The modern approach to managing multiple sclerosis (MS) aims for No Evidence of Disease Activity (NEDA), focusing on no clinical relapses, no MRI disease activity, and no disability worsening. iQ-Solutions analyzes brain MRI scans in Digital Imaging and Communications in Medicine (DICOM) format and was developed using more than 8,500 brain scans annotated by trained neuroimaging analysts. In a validation study involving 397 MRI scan pairs from routine practice, the Al-based tool demonstrated higher sensitivity (93.3%) compared to standard radiology reports (58.3%) in detecting lesion activity, without significant loss of specificity. This Al tool also matched the performance of a core clinical trial imaging lab in measuring lesion activity and brain volume loss, a key biomarker of neurodegeneration in MS, suggesting that Al-enhanced imaging could significantly improve the precision of MS management.