AJDRAJNR - American Journal of Neuroradiology

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Memory Dysfunction in Multiple Sclerosis Corresponds to Juxtacortical Lesion Load on Fast Fluid-Attenuated Inversion-Recovery MR Images

David Michael MoriartyGo,a, Alison Jane Blackshawa, Paul Robert Talbota, Helen Louise Griffithsa, Julie Sarah Snowdena, Valerie Fern Hilliera, Stephen Capenera, Roger David Laitta and Alan Jacksona

a From the Division of Imaging Science and Biomedical Engineering, University of Manchester (D.M.M., V.F.H., S.C., A.J.); and the Departments of Neurology (Cerebral Function Unit) (A.J.B., P.R.T., H.L.G., J.S.S.) and Neuroradiology (R.D.L.), Manchester Royal Infirmary, UK.



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FIG 1. A–F, Matching lesions on proton density–weighted (A), T2-weighted CSE (C) and fast FLAIR (E) images. 1 denotes a population of lesions in the gray matter, extending to the juxtacortical boundary, which are evident on fast FLAIR but not on proton density—or T2-weighted CSE images. These lesions are further demonstrated on the magnified (x2) proton density–weighted (B) T2-weighted CSE (D), and fast FLAIR (F) images. 2 indicates a population of lesions that are less conspicuous on proton density–and T2-weighted CSE images (C). 3 relates to a medium-sized white matter lesion that is obvious on all imaging sequences.



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FIG 2. Bland and Altman plot shows the differences against mean for interobserver variation data.