scholarly journals P.127 Ultra-high field 7-Tesla magnetic resonance imaging and electroencephalography findings in epilepsy

2021 ◽  
Vol 48 (s3) ◽  
pp. S55-S56
Author(s):  
F Salehi ◽  
BY Kwan ◽  
SM Mirsattari ◽  
DH Lee ◽  
JG Burneo ◽  
...  
Keyword(s):  
Surgical Planning ◽  
7 Tesla ◽  
Resonance Imaging ◽  
Mri Findings ◽  
Ultra High Field ◽  
Eeg Abnormalities ◽  
Epileptic Spikes ◽  
Occipital Lobes ◽  
Clinical Mri

Background: Assessment of patients for temporal lobe epilepsy (TLE) surgery requires multimodality input, including EEG to ensure optimal surgical planning. Often EEG demonstrates abnormal foci not detected on clinical MRI. 7T MRI provides improved resolution and we investigated its utility to detect potential abnormalities associated with EEG. Methods: Images were acquired on 7T MRI scanner (N=13) in oatients with TLE. Evaluation of 7T imaging for focal abnormalities was performed. Correlation of 7T MRI findings with EEG of focal slowing or interictal epileptic spikes (IEDs) and seizures was performed. Results: Assessment of 7T MRI demonstrated concordance with TLE in 8/13 cases. Three cases exhibited abnormal 7T MRI abnormalities not detected by 1.5 T MRI. Eleven out of 13 cases had EEG findings without anatomic correlates on MRI, with IEDs localizing to contralateral temporal, frontal, and parieto-occipital lobes. 7T images did not reveal focal anatomical abnormalities to account for the EEG findings in these patients. Conclusions: To our knowledge, this is the first study to investigate the role of 7T MRI in relation to EEG abnormalities. 7T RI findings show concordance with clinical data. 7T MRI did not reveal anatomical findings to account for EEG abnormalities, suggesting that such changes may be functional rather than anatomical.

scholarly journals Brain and Spinal Cord MRI in Multiple Sclerosis: an Update

2017 ◽  
Vol 01 (04) ◽  
pp. E294-E306 ◽  
Author(s):  
Mike Wattjes ◽  
Peter Raab
Keyword(s):  
Multiple Sclerosis ◽  
Quantitative Mri ◽  
Central Vein ◽  
Resonance Imaging ◽  
Ultra High Field ◽  
Important Differential Diagnosis ◽  
Magnetic Resonance Imaging Mri ◽  
Near Future ◽  
Brain And Spinal Cord

AbstractMagnetic resonance imaging (MRI) plays an important role in the diagnosis of multiple sclerosis and has been incorporated into the McDonald diagnostic criteria for MS. In particular, for the exclusion of important differential diagnosis and comorbidities, new MRI markers have been established such as the “central vein sign”. In addition to diagnostic purposes, the role of MRI in MS monitoring is becoming increasingly important, particularly for pharmacovigilance. This includes treatment efficacy monitoring, prediction of treatment response and safety monitoring. Quantitative MRI methods and ultra-high-field MRI offer the opportunity for the quantitative assessment of damage in normal-appearing brain tissue. However, the standardization of these techniques with the goal of implementation in clinical routine will be one of the major challenges in the near future.

scholarly journals Role of magnetic resonance imaging in prediction of outcome in traumatic diffuse axonal injury: A single-centre observational study

2021 ◽  
Vol 18 (3) ◽  
pp. 39-43
Author(s):  
Suraj Thulung ◽  
Nikunj Yogi
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Observational Study ◽  
Axonal Injury ◽  
Diffuse Axonal Injury ◽  
Resonance Imaging ◽  
Unfavourable Outcome ◽  
Neurological Assessment ◽  
Mri Findings

Introduction: Incidence of diffuse axonal injury has been estimated at 40-50% of hospitalizations. Recently, much interest has been directed towards the potential of newer imaging sequences of magnetic resonance imaging to investigate diffuse axonal injury (DAI) and to prognosticate the outcome. In this study, we correlated the magnetic resonance imaging grades of diffuse axonal injury with clinical outcome in terms of Glasgow Outcome Scale (GOS). Methods and Materials: A hospital based observational study was carried out at Upendra Devkota Memorial National Institute of Neurological and Allied Sciences, Kathmandu in 69 patients of diffuse axonal injury between November 2017 to November 2018. Data was collected on patient and trauma characteristics, as well as neurological assessment and MRI findings. Outcome was assessed as favourable and unfavourable GOS for various MRI grades of diffuse axonal injury. Results: There were 21.74%, 42.03% and 36.23% of cases with grade I, II and III diffuse axonal injury respectively. There were 0 (0%), 2 (11.8%) and 15 (88.2%) cases of MRI grade I, II and III diffuse axonal injury in favourable GOS group and 15 (28.8%), 27 (51.9%) and 10 (19.2%) cases of MRI grade I, II and III diffuse axonal injury in unfavourable GOS group (p=0.00). Conclusion: This study showed that there was a significantly higher chance of unfavourable outcome with increasing MRI grades of diffuse axonal injury.

The Role of Magnetic Resonance Imaging in the Management of Peripheral Nerve Tumours

1997 ◽  
Vol 22 (1) ◽  
pp. 57-60 ◽  
Author(s):  
T. E. J. HEMS ◽  
P. D. BURGE ◽  
D. J. WILSON
Keyword(s):  
Peripheral Nerve ◽  
Surgical Planning ◽  
Nerve Trunk ◽  
High Signal ◽  
Resonance Imaging ◽  
Nerve Sheath ◽  
Lipofibromatous Hamartoma ◽  
Peripheral Nerve Tumours ◽  
Nerve Tumour

Fourteen cases of peripheral nerve tumour which had been examined by MRI were reviewed. T1-weighted images showed the tumours to be of intermediate signal and T2-weighted images showed a high signal with some heterogeneity. These appearances are not specific to peripheral nerve tumours, although the diagnosis may be suggested if the lesion arises from a major nerve trunk. The association with a nerve trunk may be defined by MRI, thus assisting with surgical planning. Neurilemmomas, neurofibromas and malignant nerve sheath tumours could not be differentiated with certainty using MR alone. The MR features of lipofibromatous hamartoma are reported.

scholarly journals P.063 Stereotactic targeting of hippocampal substructures using ultra-high field magnetic resonance imaging: Feasibility study in patients with epilepsy

2018 ◽  
Vol 45 (s2) ◽  
pp. S32-S33
Author(s):  
JC Lau ◽  
J DeKraker ◽  
KW MacDougall ◽  
H Joswig ◽  
AG Parrent ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Dentate Gyrus ◽  
High Field ◽  
Longitudinal Axis ◽  
The Body ◽  
7 Tesla ◽  
Resonance Imaging ◽  
Ultra High Field

Background: The hippocampus can be divided longitudinally into the head, body, and tail; and unfolded medial-to-laterally into the subiculum, cornu ammonis (CA) sectors, and the dentate gyrus. Ultra-high field (≥ 7 Tesla; 7T) magnetic resonance imaging (MRI) enables submillimetric visualization of these hippocampal substructures which could be valuable for surgical targeting. Here, we assess the feasibility of using 7T MRI in conjunction with a novel computational unfolding method for image-based stereotactic targeting of hippocampal substructures. Methods: 53 patients with drug-resistant epilepsy were identified undergoing first-time implantation of the hippocampus. An image processing pipeline was created for computationally transforming post-operative electrode contact locations into our hippocampal coordinate system. Results: Of 178 implanted hippocampal electrodes (88 left; 49.4%), 25 (14.0%) were predominantly in the subiculum, 85 (47.8%) were in CA1, 23 (12.9%) were in CA2, 18 (10.1%) were in CA3/CA4, and 27 (15.2%) were in dentate gyrus. Along the longitudinal axis, hippocampal electrodes were most commonly implanted in the body (92; 51.7%) followed by the head (86; 48.3%). Conclusions: 7T MRI enables high-resolution anatomical imaging on the submillimeter scale in in vivo subjects. Here, we demonstrate the utility of 7T imaging for identifying the relative location of SEEG electrode implantations within hippocampal substructures for the invasive investigation of epilepsy.

scholarly journals The Amsterdam Ultra-high field adult lifespan database (AHEAD): A freely available multimodal 7 Tesla submillimeter magnetic resonance imaging database

NeuroImage ◽  
2020 ◽  
Vol 221 ◽  
pp. 117200 ◽  
Author(s):  
Anneke Alkemade ◽  
Martijn J Mulder ◽  
Josephine M Groot ◽  
Bethany R Isaacs ◽  
Nikita van Berendonk ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
High Field ◽  
7 Tesla ◽  
Resonance Imaging ◽  
Ultra High Field ◽  
Adult Lifespan

scholarly journals Role of magnetic resonance imaging in pregnancy-associated obstetric and gynecological complications

2019 ◽  
Vol 50 (1) ◽  
Author(s):  
Gayathri Nagenthran ◽  
Rajeshwaran Rangasami ◽  
Anupama Chandrasekharan ◽  
Poovini Soundararajan ◽  
Usha Rani Godla
Keyword(s):  
Patient Management ◽  
Placenta Accreta ◽  
Postpartum Women ◽  
Histological Findings ◽  
Resonance Imaging ◽  
Mri Findings ◽  
Abruptio Placenta ◽  
Ectopic Pregnancies ◽  
In Pregnancy

Abstract Background To study the role of MRI in diagnosing pregnancy-associated obstetric and gynecological complications. We prospectively studied 48 pregnant and postpartum women, aged between 20 and 45 years, who were referred for MRI between August 2016 and April 2018 with suspected pregnancy-associated obstetric and gynecological complication. MRI findings were confirmed by intra-operative or histological findings. Results Out of the 48 patients, there were 32 women with suspected placenta accreta, 5 pregnant women with 6 ectopic pregnancies (1 patient had two gestational sacs), 3 with ovarian pathologies, 3 with uterine pathologies, 3 with abruptio placenta, and 2 with miscellaneous pathologies. In our study, there was an accuracy of 81.6% with sensitivity of 100% and specificity of 50%. There was 100% accuracy in predicting abruptio placenta, ovarian, uterine, and miscellaneous pathologies by MRI. There was 83.4% and 75% accuracy in predicting ectopic pregnancy and placenta accreta, respectively, by MRI. Conclusion MRI is very useful to diagnose pregnancy-associated obstetric and gynecological complications. It will be an important complementary tool to sonography and thereby facilitate better patient management.

Absence of abnormal vessels in the subarachnoid space on conventional magnetic resonance imaging in patients with spinal dural arteriovenous fistulas

2012 ◽  
Vol 32 (5) ◽  
pp. E15 ◽  
Author(s):  
Timothy R. Miller ◽  
Clifford J. Eskey ◽  
Alexander C. Mamourian
Keyword(s):  
Resonance Imaging ◽  
Mri Findings ◽  
Spinal Dural Arteriovenous Fistula ◽  
Arteriovenous Fistulas ◽  
Conventional Mri ◽  
Limited Experience ◽  
Dural Arteriovenous Fistulas ◽  
Uncommon Condition ◽  
Spinal Dural Arteriovenous Fistulas

Spinal dural arteriovenous fistula (DAVF) is an uncommon condition that can be difficult to diagnose. This often results in misdiagnosis and treatment delay. Although conventional MRI plays an important role in the initial screening for the disease, the typical MRI findings may be absent. In this article, the authors present a series of 4 cases involving patients with angiographically proven spinal DAVFs who demonstrated cord T2 prolongation on conventional MRI but without abnormal subarachnoid flow voids or enhancement. These cases suggest that spinal DAVF cannot be excluded in symptomatic patients with cord edema based on conventional MRI findings alone. Dynamic Gd-enhanced MR angiography (MRA) was successful in demonstrating abnormal spinal vasculature in all 4 cases. This limited experience provides support for the role of spinal MRA in patients with abnormal cord signal and symptoms suggestive of DAVF even when typical MRI findings of a DAVF are absent.

scholarly journals A Review on Potential Issues and Challenges in MR Imaging

2013 ◽  
Vol 2013 ◽  
pp. 1-10 ◽  
Author(s):  
Srinivasan Kathiravan ◽  
Jagannathan Kanakaraj
Keyword(s):  
Mr Imaging ◽  
High Field ◽  
Processing System ◽  
Imaging Systems ◽  
7 Tesla ◽  
Rf Coils ◽  
Resonance Imaging ◽  
Data Processing System ◽  
Ultra High Field ◽  
Noninvasive Technique

Magnetic resonance imaging is a noninvasive technique that has been developed for its excellent depiction of soft tissue contrasts. Instruments capable of ultra-high field strengths, ≥7 Tesla, were recently engineered and have resulted in higher signal-to-noise and higher resolution images. This paper presents various subsystems of the MR imaging systems like the magnet subsystem, gradient subsystem, and also various issues which arise due to the magnet. Further, it also portrays finer details about the RF coils and transceiver and also various limitations of the RF coils and transceiver. Moreover, the concept behind the data processing system and the challenges related to it were also depicted. Finally, the various artifacts associated with the MR imaging were clearly pointed out. It also presents a brief overview about all the challenges related to MR imaging systems.

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