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Brain MRI with TBI protocol

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Questions and Answers

Why do we ask for a 3T Brain MRI instead of a 1.5T MRI?

It is more expensive (Build-up of Meds)

3T has less radiation

The image quality is better (correct)

They are more available

How does an MRI work?

Ionizing radiation pass through and capture

Magnetizing and polarity computation (correct)

Nuclear imaging with prior tracer injection

Ultrasonic wave capture and reading

Scenario: Plaintiff is a 40-year-old man, Auto accident, Tier 11, LOC +, Ambulance and ER same day. He had a Head CT scan in the hospital that came back as normal. Please select the correct statement on the case:

Plaintiff suffered from a TBI, will need Neuro referral, 3T Brain MRI (correct)

Plaintiff possibly suffered a TBI, will need Neuro referral, 1.5T Brain MRI

Plaintiff had a concussion, will need Neuro referral

Plaintiff had a clean Head CT, this shows he does not have a TBI or concussion

Scenario: Plaintiff suffered from a TBI. After a month, his wife notices that he’s an “angrier man” but he was not, prior to the MVA. Suddenly starts experiencing social retraction, panic attacks, and anger outbursts. What would be your likely diagnosis?

PTSD/Depression (C) Signup and view all the answers

What does DTI (Diffusion-Tensor imaging) measure and how does it help?

Detects water motion and provides a high quality image of small structures (B) Signup and view all the answers

What does SWI (Susceptibility-Weighted Imaging) measure and how does it help?

Difference of tissues resonance and is highly specific with venous structures (A) Signup and view all the answers

After how many months after DOL should a Brain MRI with TBI protocol be performed

6 months (D) Signup and view all the answers

What does DAI stands for?

Diffuse Axonal Injury (B) Signup and view all the answers

What could be a possible cause of persistent post-concussive symptoms in our Clients?

Diffuse axonal injury (C) Signup and view all the answers

Scenario: Your client has TBI complaints and the Pain Management doctor is recommending a 1.5T Brain MRI to be done. DOL was 20 days ago. Should you schedule the study ASAP?

False (B) Signup and view all the answers