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Brain imaging (neuroimaging such as CT or MRI) is needed to determine the presence of brain metastases. [6] In particular, contrast-enhanced MRI is the best method of diagnosing brain metastases, although primary detection may be done using CT. [ 10 ]
MRI scans produce more detailed images of bodily structures, particularly soft tissues including the brain, [13] and are better at detecting CNS metastases than CT scans. However, CT scans are sometimes used for the initial imaging modality due to their lower cost and efficiency in screening for multiple conditions.
Brain metastasis can be single or multiple and involve any portion of the brain. Metastasis to dural structures generally occurs by hematogenous spread or direct invasion from a contiguous bone. Dural metastases can invade the underlying brain and cause focal edema and associated neurologic symptoms. These processes tend to cause seizures early ...
The first MR images of a human brain were obtained in 1978 by two groups of researchers at EMI Laboratories led by Ian Robert Young and Hugh Clow. [1] In 1986, Charles L. Dumoulin and Howard R. Hart at General Electric developed MR angiography, [2] and Denis Le Bihan obtained the first images and later patented diffusion MRI. [3]
Susceptibility weighted imaging (SWI), originally called BOLD venographic imaging, is an MRI sequence that is exquisitely sensitive to venous blood, hemorrhage and iron storage. SWI uses a fully flow compensated, long echo, gradient recalled echo (GRE) pulse sequence to acquire images.
Gliomatosis cerebri is a rare growth pattern of some brain tumors, impacting at least three cerebral lobes, mostly with bilateral involvement of the cerebral hemispheres. It can be seen in some types of diffuse glioma, most notably glioblastoma. It consists of infiltrative threads that spread deeply into the brain, making them very difficult to ...
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Radiomics can also be used to identify challenging physiological events such as brain activity, which is usually studied with imaging techniques such as functional MRI "fMRI". FMRI raw images can undergo radiomic analysis to generate imaging features that can be later correlated with meaningful brain activity. [50]