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Research ArticleBrain

Regional Brain Atrophy Evolves Differently in Patients with Multiple Sclerosis According to Clinical Phenotype

Elisabetta Pagani, Maria A. Rocca, Antonio Gallo, Marco Rovaris, Vittorio Martinelli, Giancarlo Comi and Massimo Filippi
American Journal of Neuroradiology February 2005, 26 (2) 341-346;
Elisabetta Pagani
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Maria A. Rocca
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Antonio Gallo
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Marco Rovaris
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Vittorio Martinelli
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Giancarlo Comi
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Massimo Filippi
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    Fig 1.

    Color-coded areas (SPMt) of brain atrophy development in RRMS overlaid on a template T1-weighted image. All sections show extensive involvement of the ventricular system. Images A and B show involvement of the pericerebellar spaces and cerebellar tentorium. Images A, C, and D show involvement of the putamen; corpus callosum; insula; cingulate sulcus; and frontal, parietal, temporal, and occipital cortex.

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    Fig 2.

    Color-coded areas (SPMt) of brain atrophy development in SPMS overlaid on a template T1-weighted image. Image A shows the involvement of the bilateral anterior orbital gyrus and left mammillary body. B shows the involvement of the caudate nuclei; left middle temporal gyrus; left thalamus; and frontal, parietal, temporal and occipital region. C shows the involvement of the cingulate sulcus and regions of frontal and parietal cortex.

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    Fig 3.

    Color-coded areas (SPMt) of brain atrophy development in PPMS overlaid on a template T1-weighted image. A shows the involvement of the left middle occipital gyrus, bilateral parahippocampal gyri, and bilateral prepontine and quadrigeminal cisterns. B shows the involvement of the head of the left caudate nucleus, insula, and bilateral middle temporal gyrus. C shows the involvement of the bilateral central sulci (precentral and postcentral gyri) and regions of frontal and parietal cortex.

Tables

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  • Demographic clinical characteristics and MR imaging findings at baseline and after 15 months

    Healthy SubjectsPatients
    RRMSSPMSPPMS
    M/F4/68/126/1312/19
    Mean age (years)42.6 (31–58)35.9 (25–43)49.3 (35–58)50.1 (25–68)
    Median EDSS scoreNA3.0 (0.0–5.0)6.0 (4.0–8.0)6.0 (2.5–7.0)
    Median disease duration (years)NA5 (0–20)16 (6–34)10 (2–26)
    Baseline lesion volume (mL)
        On T2-weighted imagesNA13.9 (10.6)21.7 (17.3)21.0 (16.9)
        On T1-weighted imagesNA3.1 (3.6)8.5 (7.3)8.2 (6.9)
    Lesion volume change (%)
        On T2-weighted imagesNA9.43.84.9
        On T1-weighted imagesNA3.411.04.3
    Baseline NBV (mL)1602 (80)1517 (70)1464 (90)1473 (70)
    • Note.—Data in parentheses are the range or standard deviation. NA indicates not applicable.

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American Journal of Neuroradiology: 26 (2)
American Journal of Neuroradiology
Vol. 26, Issue 2
1 Feb 2005
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Cite this article
Elisabetta Pagani, Maria A. Rocca, Antonio Gallo, Marco Rovaris, Vittorio Martinelli, Giancarlo Comi, Massimo Filippi
Regional Brain Atrophy Evolves Differently in Patients with Multiple Sclerosis According to Clinical Phenotype
American Journal of Neuroradiology Feb 2005, 26 (2) 341-346;

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Regional Brain Atrophy Evolves Differently in Patients with Multiple Sclerosis According to Clinical Phenotype
Elisabetta Pagani, Maria A. Rocca, Antonio Gallo, Marco Rovaris, Vittorio Martinelli, Giancarlo Comi, Massimo Filippi
American Journal of Neuroradiology Feb 2005, 26 (2) 341-346;
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