[PDF][PDF] Longitudinal automated assessment of paramagnetic rim lesions in multiple sclerosis using RimNet

M Wynen, F La Rosa, A Sellimi, G Barquero, G Perrotta… - ISMRM, 2021 - dial.uclouvain.be
M Wynen, F La Rosa, A Sellimi, G Barquero, G Perrotta, V Lolli, V Van Pesch, C Granziera
ISMRM, 2021dial.uclouvain.be
In multiple sclerosis (MS), some brain white matter lesions are more destructive and feature
an edge of chronic/smoldering inflammation, which corresponds to a paramagnetic rim on
susceptibility-based MRI. 1 Higher paramagnetic rim lesion (PRL) burden is associated with
more aggressive disease course, 2, 3 however the longitudinal effect of available MS
disease modifying treatments (DMT) on PRL is still largely unknown. Considering that
manual rim classification is tedious and associated with interobserver variability, a …
In multiple sclerosis (MS), some brain white matter lesions are more destructive and feature an edge of chronic/smoldering inflammation, which corresponds to a paramagnetic rim on susceptibility-based MRI. 1 Higher paramagnetic rim lesion (PRL) burden is associated with more aggressive disease course, 2, 3 however the longitudinal effect of available MS disease modifying treatments (DMT) on PRL is still largely unknown. Considering that manual rim classification is tedious and associated with interobserver variability, a multimodal convolutional neural network for automated detection (RimNet) has been recently develope d 4. In this work, we tested RimNet (i) on data acquired in two centers using MRI scanners from two different vendors (including one not used for training in the original paper); and (ii) longitudinally on MRI data acquired in primary and secondary progressive MS patients (PMS) before and after DMT.
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