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MRI Forum: Imaging optic neuritis
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Karen Lesley

Wed. 18 Jan.12,
19:11
Imaging optic neuritis
Hope someone can help!

Is there a better way to image optic neuritis than thin axial FLAIR?

Thanks in advance!

Peter Jefferson

Tue. 24 Jan.12,
21:33
A coronal STIR or T2 weighted sequence with fat suppression is useful to show an opticus neuritis.

Karen Lesley

Wed. 25 Jan.12,
16:18
Thanks - that's really helpful :-)

Anna Lena Golay

Wed. 25 Jan.12,
20:59
A 2-3 mm STIR sequence through the optic nerves may show the characteristic high-signal intensity of optic neuritis. Gadolinium enhanced T1-weighted fat-saturated (to suppress the bright signal of the orbital fat tissue) images of the orbits show the inflammation of the optic nerve. White matter lesions, which denote a higher risk of developing MS, are typical imaged with FLAIR and T2-weighted images (hyperintense lesions), or show enhancement of T1-weighted images postcontrast.

Karen Lesley

Thu. 26 Jan.12,
15:55
Thanks Anna :-)

I've recommended thin coronal STIR (the "axial" in my original post was a mistake - I do know better, promise!) and FLAIR.

The ON is longstanding, so may not show with gadolinium, but worth a try if the budget will stretch so will add that too.

Thanks again.

Dalton Fugita

Mon. 25 Jun.12,
03:02
Hi,

I had a good experience with coronal FLAIR SPIR, FLAIR wtih FAT SAT. In chronic stages it´s even better than contrast enhanced, STIR and other sequences...



reza beigi

Tue. 4 Dec.12,
08:05
dear friend i have a missunderstanding with my radiologist so i want a strong refrence to showing to my radiologist coronal STIR is the best protocol for OPNT.
thanks again

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