Lecture 32; Preterm injury 3 Flashcards

1
Q

What does MRI measure using its gradients?

A

resonance frequency of a nuclie is directly proportional to the strength of applied magnetic field

Hz is dependant on location in inhomogenous magnetic field. = 3D picutre

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2
Q

What is T1 good for?

A

Anatomy

Grey vs white matter

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3
Q

What is T2 good for?

A

Pathology big bright white tumors

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4
Q

How can we see focal cystic lesions?

A

T1 hyperintensive MRI

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5
Q

How can we see diffuse WMI?

A

T2 weight, less defined white matter grey matter boundries

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6
Q

What does each voxel in dMRI represent?

A

Each image voxel has intensity that reflects rate of water diffusion in single direction

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7
Q

What does a voxel contain?

A

Each voxel contains preferred direc&on and magnitude (rate) of water diffusion; sensi1ve to pathology

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8
Q

What is Diffusion tensor imaging?

A

Using dMRI in several directions

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9
Q

What does isotropic and anisotropic reflect?

A

Uniform and constrained brownian motion

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10
Q

What is a primary and secondary eigenvector?

A

in 3D diffusion tensor imaging

–Longest axis parallel to direc1on of greatest diffusion (primary eigenvector; λ1) I.e along axon

–Perpendicular eigenvectors (λ2 & λ3) i.e side to side in axon

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11
Q

What does DTI give you?

A

– Mean diffusivity
– Degree of anisotropy
– Main direc1on of diffusivity

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12
Q

In ADC imaging (mean diffusitivity) what do the colours represent?

A
  • High mean diffusivity – white
  • Low mean diffusivity – dark
  • Mean diffusivity of WM decreases with age –increasing cellular structure impedes water diffusion
    • Useful for assessing WM matura1on `
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13
Q

How do we create a 3D fibre map tracking?

A
  • Uses direc1on of primary eigenvector for each voxel to reconstruct fiber connec1vity in 3D
  • Cerebral white matter (axon) tracts and connectivity over development and in disease
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14
Q

What can we use water diffusion for?

A

To measure diffuse myelination failure

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15
Q

In the normal brain what plays a role in FA?

A

Axonal membranes play primary role in anisotropy

Microtubules/neurofilaments do not play significant role in anisotropic water diffusion

Myelin can also modulate anisotropy

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16
Q

How does FA change with age?

A

Increasing FA with gestation related to increasing axon density and myelination (must be able to say this in an essay)

17
Q

What are the two ways FA can change in babies?

A

Eigenvalues 1 and 2

18
Q

What is the Eigenvalue hypothesis?

A

Eigen 1 linked to axonal injury

Eigen 2 linked to myelin state

Eigen 2 increases in diffuse cortical loss due to loss of myelin (exam)