Table 4.

Pediatric seizure protocol

Sequence	Coverage	Slice/gap (mm)	Notes
Sag T1 3-D	WB	1/0	Reformat Ax/Cor 1.5/1.5 mm
Ax T2 single echo	WB	4/2	Long TE, not CUBE
Cor 3-D FLAIR CUBE	WB	1.2/0	Reformat Ax/Sag 1.5/1.5 mm
Cor 3-D T2	WB	1.5/0	Scan if child is 3–9 months Reformat Ax/Sag 1.5/1.5 mm
Ax 3-D ISI	WB	4/1	SWAN (GE), VEN BOLD (Philips), SWI (Siemens)
Ax & Cor DWI	WB	3 T–2/0, 1.5 T–3/0	b=1,000
Options
Cor FMPIR T2 Cor		3/0	TI=120 ms Temporal lobes
MRS 2-D CSI			2-D box at level of BG to include posterior white matter; check for developmental delay or suspected metabolic disorder
Ax T1	WB	4/1
Gad Ax T1	WB	4/1
Gad Cor T1	WB	4/1
Gad 3-D T1	WB		Reformat Ax/Cor 1.5/1.5 mm for small lesions

Ax axial, BG basal ganglia, Cor coronal, DWI diffusion-weighted imaging, FLAIR fluid-attenuated inversion recovery, FMPIR fast multiplanar inversion recovery, Gad gadolinium, ISI iron-sensitive imaging, MRS magnetic resonance spectroscopy, Sag sagittal, SWAN T2-star weighted angiography, SWI susceptibility-weighted imaging, T tesla, TE echo time, TI inversion time, VEN BOLD venous blood oxygen level dependent, WB whole brain