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Category 1 Credit

  1. Complete the CME case-based lesson (each question must be answered correctly).
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  3. Complete the credit and evaluation form.
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Technical Requirements

Pitfalls in the Diagnosis of Multiple Sclerosis

Single Radiological Lesion

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Release Date:   June 20, 2018
Expiration Date:   June 20, 2020

Estimated Time of Completion:   45 minutes

Description

The signs and symptoms associated with multiple sclerosis, the varied aspects of disease progression, lack of specific biomarkers, and difficult-to-interpret imaging results often lead to diagnostic errors, both misdiagnosis and under diagnosis. With MS, these errors can lead to unnecessary and potentially harmful risks to patients from treatment strategies that are based on incorrect diagnoses. Pitfalls in the Diagnosis of Multiple Sclerosis Case-Based Series will discuss the criteria for diagnosis and review of guidelines to improve diagnosis rates ultimately, improving patient care.

This case, Single Radiological Lesion, will discuss the McDonald's criteria and management of a single radiological lesion on MRI.

Learning Objectives

  1. Apply the McDonald’s criteria for the diagnosis of multiple sclerosis.
  2. Describe the predictors of risk of conversion from clinically isolated syndrome to the diagnosis of multiple sclerosis.
  3. Discuss the management of a single radiological lesion on MRI.

Target Audience

The educational activity is intended for neurologists, neurology residents, neuroimmunology fellows, and allied health professionals, including nurse practitioners and physician assistants.

Accreditation

The Cleveland Clinic Foundation Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Cleveland Clinic Foundation Center for Continuing Education designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Participants claiming CME credit from this activity may submit the credit hours to the American Osteopathic Association for Category 2 credit.

Activity Director and Faculty

Activity Director

Alexander D. Rae-Grant, MD
Mellen Center for Multiple Sclerosis Treatment and Research
Cleveland Clinic
Cleveland, OH

Faculty

Le Hua, MD
Cleveland Clinic Lou Ruvo Center for Brain Health
Las Vegas, NV

CME Disclaimer

The information in this educational activity is provided for general medical education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options of a specific patient's medical condition. The viewpoints expressed in this CME activity are those of the authors/faculty. They do not represent an endorsement by The Cleveland Clinic Foundation. In no event will The Cleveland Clinic Foundation be liable for any decision made or action taken in reliance upon the information provided through this CME activity.

Disclosures

In accordance with the Standards for Commercial Support issued by the Accreditation Council for Continuing Medical Education (ACCME), The Cleveland Clinic Foundation Center for Continuing Education requires resolution of all faculty conflicts of interest to ensure CME activities are free of commercial bias.

The following faculty has indicated that she may have a relationship which, in the context of her presentation, could be perceived as a potential conflict of interest:


Le Hua, MD
  Biogen Idec; EMD Serono, Inc.; Teva Pharmaceuticals Teaching and Speaking
  Genentech Consulting
  Genzyme/Sanofi; Novartis Pharmaceuticals Consulting; Teaching and Speaking

The following faculty has indicated that he has no relationship which, in the context of his presentation, could be perceived as a potential conflict of interest:

Alexander D. Rae-Grant, MD

All other planners, CME staff, and content reviewers, have no relevant financial relationships to disclose.

The Cleveland Clinic Foundation Center for Continuing Education
acknowledges educational grants for partial support of this activity from:

Abbvie, Inc.
Biogen
Genzyme Corporation

This CME activity was produced by Cleveland Clinic
Center for Continuing Education and
Cleveland Clinic's Mellen Center for Neurology Treatment and Research.