RT Journal Article SR Electronic T1 The Present and the Future of Neuroimaging in Amyotrophic Lateral Sclerosis JF American Journal of Neuroradiology JO Am. J. Neuroradiol. FD American Society of Neuroradiology SP 1769 OP 1777 DO 10.3174/ajnr.A2043 VO 31 IS 10 A1 F. Agosta A1 A. Chiò A1 M. Cosottini A1 N. De Stefano A1 A. Falini A1 M. Mascalchi A1 M.A. Rocca A1 V. Silani A1 G. Tedeschi A1 M. Filippi YR 2010 UL http://www.ajnr.org/content/31/10/1769.abstract AB SUMMARY: In patients with ALS, conventional MR imaging is frequently noninformative, and its use has been restricted to excluding other conditions that can mimic ALS. Conversely, the extensive application of modern MR imaging−based techniques to the study of ALS has undoubtedly improved our understanding of disease pathophysiology and is likely to have a role in the identification of potential biomarkers of disease progression. This review summarizes how new MR imaging technology is changing dramatically our understanding of the factors associated with ALS evolution and highlights the reasons why it should be used more extensively in studies of disease progression, including clinical trials. ALSamyotrophic lateral sclerosisALSFRSALS Functional Rating ScaleChocholineCrcreatineCSTcorticospinal tractDTIdiffusion tensor imagingFAfractional anisotropyFLAIRfluid-attenuated inversion recoveryfMRIfunctional MR imagingFTDfrontotemporal dementiaFUS/TLSfused in sarcoma/translocated in liposarcoma geneGMgray matter1H-MR spectroscopyproton MR spectroscopyLleftLMNlower motor neuronMDmean diffusivitymInsmyo-inositolMTmagnetization transferMTRMT ratioNAAN-acetylaspartatensnot significantPDproton densityRrightSOD1superoxide dismutase 1SPMstatistical parametric mappingTDP-43TAR DNA-binding protein geneUMNupper motor neuronVBMvoxel-based morphometryWMwhite matter