Titre :

Multiple sclerosis imaging in clinical practice: a European-wide survey of 428 centers and conclusions by the ESNR Working Group.

Auteur(s) :

Hodel, J. [Auteur]
Groupe Hospitalier Paris Saint-Joseph [hpsj]
Vernooij, M. W. [Auteur]
Erasmus University Medical Center [Rotterdam] [Erasmus MC]
Beyer, M. K. [Auteur]
Oslo University Hospital [Oslo]
Severino, M. [Auteur]
IRCCS Istituto Giannina Gaslini [Genoa, Italy]
Leclerc, Xavier [Auteur]
Lille Neurosciences & Cognition (LilNCog) - U 1172
Créange, A. [Auteur]
CHI Créteil
Wahab, A. [Auteur]
CHU Henri Mondor [Créteil]
Badat, N. [Auteur]
Groupe Hospitalier Paris Saint-Joseph [hpsj]
Tolédano, S. [Auteur]
Groupe Hospitalier Paris Saint-Joseph [hpsj]
Van Den Hauwe, L. [Auteur]
Antwerp University Hospital [Edegem] [UZA]
Ramos, A. [Auteur]
Castellano, A. [Auteur]
Universita Vita Salute San Raffaele = Vita-Salute San Raffaele University [Milan, Italie] [UniSR]
Krainik, A. [Auteur]
Centre Hospitalier Universitaire [CHU Grenoble] [CHUGA]
Yousry, T. [Auteur]
University College of London [London] [UCL]
Rovira, À. [Auteur]
Vall d'Hebron University Hospital [Barcelona]

Titre de la revue :

Eur Radiol

Nom court de la revue :

Eur Radiol

Date de publication :

2023-05-21

ISSN :

1432-1084

Mot(s)-clé(s) en anglais :

Multiple sclerosis
Magnetic resonance imaging
Contrast media
Gadolinium

Discipline(s) HAL :

Sciences du Vivant [q-bio]

Résumé en anglais : [en]

Objectives: To evaluate compliance with the available recommendations, we assessed the current clinical practice of imaging in the evaluation of multiple sclerosis (MS). Methods: An online questionnaire was emailed to ...
Lire la suite >Objectives: To evaluate compliance with the available recommendations, we assessed the current clinical practice of imaging in the evaluation of multiple sclerosis (MS). Methods: An online questionnaire was emailed to all members and affiliates. Information was gathered on applied MR imaging protocols, gadolinium-based contrast agents (GBCA) use and image analysis. We compared the survey results with the Magnetic Resonance Imaging in MS (MAGNIMS) recommendations considered as the reference standard. Results: A total of 428 entries were received from 44 countries. Of these, 82% of responders were neuroradiologists. 55% performed more than ten scans per week for MS imaging. The systematic use of 3 T is rare (18%). Over 90% follow specific protocol recommendations with 3D FLAIR, T2-weighted and DWI being the most frequently used sequences. Over 50% use SWI at initial diagnosis and 3D gradient-echo T1-weighted imaging is the most used MRI sequence for pre- and post-contrast imaging. Mismatches with recommendations were identified including the use of only one sagittal T2-weighted sequence for spinal cord imaging, the systematic use of GBCA at follow-up (over 30% of institutions), a delay time shorter than 5 min after GBCA administration (25%) and an inadequate follow-up duration in pediatric acute disseminated encephalomyelitis (80%). There is scarce use of automated software to compare images or to assess atrophy (13% and 7%). The proportions do not differ significantly between academic and non-academic institutions. Conclusions: While current practice in MS imaging is rather homogeneous across Europe, our survey suggests that recommendations are only partially followed. Clinical relevance statement: Hurdles were identified, mainly in the areas of GBCA use, spinal cord imaging, underuse of specific MRI sequences and monitoring strategies. This work will help radiologists to identify the mismatches between their own practices and the recommendations and act upon them. Key points: • While current practice in MS imaging is rather homogeneous across Europe, our survey suggests that available recommendations are only partially followed. • Several hurdles have been identified through the survey that mainly lies in the areas of GBCA use, spinal cord imaging, underuse of specific MRI sequences and monitoring strategies.Lire moins >

Langue :

Anglais

Audience :

Internationale

Vulgarisation :

Non

Établissement(s) :

Université de Lille
Inserm
CHU Lille

Collections :

• Lille Neurosciences & Cognition (LilNCog) - U 1172

Équipe(s) de recherche :

Troubles cognitifs dégénératifs et vasculaires

Date de dépôt :

2024-06-22T21:49:22Z
2024-12-04T10:08:00Z