From the Guidelines
The most appropriate MRI types for diagnosing and managing traumatic brain injuries include diffusion-weighted imaging, fluid-attenuated inversion recovery, fast field echo T2-weighted imaging, gradient-echo imaging, susceptibility-weighted imaging, diffusion tensor imaging, magnetic resonance spectroscopy, functional MRI, and magnetic source imaging, as they provide sensitive detection of structural and functional traumatic brain abnormalities. When considering the various MRI techniques, it's essential to note that recent improvements in MRI technology have decreased scan times and improved sensitivity for detecting traumatic brain injuries 1. Some of the key MRI types used in this context include:
- Diffusion-weighted imaging, which measures water molecule diffusion and is crucial for early detection of certain pathologies
- Fluid-attenuated inversion recovery, which suppresses cerebrospinal fluid signal while highlighting lesions
- Fast field echo T2-weighted imaging, which provides detailed images of brain structures
- Gradient-echo imaging, susceptibility-weighted imaging, and diffusion tensor imaging, which offer additional information on brain tissue and structure
- Magnetic resonance spectroscopy, functional MRI, and magnetic source imaging, which provide insights into brain function and metabolism. The choice of MRI type depends on the specific clinical question being investigated, and radiologists often use multiple sequences to provide comprehensive diagnostic information 1.