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allergy) and time constraints. grade I: involves grey-white matter interfaces most commonly: parasagittal regions of frontal lobes, periventricular temporal lobes The specifics will vary depending on MRI hardware and software, radiologist's and referrer's preference, institutional protocols, patient factors (e.g. Diffuse axonal injury (DAI) is a form of traumatic brain injury. Your neurosurgery colleague orders an MRI to “provide a prognosis on the patient’s injury.” Is this a legitimate request? Diffuse Axonal Injury (DAI) is considered one of the most common and detrimental forms of traumatic brain injury (TBI).. It happens when the brain rapidly shifts inside the skull as an injury is occurring. Sure, MRI is very sensitive at detecting very small hemorrhages that may signal the presence of diffuse axonal injury (DAI). 2012; 30: 496–505. Grading of diffuse axonal injury has been described histologically according to the anatomic distribution of injury, which correlated with outcome 1-3.The classification was first proposed by Adams in 1989 4 and divides diffuse axonal injury (DAI) into three grades:. The best way to engage neuroplasticity and start making progress in your diffuse axonal injury recovery is through repetitious exercise. Note: This article is intended to outline some general principles of protocol design. A Voxel- and atlas-based analysis of diffusion tensor imaging may reveal focal axonal injuries in mild traumatic brain injury—comparison with diffuse axonal injury. doi: 10.1016/j.mri.2011.12.018 MRI protocol for brain trauma is a group of MRI sequences put together to best approach traumatic brain injury, especially diffuse axonal injury . The more you practice an action, such as walking after brain injury , the more your brain will create new neural pathways in response. But do more abnormalities on MRI equal a poorer prognosis or longer recovery time? Introduction. There is no association between diffuse axonal injury and underlying skull fractures MRI is more sensitive than CT but MRI may also be normal in cases of DAI if edema isn’t present Diffusion tensor imaging can show findings of DAI even when MRI is negative Magn Reson Imaging.