Structural and Functional Neuroimaging in Multiple Sclerosis: From Atrophy, Lesions to Global Network Disruption

  • Prejaas Tewarie*
  • , Menno Schoonheim
  • , Arjan Hillebrand
  • *Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapterAcademicpeer-review

Abstract

Multiple sclerosis (MS) is a neuroinflammatory and neurodegenerative disease that affects the central nervous system. There is a clinico-radiological paradox in MS: A discrepancy between clinical symptoms and the amount of focal brain lesions. In this chapter we explore how new sophisticated neuroimaging approaches could help elucidate the clinico-radiological paradox, as they quantify structural and functional pathology beyond focal MRI-visible white matter lesions. The observed triad of structural MS pathology (focal lesions, diffuse changes and brain atrophy) throughout the grey and white matter seems to induce highly complex functional network changes that are currently understudied. The current debate on beneficial and maladaptive functional changes remains ongoing. The high variability in all forms of structural and functional pathology in MS highlights the need for a more holistic, network-based approach to study the disease. Hopefully, such future studies could then provide the much-needed missing links essential to unravelling the clinico-radiological paradox.

Original languageEnglish
Title of host publicationContemporary Clinical Neuroscience
PublisherSpringer
Pages171-213
Number of pages43
DOIs
Publication statusPublished - 2018
Externally publishedYes

Publication series

NameContemporary Clinical Neuroscience
ISSN (Print)2627-535X
ISSN (Electronic)2627-5341

Keywords

  • Atrophy
  • Connectivity
  • DTI
  • fMRI
  • Lesions
  • MEG
  • MRI
  • Multiple sclerosis
  • Network
  • Normal appearing
  • n/a OA procedure

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