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Neurology • Neuro-immunology
How often do you perform surveillance brain MRIs in patients with MS on highly effective DMTs?
Do you routinely do MRIs without contrast? How often do you include C/T spine?
Answer from: at Academic Institution
The so-called guidelines to do MRIs on an annual basis pre-dated the introduction of anti-CD20 drugs. After these drugs were introduced in 2017, the need for MRIs has fallen off a cliff (as it ought to). With 95% or better suppression of new disease activity (inflammatory component and not the iro...
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