How We Do It: Fundamentals of Radiological Practice

How 14 - How we report diagnostic and follow-up MRI scans in multiple sclerosis (MS)

March 6, 12:30 - 13:30 CET

5 min
Chairperson's introduction
15 min
Clinical context and diagnostic criteria
  1. To explain the clinical presentation and differential diagnosis of multiple sclerosis and related disorders.
  2. To review the role of paraclinical tools (CSF, visual and somatosensory evoked potentials, etc.) and how they integrate with imaging in the diagnostic workflow.
  3. To learn how to apply the 2024 McDonald criteria with special attention to dissemination in space and time, RIS/CIS cases.
15 min
MRI in the diagnosis of MS: imaging criteria and diagnostic guidelines
  1. To explain the MRI features characteristic of MS lesions in the brain and spinal cord, including dissemination in space and time.
  2. To review international new diagnostic imaging guidelines and their application in clinical practice.
  3. To learn how to apply standardised reporting frameworks for MS, including lesion descriptors, anatomical localisation, terminology, and structured report templates.
10 min
MRI protocols and advanced imaging: towards quantitative evaluation and follow-up
  1. To explain the recommended MRI acquisition protocols for MS diagnosis and follow-up, covering sequence selection, resolution, anatomical coverage, and harmonisation.
  2. To review advanced imaging techniques (e.g. volumetry, DTI, MTR, fMRI) and their potential role in monitoring disease progression and treatment response.
  3. To learn how to report diagnostic and follow-up MRI scans in MS using consistent language, longitudinal comparisons, and standardised criteria for new/enlarging lesions and atrophy.
15 min
Open forum discussion