Skip to main content
Advertisement

Main menu

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • Advancing NeuroMRI with High-Relaxivity Contrast Agents
    • AJNR Awards
    • Low-Field MRI
    • Alzheimer Disease
    • ASNR Foundation Special Collection
    • Photon-Counting CT
    • View All
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home

User menu

  • Alerts
  • Log in

Search

  • Advanced search
American Journal of Neuroradiology
American Journal of Neuroradiology

American Journal of Neuroradiology

ASHNR American Society of Functional Neuroradiology ASHNR American Society of Pediatric Neuroradiology ASSR
  • Alerts
  • Log in

Advanced Search

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • Advancing NeuroMRI with High-Relaxivity Contrast Agents
    • AJNR Awards
    • Low-Field MRI
    • Alzheimer Disease
    • ASNR Foundation Special Collection
    • Photon-Counting CT
    • View All
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home
  • Follow AJNR on Twitter
  • Visit AJNR on Facebook
  • Follow AJNR on Instagram
  • Join AJNR on LinkedIn
  • RSS Feeds

AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates


Improved Turnaround Times | Median time to first decision: 12 days

Research ArticleAdult Brain

Emergency Department MRI Scanning of Patients with Multiple Sclerosis: Worthwhile or Wasteful?

J. Pakpoor, D. Saylor, I. Izbudak, L. Liu, E.M. Mowry and D.M. Yousem
American Journal of Neuroradiology January 2017, 38 (1) 12-17; DOI: https://doi.org/10.3174/ajnr.A4953
J. Pakpoor
aFrom the Division of Neuroradiology (J.P., I.I., L.L., D.M.Y.), Russell H. Morgan Department of Radiology and Radiological Science
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for J. Pakpoor
D. Saylor
bDepartment of Neurology (D.S., E.M.M.), Johns Hopkins Medical Institutions, Baltimore, Maryland.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for D. Saylor
I. Izbudak
aFrom the Division of Neuroradiology (J.P., I.I., L.L., D.M.Y.), Russell H. Morgan Department of Radiology and Radiological Science
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for I. Izbudak
L. Liu
aFrom the Division of Neuroradiology (J.P., I.I., L.L., D.M.Y.), Russell H. Morgan Department of Radiology and Radiological Science
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for L. Liu
E.M. Mowry
bDepartment of Neurology (D.S., E.M.M.), Johns Hopkins Medical Institutions, Baltimore, Maryland.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for E.M. Mowry
D.M. Yousem
aFrom the Division of Neuroradiology (J.P., I.I., L.L., D.M.Y.), Russell H. Morgan Department of Radiology and Radiological Science
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for D.M. Yousem
  • Article
  • Figures & Data
  • Info & Metrics
  • Responses
  • References
  • PDF
Loading

Article Figures & Data

Tables

    • View popup
    Table 1:

    ED MRI requesting patterns by CNS location imaged

    Encounter MRI RequestsN = 115% of Total
    Brain1714.5%
    Brain + orbit43.5%
    Brain + C-spine97.8%
    Brain + orbit + C-spine10.9%
    Brain + C- + T-spine5346.1%
    Brain + orbit + C- + T-spine21.8%
    Brain + C- + T- + L-spine2118.3%
    Brain + orbit + C- + T- + L-spine10.9%
    Orbit10.9%
    C-spine10.9%
    T- + C-spine43.5%
    T- + C- + L-spine10.9%
    • Note:—C indicates cervical; T, thoracic; L, lumbar.

    • View popup
    Table 2:

    Patient demographic profiles

    Demographics
    No.115
    Age (yr)39 ± 12.1
    Sex98 Women, 17 men
    • View popup
    Table 3:

    Findings at MRI in patients diagnosed with an MS exacerbation or an alternative diagnosis

    MRI Activity Only (with Enhancement or Diffusion Restriction)aMRI Activity + Progressive WM LesionsProgressive WM Lesions Only (without Enhancement or Diffusion Restriction)bMRI Negative for MS ChangeTotal
    Final clinical diagnosis of MS exacerbation (No.)15271548
    Other final clinical diagnoses (No.)01125467
    • ↵a The presence of a sign of active demyelination (ie, the presence of gadolinium-enhancing lesions and/or diffusion restriction).

    • ↵b The reporting of a new or enlarging white matter lesion.

    • View popup
    Table 4:

    CNS location and MRI activitya

    Imaging SectionBrainCervical SpineThoracicLumbar SpineOrbit
    MRI activity33 (31%)13 (14%)8 (10%)0 (0%)4 (44%)
    No MRI activity75 (69%)80 (86%)74 (90%)22 (100%)5 (56%)
    Total1089382229
    • ↵a Percentages of column totals are in parentheses.

    • View popup
    Table 5:

    Number of alternative diagnoses made for patients not diagnosed with an MS exacerbation in the study population

    Diagnosis
    No final diagnosis: 23
    Pseudoexacerbation: 18
    Neuropathic pain: 5
    Musculoskeletal: 5
    Migraine: 2
    Seizure: 2
    Neuralgia: 3
    Compressive myelopathy: 2
    Arthralgia: 1
    Tonsillitis: 1
    Avascular necrosis: 1
    C5 radiculopathy: 1
    Postconcussive syndrome: 1
    Stroke: 1
    Acute manic bipolar disorder episode: 1
    • View popup
    Table 6:

    MRI findings at inpatient MRI

    BrainCervicalThoracicLumbarOrbit
    Total scans (No.)16141431
    MRI activity (No.)50100
    Progressive WM lesions (No.)20000
PreviousNext
Back to top

In this issue

American Journal of Neuroradiology: 38 (1)
American Journal of Neuroradiology
Vol. 38, Issue 1
1 Jan 2017
  • Table of Contents
  • Index by author
  • Complete Issue (PDF)
Advertisement
Print
Download PDF
Email Article

Thank you for your interest in spreading the word on American Journal of Neuroradiology.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Emergency Department MRI Scanning of Patients with Multiple Sclerosis: Worthwhile or Wasteful?
(Your Name) has sent you a message from American Journal of Neuroradiology
(Your Name) thought you would like to see the American Journal of Neuroradiology web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Cite this article
J. Pakpoor, D. Saylor, I. Izbudak, L. Liu, E.M. Mowry, D.M. Yousem
Emergency Department MRI Scanning of Patients with Multiple Sclerosis: Worthwhile or Wasteful?
American Journal of Neuroradiology Jan 2017, 38 (1) 12-17; DOI: 10.3174/ajnr.A4953

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
0 Responses
Respond to this article
Share
Bookmark this article
Emergency Department MRI Scanning of Patients with Multiple Sclerosis: Worthwhile or Wasteful?
J. Pakpoor, D. Saylor, I. Izbudak, L. Liu, E.M. Mowry, D.M. Yousem
American Journal of Neuroradiology Jan 2017, 38 (1) 12-17; DOI: 10.3174/ajnr.A4953
del.icio.us logo Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Purchase

Jump to section

  • Article
    • Abstract
    • ABBREVIATIONS:
    • Materials and Methods
    • Results
    • Discussion
    • Conclusions
    • Footnotes
    • References
  • Figures & Data
  • Info & Metrics
  • Responses
  • References
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Clinical Evaluation of a 2-Minute Ultrafast Brain MR Protocol for Evaluation of Acute Pathology in the Emergency and Inpatient Settings
  • Major Radiologic and Clinical Outcomes of Total Spine MRI Performed in the Emergency Department at a Major Academic Medical Center
  • Emergency Department MR Imaging Scanner: Supportive Data
  • Reply:
  • Crossref
  • Google Scholar

This article has not yet been cited by articles in journals that are participating in Crossref Cited-by Linking.

More in this TOC Section

  • Diagnostic Neuroradiology of Monoclonal Antibodies
  • Clinical Outcomes After Chiari I Decompression
  • Segmentation of Brain Metastases with BLAST
Show more Adult Brain

Similar Articles

Advertisement

Indexed Content

  • Current Issue
  • Accepted Manuscripts
  • Article Preview
  • Past Issues
  • Editorials
  • Editor's Choice
  • Fellows' Journal Club
  • Letters to the Editor
  • Video Articles

Cases

  • Case Collection
  • Archive - Case of the Week
  • Archive - Case of the Month
  • Archive - Classic Case

More from AJNR

  • Trainee Corner
  • Imaging Protocols
  • MRI Safety Corner
  • Book Reviews

Multimedia

  • AJNR Podcasts
  • AJNR Scantastics

Resources

  • Turnaround Time
  • Submit a Manuscript
  • Submit a Video Article
  • Submit an eLetter to the Editor/Response
  • Manuscript Submission Guidelines
  • Statistical Tips
  • Fast Publishing of Accepted Manuscripts
  • Graphical Abstract Preparation
  • Imaging Protocol Submission
  • Evidence-Based Medicine Level Guide
  • Publishing Checklists
  • Author Policies
  • Become a Reviewer/Academy of Reviewers
  • News and Updates

About Us

  • About AJNR
  • Editorial Board
  • Editorial Board Alumni
  • Alerts
  • Permissions
  • Not an AJNR Subscriber? Join Now
  • Advertise with Us
  • Librarian Resources
  • Feedback
  • Terms and Conditions
  • AJNR Editorial Board Alumni

American Society of Neuroradiology

  • Not an ASNR Member? Join Now

© 2025 by the American Society of Neuroradiology All rights, including for text and data mining, AI training, and similar technologies, are reserved.
Print ISSN: 0195-6108 Online ISSN: 1936-959X

Powered by HighWire