Clinical Research

lab

Research at the Weill Cornell MS Center is supported by sophisticated clinical and MRI databases, novel study designs, and dedicated physician-scientists. Underlying much of this research is a commitment to combining clinical and imaging data to further our understanding of the disease course, validate novel MRI biomarkers and create treatment algorithms based upon predictive modeling.

One aspect that makes our research program especially distinct is the Weill Cornell MS Database. In a collaborative effort with a team consisting of neuroradiologists, computer scientists, physicists and clinicians from the MS Center, this platform manages longitudinal data on over 1,500 patients on an ongoing basis. The platform’s multi-modality imaging program, led by Dr. Susan Gauthier, incorporates both animal and human imaging, utilizing both MRI and Positron Emission Tomography (PET). With the infrastructure, platform and relationships in place, we are focused specifically on applying markers to the quantification of myelin and inflammation. By researching and validating novel imaging MS biomarkers and utilizing these imaging modalities to make discoveries regarding the ongoing pathological processes, we can further enhance our understanding of potential therapeutic targets.

New research projects focus on the mechanisms of cognitive impairment and novel imaging techniques. As novel therapeutics focused on repair and neuroprotection are developed for multiple sclerosis, the need for accurate markers to measure the disease is essential in order to translate these agents from the lab to clinical trials in patients with MS. Our imaging program is a novel multi-modality program for MS, which includes both MRI and Positron Emission Tomography (PET). We focus our efforts on developing new methods to measure ongoing myelin and nerve damage in patients with MS.


Weill Cornell MS Center Database

The Weill Cornell Demyelinating Disorders Database is an over 15-year study to help researchers and physicians learn more about how MS changes throughout a person’s life. The database includes demographic information (such as age, sex, and race), clinical information (such as MS medication type, disability status, and relapse information), and finally imaging information (specifically annual or semi-annual standard-of-care MRIs). Collecting this data allows the WCM MS researchers to study how factors like lesion type, lesion location, or various treatments affect the progression of MS across a diverse population. This knowledge supports the development of new imaging modalities, new treatments, and provides more clarity about this unpredictable disease. 

The Weill Cornell Demyelinating Disorders Database is supported by the Clinical and Translational Science Center (CTSC) at Weill Cornell Medical College. A secure online application (REDCap) designed exclusively to support data capture for research studies allows investigators to correlate clinical and epidemiological variables to specific MRI features of the disease.

If you are interested in joining the Weill Cornell MS Database, talk to your physician at your next appointment or give us a call at (646) 962-3515 and the research team will give you more information about the study and help you enroll.


Current Studies

Multiscale Multimodal Imaging and Cognition

This 5-year study, funded by the National Institutes of Health (NIH), aims to better understand the mechanisms underlying cognitive decline in Multiple Sclerosis (MS). Cognitive changes can vary greatly among people with MS, and this study hopes to better understand why these changes occur and how they progress over time.

To do this, we use several different types of brain scans: MRI, fMRI, and PET. MRI allows us to look at the physical structure of the brain and areas of damage caused by MS lesions. Functional MRI (fMRI) helps us see how different areas of the brain are working and communicating with one another. Finally, the PET scan uses a specialized tracer to look at inhibitory receptors in the brain, helping us understand the health of neurons and how changes in these receptors may relate to cognitive function. We combine what we learn from these scans with cognitive testing to understand how changes in the brain may be connected to changes in memory, attention, processing speed, and other thinking abilities over time.

Participants will complete annual brain imaging and cognitive testing, with a subset of participants also completing three PET scans over the course of the study. Ultimately, we hope this research will improve our understanding of how cognitive dysfunction develops in MS and help pave the way toward better methods for predicting, preventing, and treating cognitive decline.

The study is open to people with MS and people without MS ages 18–60. If you or someone you know is interested in learning more or participating, please call (646) 962-3515 or email Noel George at ntg4002@med.cornell.edu and ask about the cognition study!"

Weill Cornell Medicine Multiple Sclerosis Center 1305 York Ave., Second Floor New York, NY 10021