Choroid plexus volume differentiates MS from its mimics

Elle Levit, Zheng Ren, Virgilio Gonzenbach, Christina J. Azevedo, Peter A. Calabresi, Bruce A.C. Cree, Leorah Freeman, Erin E. Longbrake, Jiwon Oh, Matthew K. Schindler, Nancy L. Sicotte, Daniel Salo Reich, Daniel Ontaneda, Pascal Sati, Quy Cao, Russell T. Shinohara, Andrew J. Solomon

Research output: Contribution to journalArticlepeer-review

Abstract

This study aimed to determine whether choroid plexus volume (CPV) could differentiate multiple sclerosis (MS) from its mimics. A secondary analysis of two previously enrolled studies, 50 participants with MS and 64 with alternative diagnoses were included. CPV was automatically segmented from 3T magnetic resonance imaging (MRI), followed by manual review to remove misclassified tissue. Mean normalized choroid plexus volume (nCPV) to intracranial volume demonstrated relatively high specificity for MS participants in each cohort (0.80 and 0.76) with an area under the receiver-operator characteristic curve of 0.71 (95% confidence interval (CI) = 0.55–0.87) and 0.65 (95% CI = 0.52–0.77). In this preliminary study, nCPV differentiated MS from its mimics.

Original languageEnglish (US)
Pages (from-to)1072-1076
Number of pages5
JournalMultiple Sclerosis Journal
Volume30
Issue number8
DOIs
StatePublished - Jul 2024

Keywords

  • MRI
  • Multiple sclerosis
  • biomarker
  • diagnosis
  • differential diagnosis
  • misdiagnosis

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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