Serial Analysis of Magnetization-Transfer Histograms and Expanded Disability Status Scale Scores in Patients with Relapsing-Remitting Multiple Sclerosis
Upen J. Patela,
Robert I. Grossmana,
Michael D. Phillipsa,
Jayaram K. Udupaa,
Joseph C. McGowana,
Yukio Mikia,
Luogang Weia,
Marcia Polanskya,
Mark A. van Buchema and
Dennis Kolsona
a From the Department of Radiology, Florida Community Imaging Centers, Dunedin, FL (U.J.P.); the Departments of Radiology (R.I.G., M.D.P., J.K.U., J.C.McG., Y.M. L.W.) and Neurology (D.K.), Hospital of the University of Pennsylvania, Philadelphia; the Department of Radiology, Leiden University Hospital, the Netherlands (M.A.vB.); and the Division of Biometrics, Allegheny University Health System, Philadelphia (M.P.).

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FIG 1. Normalized MTR histogram from a single MR examination. MTR-HPH measures 0.083.
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FIG 2. Representative patient data show no significant change in EDSS score with time. Nevertheless, a significant decline in MTR-HPH is seen during the same period. Median absolute deviation linear regression was used to calculate slopes for changes in MTR-HPH and EDSS scores over time.
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FIG 3. Graph shows distribution of MTR-HPH slope (change in MTR-HPH per year) for an individual patient. The average slope for the study group was -0.005. A statistically significant number of patients with relapsing-remitting MS show a decline in MTR-HPH with time.
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