Temporal Lobe MRI Sequences
- Normal Scout/Localiser
- Sagittal Scout 3 sagittal FLASH images to help identify the line of the hippocampal grey matter.
- PD + T2 AXIAL
- T1 Isotropic MP-Rage (sagittal acquisition)
- T2 TSE Coronal
- FLAIR Coronal
- True IR Coronals
- True IR Axials
PD + T2 AXIAL Turbo spin echo (TSE) axials. 5 mm thick with 50% gap
T1 Isotropic MP-Rage (sagittal acquisition)
T2 TSE Coronal 3 mm slices 0.65mm resolution
FLAIR Coronal 5 mm slices 0.9 mm resolution FOV 230 mm
Optional Sequences
True IR Coronals
True IR Axials
TEMPORAL LOBE STUDY
Intended to detect temporal lobe lesions which are likely to be the root course of complex partial seizures which have not responded to medication. The films may provide planning information for partial or full temporal lobectomy. Lesions could include tumour, scar, infarct, miscellaneous gliotic change or mesial temporal sclerosis. The examination must also screen for other lesions in the brain.
Typical Indications
Orthodontic BracesTemporal lobe epilepsy (TLE) Complex partial seizures (CPS) Mesial temporal sclerosis (MTS) Short term memory loss (STM) Partial seizures Temporal focus on EEG
These are common in young TLE patients and will create substantial artefact even in axial views of the temporal lobes. Use the low susceptibility T1 sequence.
You may need to repeat the sequence with half the acquisitions, 100% phase oversampling, and the phase running S-I to shift braces artefact from the temporal lobes as the standard T1 uses a very low bandwidth.
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Stroke Follow Up MRI Protocol
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