{"title":"17-year trends in radiological disease burden of multiple sclerosis at presentation","authors":"Millie Taylor , Omar Alrawashdeh , Nikos Evangelou , Afagh Garjani","doi":"10.1016/j.msard.2025.106607","DOIUrl":null,"url":null,"abstract":"<div><div>At a population level, MS disease progression appears to have slowed in recent years. This study assessed whether earlier detection of people with potentially milder radiological disease is contributing to these observed trends in MS disease course. The time from MS symptom-onset to the initial brain MRI of the study population alongside the white matter lesion count and volume on this scan had not significantly changed over 17 years (2006 – 2023). The age-related MS Severity Score significantly decreased, and the MS Severity Score remained unchanged throughout the study period. These findings suggest that earlier detection of disease or lower radiological disease burden at presentation do not explain improved outcomes in MS.</div></div>","PeriodicalId":18958,"journal":{"name":"Multiple sclerosis and related disorders","volume":"102 ","pages":"Article 106607"},"PeriodicalIF":2.9000,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Multiple sclerosis and related disorders","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2211034825003499","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
At a population level, MS disease progression appears to have slowed in recent years. This study assessed whether earlier detection of people with potentially milder radiological disease is contributing to these observed trends in MS disease course. The time from MS symptom-onset to the initial brain MRI of the study population alongside the white matter lesion count and volume on this scan had not significantly changed over 17 years (2006 – 2023). The age-related MS Severity Score significantly decreased, and the MS Severity Score remained unchanged throughout the study period. These findings suggest that earlier detection of disease or lower radiological disease burden at presentation do not explain improved outcomes in MS.
期刊介绍:
Multiple Sclerosis is an area of ever expanding research and escalating publications. Multiple Sclerosis and Related Disorders is a wide ranging international journal supported by key researchers from all neuroscience domains that focus on MS and associated disease of the central nervous system. The primary aim of this new journal is the rapid publication of high quality original research in the field. Important secondary aims will be timely updates and editorials on important scientific and clinical care advances, controversies in the field, and invited opinion articles from current thought leaders on topical issues. One section of the journal will focus on teaching, written to enhance the practice of community and academic neurologists involved in the care of MS patients. Summaries of key articles written for a lay audience will be provided as an on-line resource.
A team of four chief editors is supported by leading section editors who will commission and appraise original and review articles concerning: clinical neurology, neuroimaging, neuropathology, neuroepidemiology, therapeutics, genetics / transcriptomics, experimental models, neuroimmunology, biomarkers, neuropsychology, neurorehabilitation, measurement scales, teaching, neuroethics and lay communication.