Multi-modal MRI for personalised MS progression prediction

Dr Oun Al-iedani

The University of Newcastle, NSW

March 2025
Specialisation: Neurobiology

focus area: Better treatments

funding type: Fellowship

project type: Investigator Led Research

Summary

Despite substantial improvements in treatments that prevent relapses and lesion formation, people with multiple sclerosis (MS) are still unable to predict how their disease will progress and the level of disability they will face in the future.

Dr Oun Al-iedani and his team aim to develop a computational model that predicts the progression of MS, using artificial intelligence (AI)-based computational model that uses magnetic resonance imaging (MRI) scans and clinical measures of MS symptoms from 153 people with MS to better predict disease progression and identify the most informative MRI methods. The resulting tool will support clinicians and people with MS in making informed decisions about future care, with the potential to improve treatment effectiveness and disease management.

Progress

Dr Al-iedani and his team have been using advanced brain scanning technology and computer analysis to develop a new tool that can help predict how MS will progress for each individual. This is a unique model that can compare normal ageing with neurodegeneration in MS over 10 years.

The research team is following a large group of people with MS over 10 years, collecting detailed brain scans and clinical assessments at regular intervals. The brain scans include three different types of MRI:

  • one that measures the size and structure of brain regions
  • one that detects chemical changes in brain tissue, and
  • one that examines the microscopic nerve fibres connecting different parts of the brain.

Together, these scans provide a comprehensive picture of how MS is affecting the brain at multiple levels simultaneously.

Since the project began, the team has designed the study protocol, obtained all necessary ethics approvals, and successfully recruited and scanned 80 people with MS and 19 people without MS. Each participant has undergone a full multi-modal MRI scanning session and completed a range of tests measuring thinking ability, memory, disability, fatigue, and mood.

Over the next year, Dr Al-iedani and his team will analyse the data collected from study participants, comparing the MRI scans of people with MS to those without MS. They will also recruit an additional 20 participants without MS to the project.

Developing a tool that can predict MS progression for individuals will help clinicians identify who is at greatest risk of cognitive decline and disability progression, allowing for earlier, personalised treatment plans. It will also assist people with MS and their families to make more informed and proactive decisions about employment, housing, family planning and long-term care.

Updated 31 March 2026 

lead investigator

co-investigators

funding partner

MSWA

total funding

$225,000

start year

2025

duration

3 years

STATUS

Current project

Stages of the research process

Fundamental laboratory Research

Laboratory research that investigates scientific theories behind the possible causes, disease progression, ways to diagnose and better treat MS.

Lab to clinic timeline

10+ years

Translational Research

Research that builds on fundamental scientific research to develop new therapies, medical procedures or diagnostics and advances it closer to the clinic.

Lab to clinic timeline

5+ years

Clinical Studies and Clinical Trials

Clinical research is the culmination of fundamental and translational research turning those research discoveries into treatments and interventions for people with MS.

Lab to clinic timeline

3+ years

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Multi-modal MRI for personalised MS progression prediction