Subclinical progression reflecting neurodegeneration can be measured and followed through spinal cord volume monitoring in multiple sclerosis (MS). The increased atrophy is reflected more prominently in the caudal cervical spinal cord segment. In this study, we identified the C5 level area measurement which can reflect whole cervical spinal cord area in patients with MS using both semi-automated and manual measurements. We propose that the C5 level area measurement can replace whole cervical spinal cord area measurement in MS as a more practical biomarker of progression.
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