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Amyotrophic lateral sclerosis (ALS) is a disabling and rapidly progressive neurodegenerative disorder. There is no treatment that significantly slows progression. Our project aims to find new biomarkers in MRI at three levels: cerebral, medullary and muscular. These markers could allow an earlier diagnosis of the disease by showing more specific lesions of ALS and to quantify these lesions to measure the progression of the disease. This study will use advanced Magnetic Resonance Imaging (MRI) techniques High field (3T) and very high field (7T) MRI. Results from neurological and electrophysiological tests will be compared to the MRI. Subjects will be recruited from ALS center of Marseille, France. MRI will be done on ALS patients at baseline, at 3 month and at 6 month intervals.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Muscle | Other |
| |
| Spinal cord | Other |
| |
| Brain | Other |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Muscular MRI | Other | MRI (1.5T) |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Disease progression using MRI | Muscular, brain and spinal cord MRI (brain sodium concentration, muscular volume of members, measure of transversal area for spinal cord) | Change from Baseline and at Month 6 |
| Measure | Description | Time Frame |
|---|---|---|
| Link between MRI and clinical scales | ALSFRS score, MRC score, ECAS score | Baseline and Month 6 |
| Link between MRI and MUNIX | For muscle, brain and spinal cord group |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Emilie Garrido Pradalié | Direction Recherche Santé APHM | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Shahram Attarian | Marseille | 13005 | France |
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| ID | Term |
|---|---|
| D000690 | Amyotrophic Lateral Sclerosis |
| ID | Term |
|---|---|
| D013118 | Spinal Cord Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D016472 | Motor Neuron Disease |
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3 groups :
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| Electrophysiological exam |
| Other |
MUNIX |
|
| Brain MRI | Other | MRI (7T) |
|
| Spinal cord MRI | Other | 7T and 3T MRI |
|
| Baseline and Month 6 |
| Alterations of metabolic and funtional brain | Multiparametric MRI (diffusion parameters, myelin parameters, quantification of fat-infiltration and oedema) | Baseline and Month 6 |
| D019636 | Neurodegenerative Diseases |
| D057177 | TDP-43 Proteinopathies |
| D009468 | Neuromuscular Diseases |
| D057165 | Proteostasis Deficiencies |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |