MRI of the Brain and Nervous System Overview
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Questions and Answers

What advantage does MRI have over CT in detecting tumors?

  • Faster scanning times
  • Ability to visualize the bony cranium
  • Superior identification of posterior fossa lesions (correct)
  • Better detection of lesions near blood vessels
  • Which condition is considered a disadvantage of MRI compared to CT?

  • It cannot evaluate diffuse axonal injuries
  • It has longer scanning times (correct)
  • It does not visualize the entire brain
  • It poorly identifies hemorrhages
  • Which is not an effective use of MRI in diagnosing degenerative diseases?

  • Multiple sclerosis
  • Syrinx
  • Frontal lobe tumors (correct)
  • Subcortical arteriosclerotic encephalopathy
  • What is a key aspect of positioning the patient for an MRI scan?

    <p>Patient's head should be padded to prevent movement (A)</p> Signup and view all the answers

    For sagittal localizer alignment, what should it be parallel to?

    <p>The splenium and genu of the corpus callosum (D)</p> Signup and view all the answers

    What is the purpose of using a coronal localizer when obtaining axial slices?

    <p>To obtain slices from different orientations (D)</p> Signup and view all the answers

    Which of these conditions is MRI not particularly effective for?

    <p>Severe fractures of the cranium (C)</p> Signup and view all the answers

    What is a recommended method to alleviate patient's claustrophobia during MRI?

    <p>Allowing them to see out of the bore through a mirror (D)</p> Signup and view all the answers

    What are the two main parts of the nervous system?

    <p>Central nervous system and Peripheral nervous system (D)</p> Signup and view all the answers

    Which part of the brain is responsible for connecting the cerebrum with the cerebellum and spinal cord?

    <p>Midbrain (D)</p> Signup and view all the answers

    What is the main function of MRI in neurological assessments?

    <p>To investigate neurological conditions (C)</p> Signup and view all the answers

    Which part of the brain processes and supports the functions of the cerebellum?

    <p>Pons (C)</p> Signup and view all the answers

    What is a key characteristic of the grey matter in the brain?

    <p>Consists mainly of cell bodies (D)</p> Signup and view all the answers

    Which part of the brain is directly below the pons?

    <p>Medulla oblongata (B)</p> Signup and view all the answers

    What types of conditions is MRI specifically used to investigate?

    <p>Multiple sclerosis and space-occupying lesions (C)</p> Signup and view all the answers

    Which structure contains both grey matter and white matter?

    <p>All of the above (D)</p> Signup and view all the answers

    Flashcards

    What is the cerebrum?

    The largest part of the brain responsible for higher functions like thinking, learning, and memory. It is divided into two hemispheres.

    What is the cerebellum?

    The second largest part of the brain located at the back of the head. It helps with movement, balance, and coordination.

    What is the brainstem?

    The lower part of the brain that connects the cerebrum and cerebellum to the spinal cord. Essential for vital functions like breathing, heart rate, and sleep.

    What is the cerebral cortex?

    The outer layer of the cerebrum, which contains nerve cell bodies. It's responsible for processing sensory information and controlling movement.

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    What is the white matter of the cerebrum?

    The inner part of the cerebrum, containing nerve fibers that connect different parts of the brain. It helps relay information.

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    What is MRI (Magnetic Resonance Imaging) of the brain?

    A specialized imaging technique that uses magnetic fields and radio waves to create detailed images of the brain. It is valuable for diagnosing neurological conditions.

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    What is neurology?

    The study of the brain and nervous system. It includes how the brain functions, its structure, and how it interacts with the body.

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    What is Multiple Sclerosis (MS)?

    A condition often characterized by fatigue, muscle weakness, and numbness. It is a chronic inflammatory disease that damages the central nervous system.

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    MRI for brain tumors

    MRI is particularly useful for detecting lesions in the back of the brain (posterior fossa), near the skull's edge, and at the base of the skull and pituitary gland area. It offers greater detail compared to CT scans.

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    MRI for stroke and hemorrhage

    MRI excels at visualizing blood clots and strokes. It can also be used to detect narrowing or blockages in brain blood vessels using MR angiography.

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    MRI for brain trauma

    MRI can reveal the full extent of brain injuries, including diffuse axonal injury (DAI), which affects nerve fibers. Although MRI is great for soft tissue injuries, it can't show bone fractures as well as CT scans.

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    MRI for degenerative diseases

    MRI is incredibly valuable for diagnosing multiple sclerosis, a condition that affects the nervous system. It can also help diagnose other degenerative conditions like subcortical arteriosclerotic encephalopathy and gliosis.

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    Patient position for MRI

    The patient lies flat on their back (supine) with their head first into the MRI machine (head coil). Padding is important to prevent movement and maintain image quality. A mirror within the coil can help reduce claustrophobia by allowing the patient to see out.

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    Sagittal localizer for axial slices

    A sagittal localizer image helps to align slices parallel to the corpus callosum, a central structure in the brain. This image covers the entire brain from the neck junction to the top (vertex) and includes all brain lobes.

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    Sagittal localizer for coronal slices

    A sagittal localizer helps to align slices parallel to the brainstem, a vital part of the brain. It covers the entire brain from the neck junction to the top (vertex) and includes all sides and lobes.

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    Axial localizer for sagittal slices

    An axial localizer helps to align slices parallel to the falx cerebri, a membrane dividing the brain. This image covers the entire brain from the neck junction to the top and includes all sides and lobes.

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    Study Notes

    MRI of the Brain

    • MRI of the brain is a specialized investigation for neurological conditions.
    • It's crucial for assessing conditions like multiple sclerosis, headaches, strokes, and space-occupying lesions.

    Anatomical Overview

    • The nervous system is a complex network of nerves and cells transmitting messages between the brain, spinal cord, and body parts.
    • It's divided into:
      • Central Nervous System (CNS): Includes the brain and spinal cord.
      • Peripheral Nervous System (PNS): Consists of nerves branching from the brain and spinal cord, forming communication pathways between the CNS and body parts.
    • The brain has three main parts:
      • Cerebrum: The largest part, with two hemispheres and a cortex (grey matter) containing nerve cell bodies. Beneath the cortex is white matter, comprised of nerve fibers connecting different parts of the brain.
      • Cerebellum: Second largest part, located in the posterior cranial fossa. Its outer layer is grey matter, and deeper layers comprise white matter (nerve fibers and supportive cells).
      • Brain stem: Composed of midbrain, pons, and medulla oblongata. Connects the cerebrum and cerebellum to the spinal cord and controls vital functions.

    Indications of Brain MRI

    • Tumors: MRI excels in detecting lesions, especially in the posterior fossa, skull base, and pituitary fossa, unlike CT scans.

    • Hemorrhage-Ischemic stroke: MRI readily identifies these conditions, with MR angiography being a valuable tool for detecting thrombosis and stenosis.

    • Trauma: MRI provides a comprehensive view of extracerebral collections and diffuse axonal injuries in trauma cases, although it can't show bony structures.

    • Degenerative Diseases: MRI effectively diagnoses conditions such as multiple sclerosis, subcortical arteriosclerotic encephalopathy, gliosis, and syrinx.

    MRI Procedure

    • Patient Position: Patients are positioned supine (lying on their back) with their head first in the MRI machine.

      • The head needs to be securely supported to prevent image distortion from movement.
      • Ensure the patient can see out of the machine to alleviate claustrophobia in case of a reflective mirror within the head coil.
    • Scout Slice Placement:

      • Axial slices are obtained using a sagittal localizer, aligned parallel to a line joining the splenium and genu of the corpus callosum. It covers from the craniocervical junction to vertex, laterally covering temporal lobes on each side and posteriorly to anteriorly from occipital to frontal lobes.
      • Sagittal slices are obtained using a coronal localizer, aligned parallel to the brainstem, covering from craniocervical junction to vertex, laterally covering temporal lobes on each side and posteriorly to anteriorly frontala lobes.
      • Axial slices for obtaining sagittal slices is via an axial localizer, aligned parallel to the falx (midline), covering from craniocervical junction, laterally temporal lobes on each side, posteriorly to anteriorly covering occipital to frontal lobes.

    MRI Sequences (Routine Brain)

    • Specific sequences and parameters of MRI (e.g., TR, TE, FA, ETL, and slice thickness) are used for different brain elements or parts.
      • T1-weighted images provide anatomically relevant images.
      • Flair images show areas of edema/inflammation and multiple sclerosis plaques
      • DWI (Diffusion-weighted imaging) is used for stroke, abscesses, and cellular tumors, as it highlights restricted brain diffusion.

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    Related Documents

    MRI of the Brain PDF

    Description

    This quiz explores MRI techniques for brain assessment, focusing on neurological conditions such as multiple sclerosis and strokes. It also covers the anatomy of the nervous system, detailing the central and peripheral systems, as well as the structure of the brain. Test your knowledge on these critical topics in neuroscience!

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