Neuroradiology Flashcards

1
Q

What are the indications for brain imaging?

A
Headache/ raised ICP
Seizures
Weakness/stroke
Trauma 
Loss of consciousness/ neurological deficit
Post-op
Congenital
Inflammatory
Vascular
Degenerative
Neoplastic
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2
Q

What are common causes of headache/ raised ICP?

A
Mass
Bleed
Hydrocephalus 
Venous thrombosis
Infection
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3
Q

What are common causes for seizures?

A

Developmental

Tumour

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4
Q

What are common causes for weakness/ stroke?

A

Infarct

Bleed

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5
Q

What are common trauma issues that require brain imaging?

A

Bleed
Mass effect
Fracture

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6
Q

What are common causes for loss of consciousness/ neurological deficit?

A

Infarct
Bleed
Tumour

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7
Q

What are common post-op complications requiring brain imaging?

A

Collection
Bleed
Baseline

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8
Q

What are the positives of CT?

A

Axial acquisition with 3D reconstruction
Excellent bony details
Fast
Compatible with emergency/ ICU equipment

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9
Q

What are the negatives of CT?

A

Poor soft tissue detail
Multiplanar reconstruction but no direct multiplanar acquisition
Radiation

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10
Q

What are the positives of MRI?

A

Excellent contrast/ soft tissue resolution
Excellent depiction of anatomy
Marrow and cord pathologies
Multiplanar capability

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11
Q

What are the negatives of MRI?

A

Less bony detail
Less spatial resolution
Not compatible with pacemakers and many implants
Not compatible with most ICU/ emergency equipment
Not as quick as CT

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12
Q

What will T1 MRI show?

A
Fat and the 4 Ms: 
Fat 
Methemoglobin (subacute haematoma) 
Mineral deposition (Ca, Mg, Mn)
Melanin (melanoma) 
Mush (highly proteinaceous fluid)
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13
Q

What will a T2 MRI show?

A

Water:

Fluid collections, oedema, demyelination, gliosis, tumours

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14
Q

What colour is CSF in T1?

A

Black

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15
Q

What colour is CSF in T2?

A

White

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16
Q

What colour is myelin in T2?

A

White - fatty

17
Q

What is a cavernoma?

A

A cluster of abnormal blood vessels

18
Q

Which mode of imaging is best for trauma?

A

CT

19
Q

Which mode of imaging is best for identification of aneurysms?

A

CT

20
Q

Which mode of imaging is best for the spinal cord?

A

MRI

21
Q

What are examples of developmental/ congenital brain conditions?

A
Chiari malformation 
Cortical dysplasia
Polymicrogyria
Schizencephaly
Arachnoid cyst