Standardization of magnetic resonance imaging of the brain in white matter lesion

Abstract

Innovations in medical equipment are far ahead of the accumulated experience of specialists, and one of the main problems of modern radiation diagnostics is the lack of standards for conducting magnetic resonance studies. The most frequent study during magnetic resonance imaging (MRI) is the study of brain structures. Carrying out MRI of the brain today causes difficulties both in the method of conducting and in interpreting the results obtained.

MATERIALS AND METHODS: 227 brain scan protocols for the following pathologies: acute and subacute intracerebral hemorrhage — 30.84 % (n=70), acute and subacute ischemic infarction — 30.84 % (n=70), abscess — 1.36 % (n=2), multiple sclerosis (pseudotumorous form) — 6.61 % (n=15), glioma — 30.84 % (n=70), metastatic lesion — 0.88 % (n=2). All studies were performed on Philips Achieva 1.5 T devices (Netherlands).

RESULTS. An optimized MRI scanning protocol for solitary formation of the white matter of the brain is proposed, which can be reproduced in medical institutions of 1–3 levels.

CONCLUSION. The standardized MRI protocol allows for the minimum time within one study to differentiate tumor and non-tumor pathology, to determine the tactics of patient management. For a reasonable conclusion within the differential series, a combination of methods and the application of the principles of a systematic approach are necessary.