Imaging subtypes reveal distinct biological substrates and disability profiles in multiple sclerosis
Multiple sclerosis is characterized by marked biological heterogeneity that is only partly captured by conventional clinical phenotypes and age-at-onset categories. MRI can detect focal lesions, diffuse microstructural damage and atrophy, but these measures are usually considered separately. We therefore aimed to use Subtype and Stage Inference (SuStaIn), an unsupervised machine learning framework, to identify biologically meaningful MRI subtypes of multiple sclerosis and determine their associations with disabi…
Imaging subtypes reveal distinct biological substrates and disability profiles in multiple sclerosis: Cognitive performance and genetic risk scores for multiple sclerosis severity did not differ across subtypes, but within each subtype advancing SuStaIn stage was associated with worse global and domain-specific cognitive performance (all p≤0.030).
Evidence
- Peer-reviewedBrain2026-09-23
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Truvace Impact Record TRV-2026-1187, v1: “Imaging subtypes reveal distinct biological substrates and disability profiles in multiple sclerosis.” Truvace, 2026-09-26. /record/TRV-2026-1187 (accessed at citation time). sha256 30ac2f2e9b06ec71…
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