Advanced MRI to track nerve and visual pathway damage in multiple sclerosis

Imaging Neurodegeneration in Multiple Sclerosis

NIH-funded research Johns Hopkins University · NIH-11176874

Using advanced MRI and eye imaging to measure brain and optic nerve changes in people with multiple sclerosis so doctors can better predict who may get worse.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionJohns Hopkins University NIH-funded
Lab location1 site (Baltimore, United States)
Project IDNIH-11176874 on NIH RePORTER

What this research studies

We will use cutting-edge MRI methods (quantitative susceptibility mapping, quantitative T1 lesion mapping, multi-shell and tensor-valued diffusion MRI) to measure myelin, axons, and iron-related inflammation in the brain and visual pathways. These scans will be combined with retinal imaging (OCT and OCT angiography) and metabolic measures of oxygen use to link imaging findings to vision and clinical status. The team will follow people with MS, including those after optic neuritis and those with posterior visual pathway lesions, and compare imaging results with vision tests and clinical outcomes. The project aims to develop objective imaging markers that can help explain neurodegeneration and guide treatment choices.

Who could benefit from this research

Good fit: People with a diagnosis of multiple sclerosis, especially those who have had optic neuritis or known visual pathway lesions and who can undergo MRI and retinal imaging, are ideal candidates.

Not a fit: People without MS, or those who cannot undergo MRI (for example due to certain implants or severe claustrophobia), are unlikely to benefit or be eligible.

Why it matters

Potential benefit: If successful, these imaging markers could help doctors identify people with MS who are likely to worsen and choose more appropriate treatments earlier.

How similar studies have performed: The investigators have previously shown MRI and retinal imaging can detect trans-synaptic degeneration after optic neuritis and metabolic abnormalities in MS, while combining these advanced sequences for prediction is relatively new.

Where this research is happening

Baltimore, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.