Paramagnetic Rim Lesions and Development of Clinical MS in Radiologically Isolated Syndrome
Study findings suggest that accrual of nonresolving chronic inflammation in WML portends development of clinical MS in people with RIS, which may have clinical utility in guiding treatment decisions across the MS spectrum and strengthens the case for including asymptomatic MS in the diagnostic criteria. There is growing recognition that early detection of most chronic neurological diseases is critical to prevent or diminish future disability, and these findings are a specific example of how this principle might operate in practice.
Authors
- Aditya Bharatha (ORCID: https://orcid.org/0000-0002-7923-7865)
- Jorge Correale (ORCID: https://orcid.org/0000-0003-4756-9889)
- Melanie Guenette (ORCID: https://orcid.org/0000-0001-7112-704X)
- Pascal Sati
- Elizabeth A. Horwath
- Timothy Reynold Lim
- Mariano Marrodán
- Russell T. Shinohara
- Jiwon Oh
- Suradech Suthiphosuwan
- Daniel S. Reich
- Martina Absinta
- María Inés Gaitán
Institutions
- Cedars-Sinai Medical Center (US)
- St. Michael's Hospital (CA)
- National Institutes of Health (US)
- Humanitas University (IT)
- Consejo Nacional de Investigaciones Científicas y Técnicas (AR)
- University of Toronto (CA)
- Universidad de Buenos Aires (AR)
- Fundación para la Lucha contra las Enfermedades Neurológicas de la Infancia (AR)
- National Institute of Neurological Disorders and Stroke (US)
- Instituto de Química y Fisicoquímica Biológicas (AR)
- IRCCS Humanitas Research Hospital (IT)
- University of Pennsylvania (US)
Publication Details
- Journal
- JAMA Neurology
- Published
- 2026-01-26
- DOI
- https://doi.org/10.1001/jamaneurol.2025.5394
- Primary Topic
- Multiple Sclerosis Research Studies
- Type
- article
- Field-Weighted Citation Impact
- 0.00