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Table 2 Epilepsy-specific MRI protocol for humans This “essential” 6 sequence protocol allows the detection of virtually all common epileptogenic lesion in humans and was proposed after systemic analysis of 2740 patients in a epilepsy pre-surgery program [13, 38, 41]

From: International Veterinary Epilepsy Task Force recommendations for a veterinary epilepsy-specific MRI protocol

Human epilepsy-specific MRI protocol

 

Slice thickness 3 mm or less

 

 ➢ T2W - 2 sequence orientations for hippocampal angulation

 

   Perpendicular to the long axis of the hippocampus

 

   Along the long axis of the hippocampus

 

 ➢ FLAIR - 2 sequence orientations for hippocampal angulation

 

   Perpendicular to the long axis of the hippocampus

 

   Along the long axis of the hippocampus

 

 ➢ T1W

 

   3D volume with 1 mm isotropic voxel size

 

 ➢ Hemosiderin/calcification sensitive sequences e.g. gradient echo