2021
DOI: 10.1097/rli.0000000000000804
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New Prospects for Ultra-High-Field Magnetic Resonance Imaging in Multiple Sclerosis

Abstract: There is growing interest in imaging multiple sclerosis (MS) through the ultra-high-field (UHF) lens, which currently means a static magnetic field strength of 7 T or higher. Because of higher signal-to-noise ratio and enhanced susceptibility effects, UHF magnetic resonance imaging improves conspicuity of MS pathological hallmarks, among them cortical demyelination and the central vein sign. This could, in turn, improve confidence in MS diagnosis and might also facilitate therapeutic monitoring of MS patients.… Show more

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Cited by 25 publications
(19 citation statements)
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“…These are increased SNR and improved sensitivity to susceptibility changes. 34 The increase in SNR comes primarily from the increase in field strength. Improved SNR makes possible higher spatial resolution, as well as achieved tissue CNR.…”
Section: Multiple Sclerosis-where 7 T Excelsmentioning
confidence: 99%
See 1 more Smart Citation
“…These are increased SNR and improved sensitivity to susceptibility changes. 34 The increase in SNR comes primarily from the increase in field strength. Improved SNR makes possible higher spatial resolution, as well as achieved tissue CNR.…”
Section: Multiple Sclerosis-where 7 T Excelsmentioning
confidence: 99%
“…Likely reasons include the small size of some lesions, CSF partial volume effects, and the different intrinsic signal intensity of the cortex (due to lower myelination). Both in vivo clinical MR evaluations and postmortem MRI have shown the higher sensitivity of 7 T, in comparison to 3 T, to cortical lesions in MS. 34,35 Use of advanced/innovative imaging sequences can also be very important. 36 7 T makes possible as well improved classification of lesions as cortical or subcortical in location, which is important for the specificity of diagnosis (given that subpial lesions are felt to be pathognomonic for MS).…”
Section: Multiple Sclerosis-where 7 T Excelsmentioning
confidence: 99%
“…7 Thus, 7 T imaging is essential for expanding our understanding of cortical demyelination. 14 With the recent FDA approval of 7 T scanners for clinical use, we can expect an increasing number of scans on these devices in the coming years. However, even with the most sensitive imaging methods, identification and segmentation of CLs is very time consuming and requires significant experience.…”
Section: Introductionmentioning
confidence: 99%
“…For example, compared with the combined use of 7 T MP2RAGE and T2*w images, 3 T double inversion recovery was 6% sensitive for subpial lesions and 3 T MP2RAGE was 5% sensitive 7 . Thus, 7 T imaging is essential for expanding our understanding of cortical demyelination 14 . With the recent FDA approval of 7 T scanners for clinical use, we can expect an increasing number of scans on these devices in the coming years.…”
Section: Introductionmentioning
confidence: 99%
“…For example, compared to the combined use of 7T MP2RAGE and T2*w images, 3T double inversion recovery was 6% sensitive for subpial lesions and 3T MP2RAGE was 5% sensitive 6 . Thus, 7T imaging is essential for expanding our understanding of cortical demyelination 13 . With the recent FDA approval of 7T scanners for clinical use, we can expect an increasing number of scans on these devices in the coming years.…”
Section: Introductionmentioning
confidence: 99%