Investigating Whether Dissemination in Time Is Essential to Diagnose Relapsing Multiple Sclerosis

In patients with a first demyelinating event, DIS in ≥4 regions typically affected in MS is highly specific, indicating an extremely low risk of false-positive results, and misdiagnosis. Using DIS in ≥4 regions would reduce the need for follow-up MRI or CSF examination in all patients with suspected MS, streamlining the diagnostic process. Limitations include an over-representation of patients with optic neuritis at onset, a low rate of CSF examination, and lack of optical coherence tomography data.

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Publication Details

Journal
Neurology
Published
2025-03-04
DOI
https://doi.org/10.1212/wnl.0000000000210274
Citations
6
Primary Topic
Multiple Sclerosis Research Studies
Type
article
Field-Weighted Citation Impact
8.83

Funders

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article

Investigating Whether Dissemination in Time Is Essential to Diagnose Relapsing Multiple Sclerosis

Ahmed Toosy, Michael A. Foster, Indran Davagnanam, Giuseppe Pontillo et al.
6 citations
Neurology
Multiple Sclerosis Research Studies
8.83
article

Investigating Whether Dissemination in Time Is Essential to Diagnose Relapsing Multiple Sclerosis

Ahmed Toosy, Michael A. Foster, Indran Davagnanam, Giuseppe Pontillo, Sara Collorone, Ferrán Prados, Frederik Barkhof, Alan J. Thompson, Olga Ciccarelli, Wallace Brownlee, Baris Kanber
article en
6 citations

Abstract

In patients with a first demyelinating event, DIS in ≥4 regions typically affected in MS is highly specific, indicating an extremely low risk of false-positive results, and misdiagnosis. Using DIS in ≥4 regions would reduce the need for follow-up MRI or CSF examination in all patients with suspected MS, streamlining the diagnostic process. Limitations include an over-representation of patients with optic neuritis at onset, a low rate of CSF examination, and lack of optical coherence tomography data.

NeurologyVol. 104(7)
Universitat Oberta de Catalunya (ES), Multiple Sclerosis Society (GB), UCL Biomedical Research Centre (GB), National Hospital for Neurology and Neurosurgery (GB), Amsterdam University Medical Centers (NL), University College London (GB), Vrije Universiteit Amsterdam (NL)
Sanofi, Biogen, European Committee for Treatment and Research in Multiple Sclerosis, Prothena, Celltrion, National Institute for Health and Care Research, Rosetrees Trust, Eisai, University College London Hospitals NHS Foundation Trust, IXICO, MedDay Pharmaceuticals, Medical Research Council
Openalex Percentile: Top 2%
Multiple Sclerosis Research Studies
8.83
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