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MR Spectroscopy in Multiple Sclerosis

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Magnetic Resonance Spectroscopy of Degenerative Brain Diseases

Abstract

Multiple Sclerosis is a chronic inflammatory demyelinating disorder of the central nervous system. 1H-MRS provides us with additional information on the chemical pathology within the brain and spinal cord in MS patients, when compared to conventional MRI. This has enhanced our understanding of the pathogenesis and natural history in multiple sclerosis. It has proved a useful biomarker of neurodegeneration, as reflected by a decrease in the levels of the neuronal marker, N-acetylaspartate. Changes in choline and myo-inositol have also informed us of the importance of monitoring changes in myelin damage and repair and of the extent of gliosis. This chapter will provide an overview of 1H-MRS in the brain and spinal cord in clinical and preclinical studies in multiple sclerosis. We will also discuss the future potential of 1H-MRS in multiple sclerosis and its promising applications.

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Correspondence to Niamh Cawley M.B. Bch. B.A.O. .

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Cawley, N., Ciccarelli, O. (2016). MR Spectroscopy in Multiple Sclerosis. In: Öz, G. (eds) Magnetic Resonance Spectroscopy of Degenerative Brain Diseases. Contemporary Clinical Neuroscience. Springer, Cham. https://doi.org/10.1007/978-3-319-33555-1_8

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