Task: Answer Verification
Input (English): Question: Does mR spectroscopy indicate diffuse multiple sclerosis activity during remission?
Answer: The absence of early tissue atrophy and apparent axonal dysfunction (NAA loss) in these RR MS patients suggests that both are preceded by diffuse glial proliferation (astrogliosis), as well as possible inflammation, demyelination and remyelination reflected by elevated mI, Cho and Cr, even during clinical remission and despite immunomodulatory treatment.
Output (English): yes