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The development of in vivo biomarkers sensitive to myelin disruption represents a major clinical need to be able to monitor the demyelination processes as well as the effect of remyelinating therapies in multiple sclerosis. The investigators recently proposed a technique, derived from the conventional magnetisation transfer (MT): inhomogeneous Magnetisation Transfer (ihMT). In preliminary studies, this simple-to-implement and robust technique has shown great sensitivity for evaluating the demyelination processes. The goal of the project is to evaluate the ability of ihMT to measure and describe the spontaneous demyelination and remyelination processes involved in active lesions in a population of patients with MS at the the disease onset.
The development of in vivo biomarkers sensitive to myelin disruption (demyelination and remyelination) represents a major clinical need to be able to monitor the demyelination processes as well as the effect of remyelinating therapies in multiple sclerosis. The investigators recently proposed a technique, derived from the conventional magnetisation transfer (MT): inhomogeneous Magnetisation Transfer (ihMT). In preliminary studies, this simple-to-implement and robust technique has shown great sensitivity for evaluating the demyelination processes. The goal of the project is to evaluate the ability of ihMT to measure and describe the spontaneous demyelination and remyelination processes involved in active lesions in a population of patients with MS at the the disease onset.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| experimental group 1.5T | Experimental | Population of patients with myelin syndrome (MS) at the the disease onset with active lesions inhomogeneous Magnetisation Transfer (ihMT) sequence will be performed. |
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| control group 1.5 T | Active Comparator | healthy volunteers matched in sex and age inhomogeneous Magnetisation Transfer (ihMT) sequence will be performed. |
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| experimental group 3T | Experimental | Population of patients with myelin syndrome (MS) at the the disease onset with active lesions inhomogeneous Magnetisation Transfer (ihMT) sequence at 3T will be performed. |
|
| control group 3T | Active Comparator | inhomogeneous Magnetisation Transfer (ihMT) sequence will be performed. inhomogeneous Magnetisation Transfer (ihMT) sequence at 3T will be performed. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| inhomogeneous Magnetisation Transfer (ihMT) sequence | Device | robust technique has shown great sensitivity for evaluating the demyelination processes using MRI at 1.5T |
|
| Measure | Description | Time Frame |
|---|---|---|
| ihMTR ratio at 1.5TMRI | ihMT 3D technique at 1.5TMRI on active lesions with baseline measurements | 1 year |
| Magnetic transfert (MT) at 1.5TMRI | relative signal variations of the conventional magnetization transfer (MT) | 1 year |
| Myelin water fraction at 1.5TMRI | myelin water fraction (MWF), an MRI biomarker of myelin, in new MS lesions | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| ihMTR ratio at 3TMRI | Relative variations in ihMTR ratio measured at 3T will be compared to those measured at 1.5T at the same points in time to opmtimize 3D ihMT technique at 3TMRI | 1 year |
| Evaluate the predictive value of ihMT |
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Inclusion Criteria:
For Patients and Controls :
For patients only :
Exclusion Criteria:
For patients only :
• Patients with a progressive form of MS other than the early relapsing-remitting form (primary progressive or secondary progressive)
For Patients and Controls :
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| JEAN PELLETIER, MD | Contact | +33 491388204 | Jean.PELLETIER@ap-hm.fr |
| Name | Affiliation | Role |
|---|---|---|
| EMILIE GARRIDO PRADALIE | APHM | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Assistance Publique Des Hotipaux de Marseille | Recruiting | Marseille | PACA | 13354 | France |
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| ID | Term |
|---|---|
| D009103 | Multiple Sclerosis |
| ID | Term |
|---|---|
| D020278 | Demyelinating Autoimmune Diseases, CNS |
| D020274 | Autoimmune Diseases of the Nervous System |
| D009422 | Nervous System Diseases |
| D003711 | Demyelinating Diseases |
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| ID | Term |
|---|---|
| D017422 | Sequence Analysis, DNA |
| ID | Term |
|---|---|
| D017421 | Sequence Analysis |
| D005821 | Genetic Techniques |
| D008919 | Investigative Techniques |
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| inhomogeneous Magnetisation Transfer (ihMT) sequence at 3T | Device | robust technique has shown great sensitivity for evaluating the demyelination processes using MRI at 3T |
|
Evaluate the predictive value of the measured dynamics with respect to the final progression of the lesions
| 1 year |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |