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Diagnostik und Verlaufsbeurteilung der Multiplen Sklerose: Stellenwert der optischen Kohaerenztomographie [Diagnosis and monitoring of multiple sclerosis: the value of optical coherence tomography]

Item Type:Review
Title:Diagnostik und Verlaufsbeurteilung der Multiplen Sklerose: Stellenwert der optischen Kohaerenztomographie [Diagnosis and monitoring of multiple sclerosis: the value of optical coherence tomography]
Creators Name:Bock, M. and Paul, F. and Dörr, J.
Abstract:Besides the relapse rate and neurological examination, magnetic resonance imaging (MRI) plays a key role in multiple sclerosis (MS) monitoring. However, MRI is costly and even in Germany not always readily available. Additionally, routine MRI scans are not sensitive enough regarding differentiation between demyelination and neurodegeneration and show a discrepancy between lesion load and the degree of disability. In contrast, optical coherence tomography (OCT) is a validated non-invasive method for the quantification of neurodegenerative processes in the retina, as they appear in MS and other neurological diseases. The OCT is inexpensive, easy to handle and highly reproducible. Additionally, it is well tolerated and thus represents a promising tool for monitoring of neurodegenerative disorders. This article describes in detail the OCT technique and its usefulness for both diagnosis and monitoring of MS.
Keywords:Optical Coherence Tomography, Multiple Sclerosis, Retinal Nerve Fibre Layer, Neurodegeneration, Optic Neuritis
Source:Nervenarzt
ISSN:0028-2804
Publisher:Springer (Germany)
Volume:84
Number:4
Page Range:483-492
Date:April 2013
Official Publication:https://doi.org/10.1007/s00115-012-3707-2
PubMed:View item in PubMed

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