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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?
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How often do you perform surveillance brain MRIs in patients with MS on highly effective DMTs?

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1 Answer
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Neurology · University of Kentucky
Answered on
  1. 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 iron...

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