scholarly journals Experimental Imaging Study of Encephalomalacia Fluid-Attenuated Inversion Recovery (FLAIR) Hyperintense Lesions in Posttraumatic Epilepsy

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Dan Wang ◽  
Kai Shang ◽  
Zheng Sun ◽  
Yue-Hua Li
Keyword(s):  
White Matter ◽  
Spatial Organization ◽  
Volume Fraction ◽  
Imaging Study ◽  
Inversion Recovery ◽  
Hyperintense Lesion ◽  
Posttraumatic Epilepsy ◽  
Neurite Density ◽  
Axonal Pathology ◽  
Fluid Attenuated Inversion Recovery

This study introduced new MRI techniques such as neurite orientation dispersion and density imaging (NODDI); NODDI applies a three-compartment tissue model to multishell DWI data that allows the examination of both the intra- and extracellular properties of white matter tissue. This, in turn, enables us to distinguish the two key aspects of axonal pathology—the packing density of axons in the white matter and the spatial organization of axons (orientation dispersion (OD)). NODDI is used to detect possible abnormalities of posttraumatic encephalomalacia fluid-attenuated inversion recovery (FLAIR) hyperintense lesions in neurite density and dispersion. Methods. 26 epilepsy patients associated with FLAIR hyperintensity around the trauma encephalomalacia region were in the epilepsy group. 18 posttraumatic patients with a FLAIR hyperintense encephalomalacia region were in the nonepilepsy group. Neurite density and dispersion affection in FLAIR hyperintense lesions around encephalomalacia were measured by NODDI using intracellular volume fraction (ICVF), and we compare these findings with conventional diffusion MRI parameters, namely, fractional anisotropy (FA) and apparent diffusion coefficient (ADC). Differences were compared between the epilepsy and nonepilepsy groups, as well as in the FLAIR hyperintense part and in the FLAIR hypointense part to try to find neurite density and dispersion differences in these parts. Results. ICVF of FLAIR hyperintense lesions in the epilepsy group was significantly higher than that in the nonepilepsy group ( P < 0.001 ). ICVF reveals more information of FLAIR(+) and FLAIR(-) parts of encephalomalacia than OD and FA and ADC. Conclusion. The FLAIR hyperintense part around encephalomalacia in the epilepsy group showed higher ICVF, indicating that this part may have more neurite density and dispersion and may be contributing to epilepsy. NODDI indicated high neurite density with the intensity of myelin in the FLAIR hyperintense lesion. Therefore, NODDI likely shows that neurite density may be a more sensitive marker of pathology than FA.

scholarly journals ANALISIS PERBEDAAN CITRA MRI BRAIN PADA SEKUENT1SE DAN T1FLAIR

SINERGI ◽  
2015 ◽  
Vol 19 (3) ◽  
pp. 206
Author(s):  
Nursama Heru Apriantoro ◽  
Christianni Christianni
Keyword(s):  
White Matter ◽  
Gray Matter ◽  
Spin Echo ◽  
Spinal Fluid ◽  
Inversion Recovery ◽  
Field Of View ◽  
Slice Thickness ◽  
Weighted Image ◽  
Mri Brain ◽  
Fluid Attenuated Inversion Recovery

MRI adalah bagian dari ilmu kedokteran untuk mediagnosa kelainan organ dengan memanfaatkan medan magnet dan pergerakan proton atom hidrogen. Salah satu pemeriksaan MRI adalah pemeriksaan brain. Pemeriksaan MRI brain dapat dilakukan T1 weighted image Spin Echo (T1 SE) atau T1 Fluid Attenuated Inversion Recovery (T1 FLAIR). Kajian dilakukan untuk menentukan perbedaan T1 SE dan T1 FLAIR dari segi citra berdasarkan nilai Rasio Signal terhadap Noise (SNR) dengan MRI GE Type Signa HD xt 1.5 Tesla. Penelitian menggunakan pendekatan kuantitatif.  20 pasien  telah diambil pada pemeriksaan MRI brain pada potongan axial, dengan parameter T1 SE potongan axial dengan parameter Time Repetition (TR) 700 ms, Time Echo (TE) 20 ms, Field of View (FOV) 240 mm, Slice Thickness 5,0 mm, Spacing 1,0 mm, Number of Excitations (NEX) 1, Phase 224, dan total slice 20. T1 FLAIR  parameter TR 3000 ms, TE 13,9 ms, TI 920 ms, FOV 240 mm, slice thickness 5,0 mm, spacing 1,0 mm,   NEX 1, phase 224, dan total slice 20. SNR dihitung pada anatomi brain meliputi CSF (Cerebro Spinal Fluid), White Matter dan Gray Matter. Hasil penelitian kedua sequence tersebut menunjukkan bahwa sequence T1 SE lebih baik daripada sequence T1 FLAIR.

Signal intensity pattern of the normal oculomotor nerve on contrast-enhanced 3D FLAIR at 3.0 T MRI

2020 ◽  
pp. 197140092097091
Author(s):  
Thiparom Sananmuang ◽  
Chanonporn Boonsiriwattanakul ◽  
Theeraphol Panyaping
Keyword(s):  
White Matter ◽  
Signal Intensity ◽  
Intensity Ratio ◽  
Grey Matter ◽  
Three Dimensional ◽  
Oculomotor Nerve ◽  
Inversion Recovery ◽  
Signal Intensity Ratio ◽  
Contrast Enhanced ◽  
Fluid Attenuated Inversion Recovery

Purpose The aim of this study was to depict the signal intensity pattern of the normal oculomotor nerve demonstrated on contrast-enhanced three-dimensional fluid-attenuated inversion recovery images. Materials and methods Eighty-one patients were included in the study. Contrast-enhanced three-dimensional fluid-attenuated inversion recovery images with magnetisation-prepared rapid acquisition were reconstructed and evaluated in the coronal plane. The signal intensity of the cisternal segment of the oculomotor nerve was graded into a visual scale of 1 to 5 as compared to the white matter, grey matter and the pituitary stalk. The signal intensity ratio of the oculomotor nerve was consequently measured. Results By using the visual scale, more than half of the oculomotor nerves showed higher signal intensity than the grey matter signal on contrast-enhanced three-dimensional fluid-attenuated inversion recovery images (59.3–80.2%). It can demonstrate a signal intensity similar to the pituitary stalk (14.8%) by visualisation. None of them showed signal intensity equal to the normal white matter signal. By signal intensity measurement, the mean signal intensity ratio of oculomotor nerves to white matter equals 1.54±0.20 (95% confidence interval (CI) 1.51–1.57); mean signal intensity ratio to grey matter equals 1.16±0.15 (95% CI 1.14–1.18); mean signal intensity ratio to the pituitary stalk equals 0.68±0.10 (95% CI 0.64–0.70). Conclusions The normal oculomotor nerve visualised on contrast-enhanced three-dimensional fluid-attenuated inversion recovery images has a higher signal intensity than the white matter and may have a signal intensity similar to the grey matter or the pituitary stalk. The high signal intensity of the oculomotor nerve in contrast-enhanced three-dimensional fluid-attenuated inversion recovery should not be misinterpreted as a pathology.

scholarly journals Automated White Matter Hyperintensity Detection in Multiple Sclerosis Using 3D T2 FLAIR

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Yi Zhong ◽  
David Utriainen ◽  
Ying Wang ◽  
Yan Kang ◽  
E. Mark Haacke
Keyword(s):  
Multiple Sclerosis ◽  
White Matter ◽  
Gray Matter ◽  
Signal Intensity ◽  
High Spatial Frequency ◽  
Inversion Recovery ◽  
White Matter Hyperintensity ◽  
Mr Images ◽  
Automated Algorithm ◽  
Fluid Attenuated Inversion Recovery

White matter hyperintensities (WMH) seen on T2WI are a hallmark of multiple sclerosis (MS) as it indicates inflammation associated with the disease. Automatic detection of the WMH can be valuable in diagnosing and monitoring of treatment effectiveness. T2 fluid attenuated inversion recovery (FLAIR) MR images provided good contrast between the lesions and other tissue; however the signal intensity of gray matter tissue was close to the lesions in FLAIR images that may cause more false positives in the segment result. We developed and evaluated a tool for automated WMH detection only using high resolution 3D T2 fluid attenuated inversion recovery (FLAIR) MR images. We use a high spatial frequency suppression method to reduce the gray matter area signal intensity. We evaluate our method in 26 MS patients and 26 age matched health controls. The data from the automated algorithm showed good agreement with that from the manual segmentation. The linear correlation between these two approaches in comparing WMH volumes was found to beY=1.04X+1.74  (R2=0.96). The automated algorithm estimates the number, volume, and category of WMH.

scholarly journals Reduction of CSF Flow Artifact in Fast Fluid Attenuated Inversion Recovery MR Imaging : Study of Excitation Width in 180゜ Inversion Pulse

1998 ◽  
Vol 54 (10) ◽  
pp. 1234-1240 ◽  
Author(s):  
TOSHIO TSUCHIHASHI ◽  
ISAO FUJITA ◽  
SATOSHI YOSHIZAWA ◽  
TOSHIO MAKI ◽  
MATSUO KITAGAWA ◽  
...  
Keyword(s):  
Mr Imaging ◽  
Imaging Study ◽  
Inversion Recovery ◽  
Inversion Pulse ◽  
Csf Flow ◽  
Fluid Attenuated Inversion Recovery ◽  
Flow Artifact

scholarly journals Multiple sclerosis: High prevalence of the ‘central vein’ sign in white matter lesions on susceptibility-weighted images

2018 ◽  
Vol 31 (4) ◽  
pp. 356-361 ◽  
Author(s):  
Gianvincenzo Sparacia ◽  
Francesco Agnello ◽  
Angelo Gambino ◽  
Martina Sciortino ◽  
Massimo Midiri
Keyword(s):  
Multiple Sclerosis ◽  
White Matter ◽  
Magnetic Resonance ◽  
Small Vessel Disease ◽  
White Matter Lesions ◽  
Magnetic Resonance Images ◽  
Inversion Recovery ◽  
Central Vein ◽  
Fluid Attenuated Inversion Recovery ◽  
The Difference

Purpose The aim of this study was to determine the occurrence and distribution of the ‘central vein’ sign in white matter lesions on susceptibility-weighted magnetic resonance images in patients with multiple sclerosis (MS) and cerebral small vessel disease (CSVD). Materials and methods T2-weighted and fluid-attenuated inversion recovery magnetic resonance images of 19 MS patients and 19 patients affected by CSVD were analysed for the presence and localisation of focal hyperintense white matter lesions. Lesions were subdivided into periventricular or non-periventricular (juxtacortical, subcortical, deep white matter and cerebellar) distributed. The number and localisation of lesions presenting with the central vein sign were recorded and compared between MS and CSVD lesions. Results A total of 313 MS patients and 75 CSVD lesions were identified on T2-weighted and fluid-attenuated inversion recovery magnetic resonance images. The central vein sign was found in 128 MS lesions (40.9%), and the majority of them (71/128, 55.5%) had a periventricular distribution. The central vein sign was found in 22 out of 75 (29.3%) CSVD lesions, and periventricular distribution was seen in six out of 22 (27.2%) CSVD lesions. The difference in the proportion of white matter hyperintense lesions that presented with the central vein sign on susceptibility-weighted images in patients with MS and CSVD was statistically different, and a significantly higher number of MS patients presented with lesions with the central vein sign compared to CSVD patients. Conclusion The presence of the central vein sign on susceptibility-weighted images for MS lesions improves the understanding of the periventricular distribution of MS lesions and could contribute as adjunctive diagnostic criteria for MS disease.

Sign in / Sign up

Export Citation Format

Share Document