Challenges in Adherence to Magnetic Resonance Imaging Consensus Recommendations in Multiple Sclerosis: A Call for Improved Neurologist-Neuroradiologist Collaboration

Authors

  • Mafalda Soares Multiple Sclerosis Centre of Integrated Responsibility (CRI-EM). Unidade Local de Saúde São José. Centro Clínico Académico de Lisboa. Lisbon. & Neurology Department. Unidade Local de Saúde São José. Centro Clínico Académico de Lisboa. Lisbon. &Faculty of Medicine. Universidade do Porto. Porto.
  • David Berhanu Multiple Sclerosis Centre of Integrated Responsibility (CRI-EM). Unidade Local de Saúde São José. Centro Clínico Académico de Lisboa. Lisbon. & Neuroradiology Department. Unidade Local de Saúde São José. Centro Clínico Académico de Lisboa. Lisbon. & Faculty of Medicine. Universidade de Lisboa. Lisbon.

DOI:

https://doi.org/10.20344/amp.23611

Keywords:

Consensus, Magnetic Resonance Imaging, Multiple Sclerosis/diagnostic imaging, Portugal

Abstract

The consensus on MRI in multiple sclerosis Despite major treatment advances in multiple sclerosis (MS), neurologists still face some challenges: the delay in diagnosis and the monitoring of disease progression. Magnetic resonance imaging (MRI) plays an essential role in the clinical management of MS, aiding in the diagnosis, monitoring disease activity, and assessing treatment effects. In 2018 and 2020, the MS Study Group and the Portuguese Society of Neuroradiology published comprehensive guidelines for the use of MRI in MS, detailing the crucial information that neurologists should provide when requesting MRIs (part 1), as well as the suggested MRI acquisition protocols and the structure and content of neuroimaging reports from neuroradiologists (part 2).1,2

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References

Abreu P, Pedrosa R, Sá MJ, Cerqueira J, Sousa L, da Silva AM, et al. Consensus recommendations of the Multiple Sclerosis Study Group and Portuguese Neuroradiological Society for the use of the magnetic resonance imaging in multiple sclerosis in clinical practice: part 1. Acta Med Port. 2018;31:281-9.

Pereira DJ, Abreu P, Reis AM, Seixas D, Carreiro I, Cravo I, et al. Consensus recommendations of the Multiple Sclerosis Study Group and the Portuguese Neuroradiological Society for the use of magnetic resonance imaging in multiple sclerosis in clinical practice: part 2. Acta Med Port. 2020;33:66-75.

Thompson AJ, Banwell BL, Barkhof F, Carroll WM, Coetzee T, Comi G. Diagnosis of multiple sclerosis: 2017 revisions of the McDonald criteria. Lancet Neurol. 2018;17:162-73.

Soares dos Reis R, Cordeiro A, Marques AJ, Castro AR, Silva C, Carapinha D, et al. Magnetic resonance imaging in multiple sclerosis: an analysis of the implementation of the Portuguese Consensus. Acta Med Port. 2025;38:446-59.

Rovira À, Wattjes MP, Tintoré M, Tur C, Yousry TA, Sormani MP, et al. Evidence-based guidelines: MAGNIMS consensus guidelines on the use of MRI in multiple sclerosis-clinical implementation in the diagnostic process. Nat Rev Neurol. 2015;11:471-82. Erratum in: Nat Rev Neurol. 2015;11:483.

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Published

2025-08-01

How to Cite

1.
Soares M, Berhanu D. Challenges in Adherence to Magnetic Resonance Imaging Consensus Recommendations in Multiple Sclerosis: A Call for Improved Neurologist-Neuroradiologist Collaboration. Acta Med Port [Internet]. 2025 Aug. 1 [cited 2025 Dec. 6];38(8):435-7. Available from: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/23611

Issue

Section

Editorial