Cape Town - 2026 ISMRM-ISMRT Annual Meeting and Exhibition • 09-14 May 2026
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367-05-001.
Predicting long-term changes in clinical disability with short-term myelin water fraction measurements in multiple sclerosis
Impact: People
living with progressive multiple sclerosis that have large 2-year changes in brain
white matter myelin water fraction are at greater risk of increasing disability
in manual dexterity and cognitive processing speed over 5-years.
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367-05-002.
Microstructural profile of multiple sclerosis lesions by combined analysis of QSM and time-dependent diffusion MRI
Impact: This study establishes PRLs, characterized by axonal injury (low Vin) via OGSE, as critical therapeutic targets for preserving cognition in MS, moving beyond conventional lesion load.
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367-05-003.
Towards Harmonisation of Paramagnetic Rim Lesion Detection in Multiple Sclerosis: Comparing T2*-Weighted and QSM imaging
Impact: This study initiates a comparison of susceptibility-sensitive MRI techniques for detecting paramagnetic rim lesions (PRLs) in multiple sclerosis. Quantitative susceptibility mapping showed greater sensitivity than T2*-weighted imaging, laying the groundwork for harmonising PRL assessment and detection in clinical practice.
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367-05-004.
Longitudinal Tracking of Pulvinar Iron Trajectories with QSM Suggests Early Thalamic Aging in Multiple Sclerosis
Impact: Our model of thalamic iron loss in MS reveals a breakdown in iron homeostasis resembling accelerated aging. It enables patient stratification by onset age, providing new biomarkers for trials and highlighting oligodendroglial iron management as a key therapeutic target.
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367-05-005.
Elevated water mobility-not myelin loss-distinguishes diffusely abnormal from normal appearing white matter in MS brain
Impact: Diffusely
abnormal white matter demonstrates altered water mobility but similar myelin content
relative to normal appearing white matter. The pathological mechanisms of
altered water signal in diffusely abnormal white matter, and clinical
implications, require further study.
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367-05-006.
QSM Reveals Region-Specific Remyelination Patterns linked to Multiple Sclerosis Disease Progression
Impact: This work reveals spatial and clinical heterogeneity in remyelination patterns across the MS brain using QSM. The observed patterns further refine our understanding of repair mechanisms and support QSM as a biomarker for remyelination-targeted therapies.
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367-05-007.
Investigating magnetic susceptibility changes caused by hypoxia and myelin in the mouse brain at 9.4T using QSM and R2*
Impact: A positive change in susceptibility detected hypoxia, even in the presence of demyelination. QSM was insensitive to demyelination. This shows that positive changes in susceptibility, if iron deposition is not present, can detect hypoxia.
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367-05-008.
Patterns of Expanding Lesions in Multiple Sclerosis: Associations with Microstructural Changes and Neuroaxonal Damage
Impact: These
findings provide a foundation for future studies exploring the
mechanisms underlying disease progression and clinical worsening in
people with Multiple Sclerosis.
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367-05-009.
Pathology-informing deep learning with brain diffusion MRI for predicting disease worsening in multiple sclerosis
Impact: Identifying
neurite specific information along with robust deep learning models can
help gain new insight into disease worsening mechanisms thereby guiding early
intervention and prevention for improved health care.
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367-05-010.
Rapid magnetization transfer imaging for ultra high field (UHF) MRI
Impact: EP-vpMT achieves five-fold faster quantitative MT
imaging at 7T than variable-density GRE-MT with comparable accuracy(BPF R² =
0.91). The framework detects demyelinating MS lesions and enables high-contrast
neuromelanin imaging, supporting efficient quantitative myelin and neuromelanin
assessment in clinical ultra-high-field MRI.
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367-05-011.
The Initial Signal in Gradient Echo Imaging at Ultra-High Field: a Potential Role in Studying Multiple Sclerosis?
Impact: Homogeneous images of the initial signal in multi-echo gradient-echo data, M0, can be created quickly on the image reconstructor from data acquired for SWI and QSM. M0 shows potential in imaging black hole lesions, which are indicative of tissue damage.
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367-05-012.
SUPREME-SWI-FLAIR Enhances Central Vein Sign (CVS) Detection for MS at 3T MRI
Impact: SUPREME enables 7T-like susceptibility imaging on clinical 3T MRI, significantly improving CVS positive lesion detectability. This method could improve MS diagnostic accuracy by facilitating the adoption of the updated McDonald criteria and advancing patient care.
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367-05-013.
Distinct Patterns of White Matter Microstructural Damage in MOGAD and MS Revealed by Tract-Based Spatial Statistics
Impact: This work reveals distinct topographic signatures of white matter damage in pediatric myelin oligodendrocyte glycoprotein antibody-associated disease and multiple sclerosis, providing a quantitative imaging biomarker to help differentiate these disorders and links specific pathway injury to their unique clinical phenotypes.
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367-05-014.
The impact of metformin on brain CBF and hypoxia in the EAE model of multiple sclerosis: Quantified R2* and CBF at 9.4T
Impact: MRI and animal model data provide evidence
supporting the use of metformin in treatment of MS, and show that vascular
injury may be an important target for therapies in MS.
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367-05-015.
MRI-Based Brain Aging Models Reveal Specific Atrophy Patterns in Multiple Sclerosis according to Age, Sex, and Age at Onset
Impact: Modeling healthy brain aging enables the
identification of MS-specific atrophy patterns, emphasizing the need to
consider physiological aging, sex, and age at onset when interpreting
neuroimaging biomarkers and monitoring neurodegeneration in multiple sclerosis.
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© 2026 International Society for Magnetic Resonance in Medicine