Identical lesion morphology in primary progressive and relapsing-remitting MS--an ultrahigh field MRI study

Mult Scler. 2014 Dec;20(14):1866-71. doi: 10.1177/1352458514531084. Epub 2014 Apr 29.

Abstract

Potential differences between primary progressive (PP) and relapsing-remitting (RR) multiple sclerosis (MS) have been controversially discussed. In this study, we compared lesion morphology and distribution in patients with PPMS and RRMS (nine in each group) using 7 T MRI. We found that gray and white matter lesions in PPMS and RRMS patients did not differ in their respective morphological characteristics (e.g., perivascular p = 0.863, hypointense rim p = 0.796, cortical lesion count p = 0.436). Although limited by a small sample size, our study results suggest that PPMS and RRMS, despite differences in disease course and clinical characteristics, exhibit identical lesion morphology under ultrahigh field MRI.

Keywords: 7 T MRI; MRI; PPMS; RRMS; primary progressive multiple sclerosis; relapsing–remitting multiple sclerosis; ultrahigh field MRI.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Brain / pathology
  • Cerebral Cortex / pathology*
  • Cohort Studies
  • Disease Progression
  • Female
  • Gray Matter / pathology*
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Multiple Sclerosis, Chronic Progressive / pathology*
  • Multiple Sclerosis, Relapsing-Remitting / pathology*
  • White Matter / pathology*