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library:mri_brain [2025/06/18 02:52] scottlibrary:mri_brain [2026/07/20 13:47] (current) scott
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 +======Brain MRI======
 =====Scan Coverage and Planning===== =====Scan Coverage and Planning=====
 ====Sagittal Plane==== ====Sagittal Plane====
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 ====Axial Plane==== ====Axial Plane====
  
-On a true mid sagittal image, place 1 slice in the middle of the interthalamic adhesion, and add enough slices to cover from in front of the olfactory bulb to past the foramen magnum. Angle the slices perpendicular to the hard palate. Check the dorsal and axial images for rotation, and ensure the slices are also perpendicular with the longitudinal fissure of the brain. The FOV is up to clinician preference, but it is good practice to include the entire head, as pathology may be seen in the musculature and in the ears as well as in the brain. Note the muscle atrophy seen on the R side of the post contrast axial image to the right as an example.+On a true mid sagittal image, place 1 slice in the middle of the interthalamic adhesion, and add enough slices to cover from in front of the olfactory bulb to past the foramen magnum. Angle the slices perpendicular to the hard palate. or brainstem Check the dorsal and axial images for rotation, and ensure the slices are also perpendicular with the longitudinal fissure of the brain. The FOV is up to clinician preference, but it is good practice to include the entire head, as pathology may be seen in the musculature and in the ears as well as in the brain. Note the muscle atrophy seen on the R side of the post contrast axial image to the right as an example.
  
 {{:library:brainaxplansag.png?500|}}{{:library:brainaxplandor.png?500|}}{{:library:ax_t1_fs_facial_nerve.png?500|}} {{:library:brainaxplansag.png?500|}}{{:library:brainaxplandor.png?500|}}{{:library:ax_t1_fs_facial_nerve.png?500|}}
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 ==GE Specifics== ==GE Specifics==
-  * Where possible disable dual spin echo, this reduces TE and the dual echo isn't particularly effective+  * Where possible disable dual spin echo, this reduces TE. If your scanner does have eddy current issues and b1000 images look smeared, leave it on!
   * Where possible, choose the DWI setting 'TETRA'   * Where possible, choose the DWI setting 'TETRA'
   * ADC MAP process for older scanners: Functool-->ADC--> Threshold until only brain is green --> Next ---> Compute --> Film/Save --> Multiple locations --> Save as processed images   * ADC MAP process for older scanners: Functool-->ADC--> Threshold until only brain is green --> Next ---> Compute --> Film/Save --> Multiple locations --> Save as processed images