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Diagnostic workup tools

Magnetic resonance imaging (MRI) in multiple sclerosis

The new 2021 MAGNIMS–CMSC–NAIMS consensus recommendations on the use of MRI in patients with multiple sclerosis is a revision to the 2018 CMSC protocol and guidelines. The recommendations were published to better inform MRI in MS clinical practice and include the following updates:
  • Translational research in MRI
  • Modifications to MRI acquisition to increase diagnostic accuracy, improve new lesion identification and monitor treatment
  • Additional guidance on the safe use of gadolinium-based contrast agents (GBCAs)
  • MRI use in certain populations (pediatric MS, during pregnancy and postpartum)
  • A focus on standardized MRI protocols and reporting

Gadolinium FDA drug safety communication

In 2018 the FDA Issued a Safety Communication and Safety Measures Related to a Commonly Used MRI Contrast Agent.  The FDA is evaluating the risk of brain deposits with repeated use of gadolinium-based contrast agents for MRI.

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