3 Plane Scout
Sagittal fast FLAIR
Axial FSE PD/T2
Axial fast FLAIR
Axial pre Gd T1
3D t1
Axial post Gd T1
3 Plane Scout
Pre Gd Sagittal T1, Axial and Sagittal FSE PS/T2
Post Contrast axial T1
Post Contrast 3D T1
The utility of MRI metrics to predictor treatment response for other approved therapies has yet to be evaluated. However, despite data demonstrating surrogacy of MRI metrics in clinical trials, the utility of routine MRI evaluation in the clinical setting is unclear and controversial. Follow-up MRI is reasonable for unexpected clinical worsening and in re-assessment for treatment initiation or modification.[35]
Simon JH, Li D, Traboulsee A, et al. Standardized MR imaging protocol for multiple sclerosis: Consortium of MS Centers consensus guidelines. AJNR Am J Neuroradiol. 2006;27:455-461.
Freedman MS, Patry DG, Grand’Maison F, et al. Treatment optimization in multiple sclerosis. Can J Neurol Sci. 2004;31:157-168.