Stettner Mark, Wattjes Mike P, Krüger Karlgeorg, Pul Refik, Fleischer Michael, Achnitz Ute, Agne Heike, Bach Kathlen, Berkenfeld Ralf, Bongartz Ulrike, Brüggemann Anja, Burgsmüller Lars, Cohnen Joseph, Deuschl Cornelius, Friedrich Anke, Graziano Patrizia, Hackert Jana, Hapig Beate, Henkel Andrea, Henrich Heike, Hükelheim-Görden Mechthild, Kratsch Luder, Kytzia Danuta, Lanzman Rotem, Heusch Philipp, Laufenburg Claus, Merguet Susanne, Metz Uwe, Montag Michael, Obeid Michel, Ornek Ahmet, Peters Sören, Plajer Theo, Plassmann Jürgen, Pump Heiko, Rauchfuss-Hartych Birgit, Reinboldt Marcus Paul, Seng Katja, Stauder Michael, Wettig Anna-Katharina, Wolters Anna, Yilmam Sedat, Kleinschnitz Christoph
Klinik für Neurologie, Universitätsmedizin Essen, Universität Duisburg-Essen, Hufelandstr. 55, 45147, Essen, Deutschland.
Center for Translational Neuro- and Behavioral Sciences (C-TNBS), Universitätsklinikum Essen, Hufelandstraße 55, 45147, Essen, Deutschland.
Nervenarzt. 2023 Dec;94(12):1123-1128. doi: 10.1007/s00115-023-01531-2. Epub 2023 Aug 18.
Magnetic resonance imaging (MRI) is of exceptional importance in the diagnostics and monitoring of multiple sclerosis (MS); however, a close interdisciplinary cooperation between neurologists in private practice, (neuro)radiological practices, hospitals or specialized MS centers is only rarely established. In particular, there is a lack of standardized MRI protocols for image acquisition as well as established quality parameters, which guarantee the comparability of MRI records; however, this is a fundamental prerequisite for an effective application of MRI in the treatment of MS patients, e.g., for making the diagnosis or treatment monitoring. To address these challenges a group of neurologists and (neuro)radiologists developed a consensus proposal for standardization of image acquisition, interpretation and transmission of results and for improvement in interdisciplinary cooperation. This pilot project in the metropolitan area of Essen used a modified Delphi process and was based on the most up to date scientific knowledge. The recommendation takes the medical, economic, temporal and practical aspects of MRI in MS into consideration. The model of interdisciplinary cooperation between radiologists and neurologists with the aim of a regional standardization of MRI could serve as an example for other regions of Germany in order to optimize MRI for MS.
磁共振成像（MRI）在多发性硬化症（MS）的诊断和监测中具有极其重要的意义；然而，私人执业的神经科医生、（神经）放射科、医院或专业MS中心之间很少建立密切的跨学科合作。特别是，缺乏用于图像采集的标准化MRI协议以及既定的质量参数，这些参数可确保MRI记录的可比性；然而，这是MRI有效应用于MS患者治疗（例如进行诊断或治疗监测）的基本前提。为应对这些挑战，一群神经科医生和（神经）放射科医生制定了一项共识提案，以实现图像采集、解读和结果传输的标准化，并改善跨学科合作。埃森大都市区的这个试点项目采用了改良的德尔菲法，并基于最新的科学知识。该建议考虑了MS中MRI的医学、经济、时间和实际方面。放射科医生和神经科医生之间旨在实现MRI区域标准化的跨学科合作模式可为德国其他地区提供范例，以便优化MS的MRI检查。
