Memory Dysfunction in Multiple Sclerosis Corresponds to Juxtacortical Lesion Load on Fast Fluid-Attenuated Inversion-Recovery MR Images
David Michael Moriarty
,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. AF, Matching lesions on proton densityweighted (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 densityor T2-weighted CSE images. These lesions are further demonstrated on the magnified (x2) proton densityweighted (B) T2-weighted CSE (D), and fast FLAIR (F) images. 2 indicates a population of lesions that are less conspicuous on proton densityand 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.
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