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Subject: Table 2: MRI Criteria for Brain Abnormality: Space and Time Dissemination
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          <TD bgColor=3D#ffdfff><FONT face=3D"Arial Black, Arial" =
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            2:</FONT></TD></TR>
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          <TD bgColor=3D#ffdfff>
            <DIV align=3Dcenter><FONT face=3D"Arial, Helvetica, =
sans-serif"=20
            size=3D2><B>MRI Criteria for Brain Abnormality:<BR>Space and =
Time=20
            Dissemination</B></FONT></DIV></TD></TR>
        <TR>
          <TD bgColor=3D#ffdfff>
            <P><FONT face=3D"Arial, Helvetica, sans-serif" =
size=3D2><B>MRI lesions=20
            disseminated in space:</B><BR></FONT><FONT=20
            face=3D"Arial, Helvetica, sans-serif" size=3D2>At least =
three of the=20
            following criteria must be met:</FONT></P>
            <OL><FONT face=3D"Arial, Helvetica, sans-serif" size=3D2>
              <LI><FONT face=3D"Arial, Helvetica, sans-serif" =
size=3D2>One=20
              gadolinium-enhancing lesion or nine T2-hyperintense =
lesions if=20
              there is no gadolinium-enhancing lesion</FONT>=20
              <LI><FONT face=3D"Arial, Helvetica, sans-serif" =
size=3D2>At least one=20
              infratentorial lesion</FONT>=20
              <LI><FONT face=3D"Arial, Helvetica, sans-serif" =
size=3D2>At least one=20
              juxtacortical lesion</FONT>=20
              <LI><FONT face=3D"Arial, Helvetica, sans-serif" =
size=3D2>At least=20
              three periventricular lesions</FONT> </FONT></LI></OL>
            <P><FONT face=3D"Arial, Helvetica, sans-serif" =
size=3D2><B>MRI lesions=20
            disseminated in time:</B><BR></FONT><FONT=20
            face=3D"Arial, Helvetica, sans-serif" size=3D2>At least one =
criterion=20
            must be met:</FONT></P>
            <OL><FONT face=3D"Arial, Helvetica, sans-serif" size=3D2>
              <LI><FONT face=3D"Arial, Helvetica, sans-serif" =
size=3D2>If MRI is=20
              more than 3 months after clinical event, then a=20
              gadolinium-enhancing lesion at a site different from the =
original=20
              clinical event is sufficient; if there is no gadolinium=20
              enhancement, then a follow-up scan is required (usually =
&gt; 3=20
              months later). A new T2 or gadolinium-enhancing lesion on =
this=20
              second or subsequent MRI fulfills the requirement.</FONT>=20
              <LI>If first MRI scan occurs less than 3 months after the =
onset of=20
              the clinical event, then a second scan &gt; 3 months later =
showing=20
              a new gadolinium-enhancing lesion fulfills requirement. If =
no=20
              gadolinium enhancement is seen at this second scan, a =
further scan=20
              not less than 3 months after the first scan that shows a =
new T2=20
              lesion or an enhancing lesion will suffice. =
</FONT></LI></OL>
            <P>&nbsp;</P></TD></TR>
        <TR>
          <TD bgColor=3D#ffdfff><FONT face=3D"Arial, Helvetica, =
sans-serif"=20
            size=3D2>Adapted from reference <A=20
            =
href=3D"http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement=
/neurology/multsclerosis/multsclerosis.htm#ref6"><SUP>6</SUP></A></FONT><=
/TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE>
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    <TD>
      <DIV align=3Dcenter><FONT face=3D"Arial, Helvetica, sans-serif"=20
      size=3D1>Copyright 2002 The Cleveland Clinic=20
  Foundation</FONT></DIV></TD></TR></TBODY></TABLE>
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href=3D"http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement=
/neurology/multsclerosis/multsclerosis.htm#table2">Return=20
to Multiple Sclerosis Chapter</A></I></B></FONT></P>
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