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首页> 外文期刊>BMC Neurology >Multimodal evoked potentials for functional quantification and prognosis in multiple sclerosis
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Multimodal evoked potentials for functional quantification and prognosis in multiple sclerosis

机译:多模式诱发电位在多发性硬化症中的功能定量和预后评估

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Functional biomarkers able to identify multiple sclerosis (MS) patients at high risk of fast disability progression are lacking. The aim of this study was to evaluate the ability of multimodal (upper and lower limbs motor, visual, lower limbs somatosensory) evoked potentials (EP) to monitor disease course and identify patients exposed to unfavourable evolution. One hundred MS patients were assessed with visual, somatosensory and motor EP and rated on the Expanded Disability Status Scale (EDSS) at baseline (T0) and about 6?years later (T1). The Spearman correlation (rS) was used to evaluate the relationship between conventional EP scores and clinical findings. Multiple (logistic) regression analysis estimated the predictive value of baseline electrophysiological data for three clinical outcomes: EDSS, annual EDSS progression, and the risk of EDSS worsening. In contrast to longitudinal correlations, cross-sectional correlations between the different EP scores and EDSS were all significant (0.33?≤?rS?
机译:缺乏能够识别具有快速残疾进展高风险的多发性硬化症(MS)患者的功能性生物标记物。这项研究的目的是评估多模式(上,下肢运动,视觉,下肢体感)诱发电位(EP)的能力,以监测疾病进程并确定暴露于不利进化的患者。对一百名MS患者进行了视觉,体感和运动EP评估,并在基线(T0)和大约6年后(T1)进行了扩展残疾状态量表(EDSS)评分。 Spearman相关性(rS)用于评估常规EP评分与临床表现之间的关系。多元(逻辑)回归分析估计了基线电生理数据对三种临床结果的预测价值:EDSS,EDSS年度进展和EDSS恶化的风险。与纵向相关性相反,不同的EP分数和EDSS之间的横截面相关性均很显着(0.33≤≤rSβ<≤0.67,p≤<0.001)。基线总体EP评分和EDSS是6年后EDSS进展的高度重要预测指标(p 0.0001)。发现基线总体EP评分是EDSS年进展率(p 0.001)和残障随时间发展的风险(p 0.005)的独立预测指标。根据ROC曲线的确定,我们定义了一个全球EP得分的临界点(17/30),以70%的阳性预测值来说明残疾发展的高风险患者。这项研究提供了一个概念,即可以将电生理学添加到MRI中并用作MS患者的另一种辅助预后工具的概念的证明。

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