Evidence map›Paper›PMID 42188695›Full record

ArticleNeurology international2026

Central Vein Sign and Paramagnetic Rim Lesions in Patients with Relapsing-Remitting Multiple Sclerosis: An Assessment of Prevalence and Anatomical Location.

Marija Nikola Jansone, Nauris Zdanovskis, Elina Polunosika, Daina Pastare, Guntis Karelis

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Article in Neurology international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Marija Nikola JansoneDepartment of Radiology, Riga Stradiņš University, Dzirciema iela 16, LV-1007 Riga, Latvia.
Nauris ZdanovskisDepartment of Radiology, Riga Stradiņš University, Dzirciema iela 16, LV-1007 Riga, Latvia.ORCID 0000-0002-8255-7392
Elina PolunosikaDepartment of Neurology and Neurosurgery, Riga East University Hospital, Hipokrata iela 2, LV-1038 Riga, Latvia.ORCID 0000-0002-0666-839X
Daina PastareDepartment of Neurology and Neurosurgery, Riga East University Hospital, Hipokrata iela 2, LV-1038 Riga, Latvia.ORCID 0000-0002-8056-7087
Guntis KarelisDepartment of Neurology and Neurosurgery, Riga East University Hospital, Hipokrata iela 2, LV-1038 Riga, Latvia.ORCID 0000-0002-9586-2775

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesMultiple sclerosis (MS) remains challenging to diagnose due to clinical and radiological overlap with mimicking conditions. The 2024 revisions of the McDonald criteria have incorporated the central vein sign (CVS) and paramagnetic rim lesions (PRLs) as magnetic resonance imaging (MRI) biomarkers to improve diagnostic specificity. This study assessed the prevalence and anatomical distribution of CVS and PRLs in patients with relapsing-remitting MS (RRMS).

methodsThis cross-sectional study included 91 patients with RRMS diagnosed according to the 2017 McDonald criteria. MRI scans were obtained using 3T scanners, and T2-FLAIR and susceptibility-weighted angiography (SWAN) sequences were analyzed. CVS and PRLs were identified using established criteria. Patients were stratified by lesion count (<5, 5-9, ≥10), and lesions were categorized by anatomical location. Descriptive statistics, chi-square tests, and multivariable logistic regression adjusted for covariates were performed.

resultsCVS was present in 69.2% of patients, while PRLs were identified in 29.7%. Both markers were more frequent in patients with higher lesion burden in univariate analysis. CVS prevalence increased significantly with lesion count (

conclusionsCVS is a highly prevalent MRI feature in RRMS and independently associated with lesion burden, supporting its role as a diagnostically relevant imaging marker. PRLs were less prevalent and showed weaker independent associations.

Indexed as

central vein signMcDonald criteriamultiple sclerosisparamagnetic rim lesionssusceptibility-weighted angiographywhite matter lesions

Identifiers

PMID42188695
PMCPMC13209879

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