The value of double inversion recovery MRI sequence in assessment of epilepsy patients

Background The double inversion recovery (DIR) pulse sequence was introduced several years ago and since that it grew important value in clinical neuroimaging. We aimed to assess the added value of double inversion recovery in evaluation of epileptic patients. Results In mesial temporal sclerosis, t...

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Veröffentlicht in:Egyptian Journal of Radiology and Nuclear Medicine 2021-09, Vol.52 (1), p.241-7, Article 241
Hauptverfasser: Aly, Mohamed Abdelbar Abdelmaksoud, Saleh, Tarek Mohamed, Elfatatry, Amr Mohamed Ahmed, Montasser, Moataz Mohamed
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container_title Egyptian Journal of Radiology and Nuclear Medicine
container_volume 52
creator Aly, Mohamed Abdelbar Abdelmaksoud
Saleh, Tarek Mohamed
Elfatatry, Amr Mohamed Ahmed
Montasser, Moataz Mohamed
description Background The double inversion recovery (DIR) pulse sequence was introduced several years ago and since that it grew important value in clinical neuroimaging. We aimed to assess the added value of double inversion recovery in evaluation of epileptic patients. Results In mesial temporal sclerosis, the measured contrast parameters (SNR, CR, CNR and AI) were found to be significantly higher in DIR than in FLAIR and T2 sequences. In cases of focal cortical dysplasia, significantly higher CNR and AI in DIR than in T2 and FLAIR. Also DIR showed higher detection of the increased cortical thickness and cortical signal intensity than the T2 and FLAIR sequences. In tuberous sclerosis cases, the DIR showed higher visibility of the lesions than the T2 and FLAIR. Also DIR showed higher ability to detected grey-white matters junction blurring. Conclusions Our study concluded that the greatest value of the double inversion recovery sequence is its higher ability in detecting multiple characteristics of the lesions in a one sequence.
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We aimed to assess the added value of double inversion recovery in evaluation of epileptic patients. Results In mesial temporal sclerosis, the measured contrast parameters (SNR, CR, CNR and AI) were found to be significantly higher in DIR than in FLAIR and T2 sequences. In cases of focal cortical dysplasia, significantly higher CNR and AI in DIR than in T2 and FLAIR. Also DIR showed higher detection of the increased cortical thickness and cortical signal intensity than the T2 and FLAIR sequences. In tuberous sclerosis cases, the DIR showed higher visibility of the lesions than the T2 and FLAIR. Also DIR showed higher ability to detected grey-white matters junction blurring. Conclusions Our study concluded that the greatest value of the double inversion recovery sequence is its higher ability in detecting multiple characteristics of the lesions in a one sequence.</description><identifier>ISSN: 2090-4762</identifier><identifier>ISSN: 0378-603X</identifier><identifier>EISSN: 2090-4762</identifier><identifier>DOI: 10.1186/s43055-021-00604-z</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Age groups ; Diagnosis ; Double inversion recovery ; Dysplasia ; Epilepsy ; Focal cortical dysplasia ; Imaging ; Magnetic resonance imaging ; Malformations of cortical development ; Medicine ; Medicine &amp; Public Health ; Mesial temporal sclerosis ; Nuclear Medicine ; Patient assessment ; Radiology ; Signal to noise ratio ; Statistical analysis ; Tuberous sclerosis</subject><ispartof>Egyptian Journal of Radiology and Nuclear Medicine, 2021-09, Vol.52 (1), p.241-7, Article 241</ispartof><rights>The Author(s) 2021</rights><rights>COPYRIGHT 2021 Springer</rights><rights>The Author(s) 2021. 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We aimed to assess the added value of double inversion recovery in evaluation of epileptic patients. Results In mesial temporal sclerosis, the measured contrast parameters (SNR, CR, CNR and AI) were found to be significantly higher in DIR than in FLAIR and T2 sequences. In cases of focal cortical dysplasia, significantly higher CNR and AI in DIR than in T2 and FLAIR. Also DIR showed higher detection of the increased cortical thickness and cortical signal intensity than the T2 and FLAIR sequences. In tuberous sclerosis cases, the DIR showed higher visibility of the lesions than the T2 and FLAIR. Also DIR showed higher ability to detected grey-white matters junction blurring. 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We aimed to assess the added value of double inversion recovery in evaluation of epileptic patients. Results In mesial temporal sclerosis, the measured contrast parameters (SNR, CR, CNR and AI) were found to be significantly higher in DIR than in FLAIR and T2 sequences. In cases of focal cortical dysplasia, significantly higher CNR and AI in DIR than in T2 and FLAIR. Also DIR showed higher detection of the increased cortical thickness and cortical signal intensity than the T2 and FLAIR sequences. In tuberous sclerosis cases, the DIR showed higher visibility of the lesions than the T2 and FLAIR. Also DIR showed higher ability to detected grey-white matters junction blurring. 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subjects Age groups
Diagnosis
Double inversion recovery
Dysplasia
Epilepsy
Focal cortical dysplasia
Imaging
Magnetic resonance imaging
Malformations of cortical development
Medicine
Medicine & Public Health
Mesial temporal sclerosis
Nuclear Medicine
Patient assessment
Radiology
Signal to noise ratio
Statistical analysis
Tuberous sclerosis
title The value of double inversion recovery MRI sequence in assessment of epilepsy patients
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