki
16
,
Adam Stępień
17
,
Sergiusz Jóźwiak
18
,
Konrad Rejdak
19
,
Krzysztof Selmaj
20
,
Jerzy Walecki
21

1.
Department of General and Interventional Radiology and Neuroradiology, Wroclaw Medical University, Wroclaw, Poland
2.
Medical Diagnostic Centre Voxel, Katowice, Poland
3.
Department of Neurology, Medical University of Lodz, Lodz, Poland
4.
Department of Developmental Neurology, Poznan University of Medical Sciences, Poznan, Poland
5.
Department of Radiological and Isotopic Diagnosis and Therapy, Medical University of Lodz, Lodz, Poland
6.
Department and Institute of Medical Radiology and Radiodiagnostics in Zabrze, Medical University of Silesia in Katowice, Poland
7.
Faculty of Medicine, University of Rzeszow, Rzeszow, Poland
8.
Department of Neurology, Medical University of Bialystok, Bialystok, Poland
9.
Department of Neurology, Jagiellonian University Medical College, University Hospital in Krakow, Krakow, Poland
10.
Department of Neurology in Zabrze, Medical University of Silesia, Zabrze, Poland
11.
Department of Neurology, Division of Neurochemistry and Neuropathology, Poznan University of Medical Sciences, Poznan, Poland
12.
Department of Neurology, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland
13.
Department of Neurology and Clinical Neuroimmunology, Regional Specialist Hospital, Grudziądz, Poland
14.
Department of Radiology and Diagnostic Imaging, Nicolaus Copernicus University, Collegium Medicum, Bydgoszcz, Poland
15.
Department of Neurology, St. Adalbert Hospital, “Copernicus” Ltd., Gdańsk, Poland
16.
Department of Neurology, Pomeranian Medical University, Szczecin, Poland
17.
Department of Neurology, Military Institute of Medicine, Warsaw, Poland
18.
Department of Paediatric Neurology, Warsaw Medical University, Warsaw, Poland
19.
Department of Neurology, Medical University of Lublin, Lublin, Poland
20.
Department of Neurology, Laboratory of Neuroimmunology, Faculty of Medicine, University of Warmia and Mazury, Olsztyn, Poland
21.
Department of Radiology, Medical Centre for Postgraduate Education, Warsaw, Poland
Pol J Radiol 2020; 85: e272-e276
Online publish date: 2020/05/26
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Magnetic resonance imaging (MRI) is a widely used method for the diagnosis of multiple sclerosis (MS) that is essential for the detection and follow-up of the disease. The Polish Medical Society of Radiology (PLTR) and the Polish Society of Neurology (PTN) present the second version of the recommendations for examinations routinely conducted in magnetic resonance imaging departments in patients with MS, which include new data and practical comments for electroradiology technicians and radiologists. The recommended protocol aims to improve the MRI procedure and, most importantly, to standardise the method of conducting scans in all MRI departments. This is crucial for the initial diagnostics that are necessary to establish a diagnosis as well as monitor patients with MS, which directly translates into significant clinical decisions.

MS is a chronic idiopathic inflammatory demyelinating disease of the central nervous system (CNS), the aetiology

of which is still unknown. The nature of the disease lies in the CNS destruction process disseminated in time and space. MRI detects focal lesions in the white and grey matter with high sensitivity (with significantly less specificity in the latter). It is also the best tool to assess brain atrophy in patients with MS in terms of grey matter volume and white matter volume as well as local atrophy (by measuring the volume of thalamus, corpus callosum, subcortical nuclei, hippocampus) as parameters that correlate with disability progression and cognitive dysfunctions. Progress in magnetic resonance techniques, as well as the abilities of postprocessing the obtained data, has become the basis for the dynamic development of computer programs that allow for a more repeatable assessment of brain atrophy in both cross-sectional and longitudinal studies.

MRI is unquestionably the best diagnostic tool used to follow up the course of the disease and to treat patients with MS. However, to diagnose and follow up the patients with MS on the basis of MRI in accordance with the latest standards, an MRI study must meet certain quality criteria, which are the subject of this paper.
keywords:

multiple sclerosis, magnetic resonance imaging, imaging protocol, guideline

 
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