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. Author manuscript; available in PMC: 2022 Feb 1.
Published in final edited form as: Magn Reson Imaging Clin N Am. 2021 Feb;29(1):41–52. doi: 10.1016/j.mric.2020.09.006

Table 1:

MRI imaging modality, advantage at 7T and detected epileptogenic abnormalities

Technique Advantage at 7T Abnormalities detected and imaging markers
T1 Increased SNR enables higher isotropic resolution Cortical, migrational and hippocampal abnormalities. Hippocampal subfield and thalamic subnuclei volumetrics
T2 Increased SNR and enhanced contrast results in increased conspicuity of lesions Cortical abnormalities (dysplasias, malformations, heterotopias), hippocampal sclerosis, lesions. Hippocampal subfield and thalamic subnuclei volumetrics
SWI Increased sensitivity to susceptibility effects and venous anomalies Vascular lesions, hypervascularity, and cavernomas, associated with or acting as seizure source
MRSI Increased SNR and spectral separation. Neuronal loss detected through NAA/Cr levels.
dMRI Increased SNR. Hippocampal subfield- specific connectivity may be performed Abnormal structural connectivity underlying seizure networks. Hippocampal subfield-specific tract density.
fMRI Increased SNR and BOLD contrast Abnormal functional connectivity in seizure networks.