Abstract
In Reply.— The American Medical Association's Council on Scientific Affairs has no argument with Dr Kaminski's statements, as we believe they are in agreement with the Council's article on MRI of the central nervous system. The Council states that MRI is the imaging technology of choice in multiple sclerosis, but does not imply that it should be the sole determinant in the diagnosis of this condition. For patients of any age, criteria for ordering an MRI examination should certainly extend beyond dizziness and a single past episode of blurred vision. Patients may not qualify for a clinically indicated MRI examination for several reasons, including an inability to remain still during the examination, uncontrolled claustrophobic reaction, and the presence of life-support apparatus or a cardiac pacemaker. For these patients, alternate imaging technologies obviously are required. The Council did not consider it necessary to elaborate on this issue for each clinical application
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