MRI Sequences

Strokes on MRI

HYPER-ACUTE
ACUTE
SUBACUTE (>48h)
CHRONIC
T1
T1+c
T2
FLAIR
bright

Hemorrhage on MRI

T1

BRIGHT
DARK
fat
melanin
Onyx
subacute blood (>48 hr)
CSF
most pathology
 

T1+c

T2

FLAIR (FLuid-Attenuated Inversion Recovery)

  • T2 minus CSF
  • good for demonstrating CSF abnormalities
  • FLAIR is best sequence for detecting acute SAH
BRIGHT
DARK
MS plaques
tumors
edema
encephalomalacia
gliosis
acute infarcts

Miscellaneous

  • aneurysm clips 1990 and after are MRI compatible