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AAPM 2025 - 67th Annual Meeting & Exhibition of the American Association of Physicists in Medicine

Quantitative Susceptibility MR Imaging Developed to Monitor Multiple Sclerosis

By MedImaging International staff writers
Posted on 05 Jun 2014

Image: Dr. Ravi Menon, an imaging scientist at Western University’s Robarts Research Institute, used quantitative susceptibility MRI to show and measure damage in specific areas of the brain, which the study showed to be common to all MS and clinically isolated syndrome (CIS) patients (Photo courtesy of Western University).

Canadian imaging investigators have developed a better way to monitor the progression of multiple sclerosis (MS) at its earliest stages.

Led by Ravi Menon, PhD, from Western University’s Robarts Research Institute (London, Canada), the researchers used a new application called quantitative susceptibility (QS) magnetic resonance imaging (MRI), to gauge impairment in specific areas of the brain that the study showed to be common to all patients. The findings were published online May 28, 2014, in the journal Radiology.

“In MS research, there is something we call a clinical-radiological paradox. When you do conventional MRIs on these patients you see lesions in the brain very clearly, but the number or volume of their lesions do not correlate with the patients’ disabilities. This paradox has been recognized since the MRI was introduced to clinical practice in the early 80s, and yet this is the only imaging tool we have for assessing MS,” said Dr. Menon. “Our research provides a quantitative tool using a relatively conventional imaging sequence but with novel analysis. This tool shows that there is considerable damage occurring in common areas of all patients in both the white matter and in the deep brain structures—the gray matter. Those quantitative measures—what we call quantitative susceptibility—correlate with disease symptoms.”

The process used a conventional Siemens Healthcare (Erlangen, Germany) 3T MRI system so that it could be reproduced in any hospital, using the technique, called QS. The researchers mapped this MRI parameter in 25 patients with relapsing-remitting MS or clinically isolated syndrome (CIS; half of those diagnosed with CIS will go on to be diagnosed with MS) measuring both demyelination and iron deposition. Fifteen age- and sex-matched control study participants were also scanned. Whereas brain and spine lesions visualized with traditional MRI scanning tend to appear and disappear over time, QS revealed common areas of damage in all patients that correlated very well with the extended disability status score (EDSS), which is a standard approach used to measure MS progression, as well as with age and time since diagnosis.

“Significantly, in white matter, even where we see no lesions whatsoever, we’re able to measure damage in the same area of all patients using QS mapping. So even at the very earliest stages of the disease when the disability score is very low, or when the person hasn’t yet been diagnosed with MS, there’s already significant damage,” added Dr. Menon. This could have important diagnostic and prognostic implications, as there are drugs available to slow or stop the progression of MS, if initiated early enough.

Related Links:
Western University’s Robarts Research Institute
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60 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752854 AND published='1' LIMIT 1

61 (149.01161193848): select cover from jos_number where journalid in (5) and cover is not null order by left(issue,2)+right(issue,2)*12 desc limit 1

62 (641.82281494141): SELECT fid FROM jos_deeppockets WHERE id=294752854 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294752854 AND published='1' LIMIT 1

63 (451.08795166016): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=212 ORDER BY `ordering`

64 (91.075897216797): select jos_twitters.link from jos_twitters where cat=10

65 (44.107437133789): select jos_facebook.link from jos_facebook where cat=10

66 (40.054321289062): select jos_google_plus.link from jos_google_plus where cat=10

67 (39.100646972656): select jos_linkedin.link from jos_linkedin where cat=10

68 (41.007995605469): SELECT fid FROM jos_deeppockets WHERE id=294752854 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294752854 AND published='1' LIMIT 1

69 (52.928924560547): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=212 ORDER BY `ordering`

70 (413.17939758301): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294752854 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (302.07633972168): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294752854 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (41.961669921875): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (68.902969360352): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (52.928924560547): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294752854 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (32.186508178711): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294752854 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (43.153762817383): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (56.982040405273): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (64.849853515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752854 AND published='1' LIMIT 1

105 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752854 AND published='1' LIMIT 1

106 (48.87580871582): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294752854 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (46.014785766602): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294752854 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752854 AND published='1' LIMIT 1

109 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752854 AND published='1' LIMIT 1

110 (46.968460083008): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294752854 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (584.84077453613): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294752854 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (576.97296142578): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (398.87428283691): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (95.129013061523): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752854 AND published='1' LIMIT 1

115 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752854 AND published='1' LIMIT 1

116 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752854 AND published='1' LIMIT 1

117 (39.100646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752854 AND published='1' LIMIT 1

118 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752854 AND published='1' LIMIT 1

119 (43.153762817383): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752854 AND published='1' LIMIT 1

120 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752854 AND published='1' LIMIT 1

121 (128.98445129395): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752854 AND published='1' LIMIT 1

122 (471.83036804199): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294752854 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294752854 AND type='deeppockets_item' AND published='1' LIMIT 1

123 (!!!!! 7259.1304779053): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

124 (86.069107055664): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

125 (44.107437133789): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

126 (30.994415283203): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

127 (36.001205444336): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

128 (30.994415283203): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

129 (286.10229492188): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

130 (61.988830566406): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

131 (39.100646972656): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

132 (28.848648071289): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

133 (452.04162597656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752854 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (303.98368835449): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752854 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (221.01402282715): SELECT name FROM jos_deeppockets WHERE id=212

136 (50.067901611328): SELECT name FROM jos_deeppockets WHERE id=212

137 (574.11193847656): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

138 (530.00450134277): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

139 (90.837478637695): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752854 AND published='1' LIMIT 1

140 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752854 AND published='1' LIMIT 1

141 (374.07875061035): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752854 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

142 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752854 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

143 (60.796737670898): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752854 AND published='1' LIMIT 1

144 (49.829483032227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752854 AND published='1' LIMIT 1

145 (!!!!! 1229.0477752686): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

146 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752854 AND published='1' LIMIT 1

147 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752854 AND published='1' LIMIT 1

148 (41.007995605469): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294752854 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294752854 AND type='deeppockets_item' AND published='1' LIMIT 1

149 (44.107437133789): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=212 or channel_id is null)

150 (40.054321289062): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=212 or channel_id is null)

151 (89.883804321289): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

152 (!!!!! 3040.075302124): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752854 AND published='1' LIMIT 1

153 (96.08268737793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752854 AND published='1' LIMIT 1

154 (!!!!! 1916.8853759766): select jos_twitters.link from jos_twitters where cat=10

155 (67.949295043945): select jos_facebook.link from jos_facebook where cat=10

156 (46.014785766602): select jos_google_plus.link from jos_google_plus where cat=10

157 (32.901763916016): select jos_linkedin.link from jos_linkedin where cat=10

158 (262.97569274902): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

159 (!!!!! 1004.2190551758): insert into jos_banners_delta values (14615,'2025-06-24 02:02:43','216.73.216.120','view'),(14202,'2025-06-24 02:02:43','216.73.216.120','view'),(14203,'2025-06-24 02:02:43','216.73.216.120','view')

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