ArticleJournal of neurology2026
Ultra-low-field MRI for bedside imaging of severe multiple sclerosis.
Article in Journal of neurology, 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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18 authors.
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Abstract
backgroundSevere multiple sclerosis (MS) presents challenges for clinical research due to patient mobility constraints and specialized care needs. Traditional MRI studies often exclude this population but portable, ultra-low-field (ULF) MRI at 0.064 T enables bedside imaging.
objectivesTo (i) compare ULF MRI volumetry with standard 3 T, (ii) assess the capability of portable ULF MRI in characterizing severe MS.
methodsThis prospective study enrolled two cohorts. Cohort 1 included healthy controls (HC) and people with MS (pwMS). Cohort 2 enrolled individuals with progressive MS, with either severe or less severe MS. Both cohorts underwent ULF MRI while those in Cohort 1 were also scanned on 3 T MRI. Clinical assessments included disability and cognition. MRI data was processed using both conventional (e.g., SIENAX) and AI-driven (e.g., WMH-SynthSeg) techniques. Group comparisons and MRI-clinical associations were assessed.
resultsCohort 1 included 14 HCs (39 ± 13 years, 11 females) and 33 pwMS (32 ± 10 years, 24 females). Cohort 2 included 24 severe MS individuals (62 ± 10, 15 females) and 16 less severe MS individuals (61 years ± 11, 8 females). MRI passed quality control except for scans from 2 individuals in Cohort 2. In Cohort 1, 3 T and ULF MRI showed robust disease differences, with strongest effect sizes for ULF MRI-derived whole brain (partial η
conclusionPortable, ULF MRI is feasible in pwMS and provides insights into late-stage neurodegeneration in severe MS.
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