Evidence of early cortical atrophy in MS: Relevance to white matter changes and disability

N. De Stefano, P. M. Matthews, M. Filippi, F. Agosta, M. De Luca, M. L. Bartolozzi, L. Guidi, A. Ghezzi, E. Montanari, A. Cifelli, A. Federico, S. M. Smith

Research output: Contribution to journalArticle

Abstract

Objective: To assess cortical gray matter (GM) changes in MS and establish their relevance to clinical disability and to inflammatory changes of white matter (WM) in patients with the relapsing-remitting (RR) and primary progressive (PP) forms of the disease. Methods: Conventional MRI examinations were obtained in patients with definite MS who had either the RR or the PP form of the disease. An automated analysis tool was used with conventional T1-weighted MR images to obtain total and cortical brain volumes normalized for head size. Total brain lesion load was estimated on conventional proton density and T2-weighted MR images. The relationship between volumetric MR measures and scores of clinical disability was assessed. Results: Normalized cortical volumes (NCV) were lower for both RR and PP MS patients than for normal control subjects (p <0.001) but were similar between the two patient groups (p > 0.5). NCV decreases in both patients groups were detected even in those patients with short disease duration (

Original languageEnglish
Pages (from-to)1157-1162
Number of pages6
JournalNeurology
Volume60
Issue number7
Publication statusPublished - Apr 8 2003

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Atrophy
Brain
Protons
Head
White Matter

ASJC Scopus subject areas

  • Neuroscience(all)

Cite this

De Stefano, N., Matthews, P. M., Filippi, M., Agosta, F., De Luca, M., Bartolozzi, M. L., ... Smith, S. M. (2003). Evidence of early cortical atrophy in MS: Relevance to white matter changes and disability. Neurology, 60(7), 1157-1162.

Evidence of early cortical atrophy in MS : Relevance to white matter changes and disability. / De Stefano, N.; Matthews, P. M.; Filippi, M.; Agosta, F.; De Luca, M.; Bartolozzi, M. L.; Guidi, L.; Ghezzi, A.; Montanari, E.; Cifelli, A.; Federico, A.; Smith, S. M.

In: Neurology, Vol. 60, No. 7, 08.04.2003, p. 1157-1162.

Research output: Contribution to journalArticle

De Stefano, N, Matthews, PM, Filippi, M, Agosta, F, De Luca, M, Bartolozzi, ML, Guidi, L, Ghezzi, A, Montanari, E, Cifelli, A, Federico, A & Smith, SM 2003, 'Evidence of early cortical atrophy in MS: Relevance to white matter changes and disability', Neurology, vol. 60, no. 7, pp. 1157-1162.
De Stefano N, Matthews PM, Filippi M, Agosta F, De Luca M, Bartolozzi ML et al. Evidence of early cortical atrophy in MS: Relevance to white matter changes and disability. Neurology. 2003 Apr 8;60(7):1157-1162.
De Stefano, N. ; Matthews, P. M. ; Filippi, M. ; Agosta, F. ; De Luca, M. ; Bartolozzi, M. L. ; Guidi, L. ; Ghezzi, A. ; Montanari, E. ; Cifelli, A. ; Federico, A. ; Smith, S. M. / Evidence of early cortical atrophy in MS : Relevance to white matter changes and disability. In: Neurology. 2003 ; Vol. 60, No. 7. pp. 1157-1162.
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AU - Agosta, F.

AU - De Luca, M.

AU - Bartolozzi, M. L.

AU - Guidi, L.

AU - Ghezzi, A.

AU - Montanari, E.

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AU - Federico, A.

AU - Smith, S. M.

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AB - Objective: To assess cortical gray matter (GM) changes in MS and establish their relevance to clinical disability and to inflammatory changes of white matter (WM) in patients with the relapsing-remitting (RR) and primary progressive (PP) forms of the disease. Methods: Conventional MRI examinations were obtained in patients with definite MS who had either the RR or the PP form of the disease. An automated analysis tool was used with conventional T1-weighted MR images to obtain total and cortical brain volumes normalized for head size. Total brain lesion load was estimated on conventional proton density and T2-weighted MR images. The relationship between volumetric MR measures and scores of clinical disability was assessed. Results: Normalized cortical volumes (NCV) were lower for both RR and PP MS patients than for normal control subjects (p <0.001) but were similar between the two patient groups (p > 0.5). NCV decreases in both patients groups were detected even in those patients with short disease duration (

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