Highlights
- •Preventing brain atrophy of patients with MS is an urgent matter.
- •Annualized atrophy rate of NBV and attack number was significantly correlated.
- •Time from drug initiation was negatively correlated with attack number.
- •Negative correlation was found between time from drug initiation and atrophy rate.
Abstract
Long term effect between disease-modifying drugs (DMDs) treatment duration and brain
atrophy rate has not been fully investigated in patients with relapsing-remitting
MS (RRMS). The aim of this study was to investigate whether DMDs could slow down the
progression of brain atrophy in patients with RRMS by comparing DMDs-treated group
with non-treated group during a certain period of time.
This was a retrospective investigation. Forty-nine RRMS patients underwent two brain
MRI scans more than one year apart. Between scans, patients were treated with fingolimod
(n = 16), interferon-beta (n = 23) or not treated with DMD (n = 10). Correlations between clinical characteristics and brain volume were calculated
by statistical parametric mapping-12.
In all 49 patients, the total attack number before 1st MRI scan and the annualized
rate of total lesion volume change between the two scans showed a positive correlation
with annualized atrophy rate of grey matter volume (GMV) plus white matter volume
(WMV). In patients with DMDs (n = 39), the period from drug initiation to 1st MRI scan was negatively correlated
with the annualized atrophy rate of GMV + WMV and number of attacks between scans.
The number of total previous attacks could be a predictor of subsequent MS progression.
Early intervention by DMDs could prevent brain atrophy in patients with MS.
Keywords
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Article Info
Publication History
Published online: June 10, 2019
Accepted:
June 9,
2019
Received in revised form:
June 5,
2019
Received:
April 12,
2019
Identification
Copyright
© 2019 Elsevier B.V. All rights reserved.
