Application of optical coherence tomography in multiple sclerosis: consensus recommendations of the Austrian network (AN-OCT-MS)

AI Generated Summary*

An Austrian expert network, using a modified nominal group technique with a predefined 80% agreement level, issued consensus recommendations on optical coherence tomography in multiple sclerosis. The panel agreed on four indications: supporting optic nerve involvement for dissemination in space, prognostic stratification of disability risk, quantifying damage at least three months after optic neuritis, and longitudinal monitoring. For monitoring, it gave no general recommendation, noting that experienced centers may use it within the clinical context. Standards for referral, device choice, scan protocol, quality control and reporting were also set. The authors state that the guidance rests on expert opinion rather than graded evidence, may not generalize beyond Austria, and leaves open whether imaging results should guide treatment.

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