Magnetic resonance imaging of the brain

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MRI of Brain
Cross-sectional T1-weighted MRI of a healthy human brain acquired with an ultra high-field MR of 7 Tesla field strength
ICD-10-PCSB030ZZZ
ICD-9-CM88.91
OPS-301 code3-800, 3-820

Magnetic resonance imaging of the brain uses

.

History

The first MR images of a human brain were obtained in 1978 by two groups of researchers at

A 'Jedi' helmet, on display at the Science Museum:Medicine:The Wellcome Galleries

In the early 1980s to the early 1990s, 'Jedi' helmets, inspired by the 'Return of the Jedi' Star Wars film, were sometimes worn by children in order to obtain good image quality. The copper coils of the helmet were used as a radio aerial to detect the signals while the 'Jedi' association encouraged children to wear the helmets and not be frightened by the procedure. These helmets were no longer needed as MR scanners improved.

In the early 1990s, Peter Basser and Le Bihan, working at

arterial spin labeling.[11] In 1997, Jürgen R. Reichenbach, E. Mark Haacke and coworkers at Washington University in St. Louis developed Susceptibility weighted imaging.[12]

The first study of the human brain at 3.0 T was published in 1994,[13] and in 1998 at 8 T.[14] Studies of the human brain have been performed at 9.4 T (2006)[15] and up to 10.5 T (2019).[16]

Paul Lauterbur and Sir Peter Mansfield were awarded the 2003 Nobel Prize in Physiology or Medicine for their discoveries concerning MRI.

This axial T2-weighted (CSF white) MR scan shows a normal brain at the level of the lateral ventricles.

The record for the highest spatial resolution of a whole intact brain (postmortem) is 100 microns, from Massachusetts General Hospital. The data was published in Scientific Data on 30 October 2019.[17][18]

Applications

One advantage of MRI of the brain over

pituitary imaging.[20] It may however be less effective at identifying early cerebritis.[21]

In the case of a concussion, an MRI should be avoided unless there are progressive neurological symptoms, focal neurological findings or concern of skull fracture on exam.[22] In the analysis of a concussion, measurements of Fractional Anisotropy, Mean Diffusivity, Cerebral Blood Flow, and Global Connectivity can be taken to observe the pathophysiological mechanisms being made while in recovery.[23]

In analysis of the fetal brain, MRI provides more information about gyration than ultrasound.[24]

MRI is sensitive for the detection of brain abscess.[25]

A number of different imaging modalities or

sequences
can be used with imaging the nervous system:

False color MRI by applying red to T1, green to PD and blue to T2.

Diagnostic Usage

MRI of the brain and head has multiple diagnostic usages, including identifying aneurysms, strokes, tumors and other brain injury.[30] In many diseases, such as Parkinson's or Alzheimer's, MRI is useful to help differentially diagnose against other diseases.[31][32] On the topic of diagnosis, MRI data has been used with deep learning networks to identify brain tumors.[33]

See also

Gallery

  • Brain regions on T1 MRI
    Brain regions on T1 MRI
  • T1 (note CSF is dark) with contrast (arrow pointing to meningioma of the falx)
    T1 (note CSF is dark) with contrast (arrow pointing to meningioma of the falx)
  • Normal axial T2-weighted MR image of the brain
    Normal axial T2-weighted MR image of the brain
  • MRI image of the surface of the brain.
    MRI image of the surface of the brain.

References

  1. ^ "Britain's brains produce first NMR scans". New Scientist: 588. 1978.
  2. ^ "Blood-flow checker". Popular Science: 12. 1987.
  3. ^ Le Bihan D, Breton E (1987). "Method to Measure the Molecular Diffusion and/or Perfusion Parameters of Live Tissue". US Patent # 4,809,701.
  4. S2CID 41228095
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  5. . Retrieved 10 June 2015.
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  17. ^ "100-Hour-Long MRI of Human Brain Produces Most Detailed 3D Images Yet". 10 July 2019.
  18. ^ "Team publishes on highest resolution brain MRI scan".
  19. . Retrieved 18 July 2011.
  20. . Retrieved 24 July 2011.
  21. . Retrieved 18 July 2011.
  22. ABIM Foundation
    , American Medical Society for Sports Medicine, retrieved 29 July 2014
  23. PMID 28280686.{{cite journal}}: CS1 maint: multiple names: authors list (link
    )
  24. . Retrieved 24 July 2011.
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  26. . Retrieved 18 July 2011.
  27. . Retrieved 18 July 2011.
  28. . Retrieved 18 July 2011.
  29. . Retrieved 18 July 2011.
  30. ^ "MRI - Mayo Clinic". www.mayoclinic.org. Retrieved 2023-12-22.
  31. PMID 28378231
    .
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