In multiple sclerosis (MS), detection of lesions in the spinal cord with MRI is important for diagnosis and monitoring of disease progression. Despite improved clinical MRI sequences, motion and pulsation artifact remain a challenge for small lesion identification. We sought to compare sensitivity for lesion detection between multi-echo gradient echo (mFFE) and T2-weighted fast-spin-echo (T2-FSE) sequences at 3T in 16 relapsing-remitting MS patients with low disability. By comparing lesion fraction and average lesion burden, we demonstrated that mFFE has greater sensitivity for spinal cord lesions than T2-FSE.
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