• Can J Neurol Sci · May 2015

    Canadian Expert Panel Recommendations for MRI Use in MS Diagnosis and Monitoring.

    • Anthony Traboulsee, Laurent Létourneau-Guillon, Mark Steven Freedman, Paul W O'Connor, Aditya Bharatha, Santanu Chakraborty, J Marc Girard, Fabrizio Giuliani, John T Lysack, James J Marriott, Luanne M Metz, Sarah A Morrow, Jiwon Oh, Manas Sharma, Robert A Vandorpe, Talia Alexandra Vertinsky, Vikram S Wadhwa, Sarah von Riedemann, and David K B Li.
    • 1Division of Neurology,UBC Hospital/University of British Columbia,Vancouver,British Columbia.
    • Can J Neurol Sci. 2015 May 1; 42 (3): 159-67.

    BackgroundA definitive diagnosis of multiple sclerosis (MS), as distinct from a clinically isolated syndrome, requires one of two conditions: a second clinical attack or particular magnetic resonance imaging (MRI) findings as defined by the McDonald criteria. MRI is also important after a diagnosis is made as a means of monitoring subclinical disease activity. While a standardized protocol for diagnostic and follow-up MRI has been developed by the Consortium of Multiple Sclerosis Centres, acceptance and implementation in Canada have been suboptimal.MethodsTo improve diagnosis, monitoring, and management of a clinically isolated syndrome and MS, a Canadian expert panel created consensus recommendations about the appropriate application of the 2010 McDonald criteria in routine practice, strategies to improve adherence to the standardized Consortium of Multiple Sclerosis Centres MRI protocol, and methods for ensuring effective communication among health care practitioners, in particular referring physicians, neurologists, and radiologists.ResultsThis article presents eight consensus statements developed by the expert panel, along with the rationale underlying the recommendations and commentaries on how to prioritize resource use within the Canadian healthcare system.ConclusionsThe expert panel calls on neurologists and radiologists in Canada to incorporate the McDonald criteria, the Consortium of Multiple Sclerosis Centres MRI protocol, and other guidance given in this consensus presentation into their practices. By improving communication and general awareness of best practices for MRI use in MS diagnosis and monitoring, we can improve patient care across Canada by providing timely diagnosis, informed management decisions, and better continuity of care.

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