Canadian Expert Panel Recommendations for ...
Document type :
Article dans une revue scientifique
DOI :
PMID :
25896163
Permalink :
Title :
Canadian Expert Panel Recommendations for MRI Use in MS Diagnosis and Monitoring
Author(s) :
Traboulsee, Anthony [Auteur]
Letourneau-Guillon, Laurent [Auteur]
Freedman, Mark Steven [Auteur]
O''connor, Paul W. [Auteur]
Bharatha, Aditya [Auteur]
Chakraborty, Santanu [Auteur]
Girard, Julien [Auteur]
Unité de Recherche Pluridisciplinaire Sport, Santé, Société (URePSSS) - ULR 7369
Giuliani, Fabrizio [Auteur]
Lysack, John T. [Auteur]
Marriott, James J. [Auteur]
Metz, Luanne M. [Auteur]
Morrow, Sarah A. [Auteur]
Oh, Jiwon [Auteur]
Sharma, Manas [Auteur]
Vandorpe, Robert A. [Auteur]
Vertinsky, Talia Alexandra [Auteur]
Wadhwa, Vikram S. [Auteur]
Von Riedemann, Sarah [Auteur]
Li, David K. B. [Auteur]
Letourneau-Guillon, Laurent [Auteur]
Freedman, Mark Steven [Auteur]
O''connor, Paul W. [Auteur]
Bharatha, Aditya [Auteur]
Chakraborty, Santanu [Auteur]
Girard, Julien [Auteur]
Unité de Recherche Pluridisciplinaire Sport, Santé, Société (URePSSS) - ULR 7369
Giuliani, Fabrizio [Auteur]
Lysack, John T. [Auteur]
Marriott, James J. [Auteur]
Metz, Luanne M. [Auteur]
Morrow, Sarah A. [Auteur]
Oh, Jiwon [Auteur]
Sharma, Manas [Auteur]
Vandorpe, Robert A. [Auteur]
Vertinsky, Talia Alexandra [Auteur]
Wadhwa, Vikram S. [Auteur]
Von Riedemann, Sarah [Auteur]
Li, David K. B. [Auteur]
Journal title :
The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques
Abbreviated title :
Can. J. Neurol. Sci.
Volume number :
42
Pages :
159-167
Publication date :
2015-05-01
ISSN :
0317-1671
English keyword(s) :
Magnetic resonance imaging
neuroimaging
multiple sclerosis MRI
multiple sclerosis
neuroimaging
multiple sclerosis MRI
multiple sclerosis
HAL domain(s) :
Sciences du Vivant [q-bio]
English abstract : [en]
BACKGROUND: A definitive diagnosis of multiple sclerosis (MS), as distinct from a clinically isolated syndrome, requires one of two conditions: a second clinical attack or particular magnetic resonance imaging (MRI) findings ...
Show more >BACKGROUND: A definitive diagnosis of multiple sclerosis (MS), as distinct from a clinically isolated syndrome, requires one of two conditions: a second clinical attack or particular magnetic resonance imaging (MRI) findings as defined by the McDonald criteria. MRI is also important after a diagnosis is made as a means of monitoring subclinical disease activity. While a standardized protocol for diagnostic and follow-up MRI has been developed by the Consortium of Multiple Sclerosis Centres, acceptance and implementation in Canada have been suboptimal. METHODS: To improve diagnosis, monitoring, and management of a clinically isolated syndrome and MS, a Canadian expert panel created consensus recommendations about the appropriate application of the 2010 McDonald criteria in routine practice, strategies to improve adherence to the standardized Consortium of Multiple Sclerosis Centres MRI protocol, and methods for ensuring effective communication among health care practitioners, in particular referring physicians, neurologists, and radiologists. RESULTS: This article presents eight consensus statements developed by the expert panel, along with the rationale underlying the recommendations and commentaries on how to prioritize resource use within the Canadian healthcare system. CONCLUSIONS: The expert panel calls on neurologists and radiologists in Canada to incorporate the McDonald criteria, the Consortium of Multiple Sclerosis Centres MRI protocol, and other guidance given in this consensus presentation into their practices. By improving communication and general awareness of best practices for MRI use in MS diagnosis and monitoring, we can improve patient care across Canada by providing timely diagnosis, informed management decisions, and better continuity of care.Show less >
Show more >BACKGROUND: A definitive diagnosis of multiple sclerosis (MS), as distinct from a clinically isolated syndrome, requires one of two conditions: a second clinical attack or particular magnetic resonance imaging (MRI) findings as defined by the McDonald criteria. MRI is also important after a diagnosis is made as a means of monitoring subclinical disease activity. While a standardized protocol for diagnostic and follow-up MRI has been developed by the Consortium of Multiple Sclerosis Centres, acceptance and implementation in Canada have been suboptimal. METHODS: To improve diagnosis, monitoring, and management of a clinically isolated syndrome and MS, a Canadian expert panel created consensus recommendations about the appropriate application of the 2010 McDonald criteria in routine practice, strategies to improve adherence to the standardized Consortium of Multiple Sclerosis Centres MRI protocol, and methods for ensuring effective communication among health care practitioners, in particular referring physicians, neurologists, and radiologists. RESULTS: This article presents eight consensus statements developed by the expert panel, along with the rationale underlying the recommendations and commentaries on how to prioritize resource use within the Canadian healthcare system. CONCLUSIONS: The expert panel calls on neurologists and radiologists in Canada to incorporate the McDonald criteria, the Consortium of Multiple Sclerosis Centres MRI protocol, and other guidance given in this consensus presentation into their practices. By improving communication and general awareness of best practices for MRI use in MS diagnosis and monitoring, we can improve patient care across Canada by providing timely diagnosis, informed management decisions, and better continuity of care.Show less >
Language :
Anglais
Audience :
Internationale
Popular science :
Non
Administrative institution(s) :
Univ. Littoral Côte d’Opale
Univ. Artois
Université de Lille
Univ. Artois
Université de Lille
Research team(s) :
Activité Physique, Muscle, Santé (APMS)
Submission date :
2019-09-24T10:01:57Z