Magnetic Resonance Imaging valuation of cases of Multiple sclerosis at Al-Mowasat University Hospital

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Background Multiple sclerosis is considered one of the most common neurological diseases in young people, and because it manifests clinically with very diverse symptoms, which reflects the diversity of the characteristics of the lesions in this disease in terms of location, number, and severity, it is diagnosed qualitatively with magnetic resonance imaging. Objective To study the role of radiological, laboratory and clinical diagnostic methods in detecting the locations of demyelinating plaques to develop the best treatment plan to achieve optimal recovery. Methods Materials: This study was conducted according to a retrospective cross-sectional study, where samples were taken from the patient files, which numbered 1,320 patients inside the hospital to represent the study population. The sample was collected directly from the study site, and infections were distributed according to the months of the year, between the years 2020 and 2023, and according to age groups. Comparison was also made between CT and MRI findings. Results The average age of multiple sclerosis was between 22 years and 46 years, with 65% females and 35% males. We found that the percentage of hypodense foci in the white matter in the striatum was 64.11%, and the diameter of plaques larger than 1 cm was 20%, and those smaller in diameter were 10%, and the percentage Plaques were seen with resonance in 30%, and the smallest in diameter was 70%. The plaques were most commonly distributed around the ventricles (80%), and the most common shape was round (85%). Most lesions showed lesion enhancement (85%). Conclusion Magnetic resonance imaging is the gold standard for diagnosis. Imaging is done with a closed magnetic resonance device with an intensity of 1.5 Tesla. The optimal follow-up and comparison is done with the same device and with injections. Finally, the diagnostic loophole is the failure to use the spectral resonator despite its presence in the hospital.

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