1. Optical coherence tomography should be part of the routine monitoring of patients with multiple sclerosis: Yes

    Optical coherence tomography should be part of the routine monitoring of patients with multiple sclerosis: Yes

    Magnetic resonance imaging (MRI) of the brain is the most widely established imaging modality for monitoring multiple sclerosis (MS). Although conventional MRI parameters such as the development of new T2 lesions and/or contrast-enhancing lesions are sensitive to inflammatory disease activity, the association between MRI markers of inflammation and disability progression in MS is modest. 1 Conversely, MRI measures of neurodegeneration, such as whole-brain atrophy, correlate well with disability progression, 2 with neurodegeneration considered the principal pathological substrate underlying disability in MS. MRI segmentation techniques also enable the measurement of brain substructure volumes. Gray matter (GM) atrophy is now recognized ...

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