Comparison of 3 T and 1.5 T MRI in the evaluation of epilepsy

Background. Epilepsy is the fourth most common neurological disorder characterized by a long-term tendency to generate epileptic seizures due to excessive or synchronous activity in the neurons in brains. Most patients achieve adequate seizure control by taking antiepileptic drugs and have a good m...

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Main Authors: D. Runkauskaitė, T. Liakina, R. Mameniškienė
Format: Article
Language:English
Published: Vilnius University Press 2018-09-01
Series:Neurologijos seminarai
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Online Access:https://www.journals.vu.lt/neurologijos_seminarai/article/view/27826
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author D. Runkauskaitė
T. Liakina
R. Mameniškienė
author_facet D. Runkauskaitė
T. Liakina
R. Mameniškienė
author_sort D. Runkauskaitė
collection DOAJ
description Background. Epilepsy is the fourth most common neurological disorder characterized by a long-term tendency to generate epileptic seizures due to excessive or synchronous activity in the neurons in brains. Most patients achieve adequate seizure control by taking antiepileptic drugs and have a good medication effect, however 20–30% of patients continue suffering from recurrent epileptic seizures. Magnetic resonance imaging (MRI) is the most basic and informative neurovisual approach for the diagnosis of epileptogenic foci and their types. A detailed neurovisual examination of the brain is particularly important in patients with refractory epilepsy who may be considered as option candidates for surgical treatment. Materials and methods. 164 patients (99 women and 65 men) were enrolled in the study who underwent 1.5 T MRI and 3 T MRI at Radiology and Nuclear Medicine Centre of Vilnius University Hospital Santaros klinikos. The pathological findings and the frequency of their detection with different magnetic field strengths of MRI were evaluated. Results. A statistically significant relationship (p<0.001) was found between magnetic field strength of MRI examination and the frequency of detecting pathological findings, but there was no statistically significant relationship (p=0.183) between magnetic field strength of MRI and the frequency of determining the type of epileptogenic foci. Conclusions. 3 T MRI more often and more accurately detects pathologies associated with epileptic seizures therefore it is recommended for patients with epilepsy or for those patients in whom the previous 1.5 T MRI could not identify pathology or showed mixed results.
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spelling doaj-art-cafc1b36d9b0421fa94b2724b8b8d8c22025-01-20T18:23:11ZengVilnius University PressNeurologijos seminarai1392-30642424-59172018-09-01223(77)10.29014/ns.2018.22Comparison of 3 T and 1.5 T MRI in the evaluation of epilepsyD. Runkauskaitė 0T. Liakina 1R. Mameniškienė 2Vilnius University, LithuaniaVilnius University, LithuaniaVilnius University, Lithuania Background. Epilepsy is the fourth most common neurological disorder characterized by a long-term tendency to generate epileptic seizures due to excessive or synchronous activity in the neurons in brains. Most patients achieve adequate seizure control by taking antiepileptic drugs and have a good medication effect, however 20–30% of patients continue suffering from recurrent epileptic seizures. Magnetic resonance imaging (MRI) is the most basic and informative neurovisual approach for the diagnosis of epileptogenic foci and their types. A detailed neurovisual examination of the brain is particularly important in patients with refractory epilepsy who may be considered as option candidates for surgical treatment. Materials and methods. 164 patients (99 women and 65 men) were enrolled in the study who underwent 1.5 T MRI and 3 T MRI at Radiology and Nuclear Medicine Centre of Vilnius University Hospital Santaros klinikos. The pathological findings and the frequency of their detection with different magnetic field strengths of MRI were evaluated. Results. A statistically significant relationship (p<0.001) was found between magnetic field strength of MRI examination and the frequency of detecting pathological findings, but there was no statistically significant relationship (p=0.183) between magnetic field strength of MRI and the frequency of determining the type of epileptogenic foci. Conclusions. 3 T MRI more often and more accurately detects pathologies associated with epileptic seizures therefore it is recommended for patients with epilepsy or for those patients in whom the previous 1.5 T MRI could not identify pathology or showed mixed results. https://www.journals.vu.lt/neurologijos_seminarai/article/view/27826epilepsyfocal epilepsymagnetic resonance imaging3 T magnetic resonance imaging
spellingShingle D. Runkauskaitė
T. Liakina
R. Mameniškienė
Comparison of 3 T and 1.5 T MRI in the evaluation of epilepsy
Neurologijos seminarai
epilepsy
focal epilepsy
magnetic resonance imaging
3 T magnetic resonance imaging
title Comparison of 3 T and 1.5 T MRI in the evaluation of epilepsy
title_full Comparison of 3 T and 1.5 T MRI in the evaluation of epilepsy
title_fullStr Comparison of 3 T and 1.5 T MRI in the evaluation of epilepsy
title_full_unstemmed Comparison of 3 T and 1.5 T MRI in the evaluation of epilepsy
title_short Comparison of 3 T and 1.5 T MRI in the evaluation of epilepsy
title_sort comparison of 3 t and 1 5 t mri in the evaluation of epilepsy
topic epilepsy
focal epilepsy
magnetic resonance imaging
3 T magnetic resonance imaging
url https://www.journals.vu.lt/neurologijos_seminarai/article/view/27826
work_keys_str_mv AT drunkauskaite comparisonof3tand15tmriintheevaluationofepilepsy
AT tliakina comparisonof3tand15tmriintheevaluationofepilepsy
AT rmameniskiene comparisonof3tand15tmriintheevaluationofepilepsy