AJDRAJNR - American Journal of Neuroradiology

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Multiple Sclerosis: Comparison of Trace Apparent Diffusion Coefficients with MR Enhancement Pattern of Lesions

Sudipta Roychowdhurya, Joseph A. MaldjianGo,a and Robert I. Grossmana

a From the Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia (S.R., J.A.M., R.I.G.); and the Department of Radiology, University of Medicine and Dentistry of New Jersey, New Brunswick (S.R.).



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FIG 1. Examples of an NEL and an REL in a patient with MS.

A–D, Axial T2-weighted image (4000/110/1) (A), contrast-enhanced T1-weighted image (500/20/1) (B), isotropic diffusion-weighted image (4000/125/1) (C), and trace ADC map (D) show a T1-weighted NEL (arrow) and a T1-weighted REL (arrowhead). Both lesions show increased diffusion on the trace ADC map.



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FIG 2. Example of an HEL in a patient with MS.

A–D, Axial T2-weighted image (4000/110/1) (A), contrast-enhanced T1-weighted image (500/20/1) (B), isotropic diffusion-weighted image (4000/125/1) (C), and trace ADC map (D) show a T1-weighted HEL (arrow), which shows increased diffusion on the trace ADC map.