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Table 2 Sequence Protocol for TIPIT

From: TIPIT: A randomised controlled trial of thyroxine in preterm infants under 28 weeks gestation: Magnetic Resonance Imaging and Magnetic Resonance Angiography protocol

Sequence

Scan Parameters

Target area

1. Midline sagittal T1 weighted Turbo Spin Echo (TSE)

TR = 337 ms, TE = 18 ms Slice thickness = 3 mm, 0.3 mm gap Scan Duration = 2 minutes

Anatomical alignment and measurement of pituitary height

2. Coronal heavily T2 weighted TSE (whole brain)

TR = 5750 ms, TE = 150 ms Slice thickness = 1.5 mm, contiguous Scan Duration = 5 minutes

Measurement of whole brain volume (cerebrum/cerebellum) and measurement of specific brain structures using stereology:

  

   • caudate

  

   • hippocampus

  

   • thalamus

  

   • prefrontal cortex

  

   • inferior frontal gyrus

  

   • temporal lobe

3. MR Angiography

TR = 25 ms, TE = 6.9 ms Slice thickness = 0.6 mm, 3D Time of Flight (TOF) Multiple Overlapping Thin Slab Acquisition (MOTSA) with a SENSE factor of 2.00. Isotropic resolution = 0.6 × 06 × 06 mm3 Scan Duration = 6 minutes

Blood vessel diameter, tortuosity, and density

4. Diffusion tensor imaging

2D single shot spin-echo Echo-Planar Imaging (SE-EPI) with SENSE factor of 2.5. 24 contiguous axial slices of 3 mm thickness with in-plane isotropic resolution of 2 mm. TR/TE = 3350/74 ms. 32 gradient directions with a b-factor of 700 s/mm2. 2 averages. Scan Duration = 3 minutes 47 s.

Measurement of degree of mean diffusivity and fractional anisotrophy (as markers of water content and myelination) in

  

   • posterior limb of internal capsule

  

   • centrum semiovale

  

   • anterior and posterior corpus callosum

  

   • frontal white matter

  

   • occipital white matter

5. Axial T2-weighted TSE

TR = 3023 ms, TE = 150 ms. Axial slices of 3 mm thickness with an in-plane isotropic resolution of 0.7 mm Scan Duration = 3 minutes

In same slice location as DTI to aid region drawing