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Abstract #5190

Combining 7T and 3T MRI in Epilepsy Diagnosis: A Collaborative Approach to Enhance Surgical Decision-Making

Vi Phan1,2, Krista R Runge1, Steve H Fung3, Brandy B Ma4, and Amit Verma4
1Translational Imaging Center, Houston Methodist Hospital, Houston, TX, United States, 2MRI Core Laboratory, Houston Methodist Hospital, Houston, TX, United States, 3Department of Radiology, Houston Methodist Hospital, Houston, TX, United States, 4Department of Neurology, Houston Methodist Hospital, Houston, TX, United States

Synopsis

Motivation: Epilepsy can be imaged at 3T utilizing typical imaging sequences, but improved quality and resolution can be achieved using 7T, enabling better detection of lesions and subsequently better chances of a successful treatment outcomes.

Goal(s): Provide higher quality images for patients with epilepsy on 7T.

Approach: 146 patients were evaluated for epilepsy using 7T MRI. Among these, 117 patients also had prior 3T MRI for comparison.

Results: Combining 3T and 7T MRI has demonstrated promise in improving the diagnostic and surgical decision-making process for epilepsy patients for our neurologists and neurosurgeons.

Impact: In conjunction with 3T imaging, our findings at 7T consistently detect a greater number of lesions in epilepsy patients, resulting in greater confidence in localizing and characterizing lesions that were questionable or not identified at 3T.

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