Lack of change in lesion volume and susceptibility in paramagnetic vs non-paramagnetic rim lesions. Paramagnetic rim lesions (PRL) and non-PRL average adjusted log-lesion volume over time (a) and magnetic susceptibility, derived from quantitative susceptibility mapping (QSM) (b) in treated and untreated cases. The average log-lesion volume and susceptibility were higher in PRL when compared with non-PRL (multivariable linear mixed model, p < 0.0001). There was no significant treatment effect for PRL or non-PRL average adjusted log-lesion volume (multivariable linear mixed model, p = 0.68). Average susceptibility slightly decreased over time in both treated and untreated non-PRL (multivariable linear mixed model, p < 0.0001 and p = 0.006, respectively) but not in treated and untreated PRL (multivariable linear mixed model, p = 0.18). Abbreviations: PRL, paramagnetic rim lesions; treated/untreated, treated/untreated with anti-CD20 antibody therapy; ppm, parts per million.