Targeted MRI (tMRI) of Small Increases in the T1 of Normal Appearing White Matter in Mild Traumatic Brain Injury (mTBI) Using a Divided Subtracted Inversion Recovery (dSIR) Sequence
Open Access
- 14 December 2023
- journal article
- research article
- Published by LIDSEN Publishing Inc in OBM Neurobiology
- Vol. 07 (04) , 1-27
Abstract
In modelling studies targeted MRI (tMRI) of small increases in the T1 of tissues using divided Subtracted Inversion Recovery (dSIR) sequences show ten or more times the contrast seen with conventional IR sequences. This may be particularly useful in imaging normal appearing white matter where there may be small changes in T1 and/or T2 in disease but these changes may be insufficient to produce useful contrast with conventional T2-weighted spin echo (T2-wSE) and T2-FLuid Attenuated Inversion Recovery (T2-FLAIR) sequences. In a case of recurrent mild Traumatic Brain Injury (mTBI), very extensive high contrast abnormalities were seen in white matter using a dSIR sequence that targeted small increases in T1 in areas where no abnormality was apparent with T2-wSE or T2-FLAIR sequences. The increases in T1 may be due to neuroinflammation and/or degeneration which produces the abnormalities seen on the dSIR images. tMRI of normal appearing white matter may have widespread application in clinical MRI of the brain.Keywords
This publication has 11 references indexed in Scilit:
- Improving the understanding and performance of clinical MRI using tissue property filters and the central contrast theorem, MASDIR pulse sequences and synergistic contrast MRIQuantitative Imaging in Medicine and Surgery, 2022
- Traumatic brain injury over the past 20 years: research and clinical progressThe Lancet Neurology, 2022
- Neuroinflammation Following Traumatic Brain Injury: Take It Seriously or NotFrontiers in Immunology, 2022
- A taxonomy of the brain’s white matter: twenty-one major tracts for the 21st centuryCerebral Cortex, 2022
- Identifying degenerative effects of repetitive head trauma with neuroimaging: a clinically-oriented reviewActa Neuropathologica Communications, 2021
- Understanding neurodegeneration after traumatic brain injury: from mechanisms to clinical trials in dementiaJournal of Neurology, Neurosurgery & Psychiatry, 2019
- Traumatic brain injury: integrated approaches to improve prevention, clinical care, and researchThe Lancet Neurology, 2017
- Neuroinflammation in traumatic brain injury: A chronic response to an acute injuryBrain Circulation, 2017
- A Review of Neuroimaging Findings in Repetitive Brain TraumaBrain Pathology, 2015
- Quantitative magnetic resonance imaging in multiple sclerosis: the effect of high dose intravenous methylprednisolone.Journal of Neurology, Neurosurgery & Psychiatry, 1989