Title: Comparison of Brain Magnetic Reasoning Imaging (MRI) Image Information between T1 Turbo Inversion Recovery (TIR) With T2 Fluid Attenuated Inversion Recovery (Flair) in Case of Epilepsy
Authors: Jeffri Ardiyanto, Agung Tri Pambudi, Sudiyono, Rasyid, Dwi Rochmayanti, Edy Susanto, Ardi Soesilo W
DOI: https://dx.doi.org/10.18535/jmscr/v5i6.64
Abstract
Background: Examination MRI of brain coronal oblique slices in cases of epilepsy is usually performed using T1 turbo inversion recovery (TIR) or T2 fluid attenuated inversion recovery (FLAIR) sequences.
Objective: The purpose of this research is to determine the differences in MRI of brain image information between the sequences of T1 TIR and T2 FLAIR coronal oblique slices in cases of epilepsy and to find out the better image information between the two sequences.
Methods: This research is a quantitative study with an experimental approach. Data were collected from June to August 2016 in Radiology of General Hospital Haji Surabaya by using a questionnaire to the two respondents. Wilcoxon test is used to determine the means differences in image information generated by T1 TIR and T2 FLAIR sequences. The calculation is aided with SPSS 16 software.
Results: There are differences in MRI brain image information between T1 TIR and T2 FLAIR sequences coronal oblique slices in cases of epilepsy with a p-value = 0.008 (p <0.05). This difference is due to the characteristics of different parameters between the two sequences and time inversion 0f T1 TIR is shorter than T2 FLAIR. The results show that the mean rank of T1 TIR is 5.00 and T2 FLAIR is 0.00. At MRI brain coronal oblique slices in the case of epilepsy, T1 TIR sequence is better than the T2 FLAIR because it can reveal the anatomy of the brain more clear and informative as well as the anatomy of the gray matter, white matter, and hippocampus while on the anatomy of cerebrospinal fluid (CSF) there is no significant difference between T1 TIR and T2 FLAIR sequences.
Conclusion: There are differences in MRI brain image information between T1 TIR and T2 FLAIR sequences coronal oblique slices in cases of epilepsy.
Keywords: MRI brain, T1 TIR, T2 FLAIR, coronal oblique slices, epilepsy.
References
1. 1. DeBoer HM, Mula M, Sander JW, 2008, “The Global Burden And Stigma Of Epilepsy”. Epilepsy & Behavior, 12, 540-6
2. Fajar, H N, 2012, Predikator Kejaidan Kejang Pasca Operasi Bedah Epilepsi Lobus Temporal Pada Penderita Epilepsi Lobus Temporal, Universitas Diponegoro
3. Hajnal JV, Bryant DJ, Kasuboski L, et al, 1992, Use of Fluid Attenuated Inversion Recovery (FLAIR) pulse sequences in MRI of the brain, J Computer Assist Tomography
4. Karel D, Eric Achten, 2008, “Structural Magnetic Resonance Imaging in Epilepsy”. European radiology 18, 119-129
5. Karis, JP, 2008, ”Epilepsy”, for the Expert Panel on Neurologic Imaging, ACR Appropriateness Criteria
6. Moran PR, Kumar NG, Karstaedt N, Jackels SC, 1986, Tissue contrast enhancement: image reconstruction algorithm selection of TI in inversion recovery MRI, Magn Reson Imaging
7. Notosiswoyo M, 2004, “Media Litbang Kesehatan, Pemanfaatan Magnetic Resonance Imaging (MRI) Sebagai Sarana Diagnose Pasien”, No.3, Vol XIV
8. Redpath, T W dan F W Smith, 1994, Technical note : Use of a double inversion recovery pulse sequence to image selectively gray or white brain mater, The British Jurnal of Radiology
9. Sim, Julius dan Chris C. Wraight, 2005, The Kappa Statistic in Realibity Studies: Use, Interpretation and Sample Size Requirements, Physical Therapy Volume 85