@Beefree 

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Beefree

Brain lesion atrophy

Hi everyone The results from a recent MRI showed no new lesions and that several existing lesions had faded. I wasn't sure how common 'fading' lesions are and how to interpret the implications. I came across this article reporting on a five and ten year study, which found that lesion atrophy is a better predictor of disability progression over the long term than new and/or enlarged lesions. That atrophied brain lesions are a more robust predictor of disability progression than whole brain atrophy https://multiplesclerosisnewstoday.com/2018/06/07/atrophy-brain-lesions-predicts-disability-ms-study-finds/ I'm unfamiliar with some of the terminology nuances and would be grateful for information and clarification that others might share. My questions are: - Is fading used interchangeably with shrinking? - Is lesion atrophy visible on an MRI? - Is cerebrospinal fluid visible on MRI? The article mentions lesions being replaced by this. The researchers suggest that accelerated volume of brain lesion atrophy might be a new imaging biomarker, which is very interesting. I do have some worry that my 'fading' lesions' might not be the good news I thought. I'm going to drop my neurologist a line, but interested in any information people might share in the meantime, or to hear from anyone who has also had fading lesions. Thanks
@MamaWals

Interesting article but I also don’t really understand it. Maybe someone on here can explain it? Does this mean lesions fading is a bad thing?

@californiadreamin

@beefree I have read that article many times and wondered many of the things you are wondering. How do you classify your ms? Ppms, rmms, spms? My sense is fading lesions with rmms seem like to be good. With longer term ppms more likely to be bad but this just a high level guess on how I interpret it.