Imaging technique Function Advantages offered
X-ray Imaging of bony structures Detecting fractures.
Computed Tomography (CT) 3D X-ray imaging of an object (e.g., brain and skull). Detecting fractures, injuries and abnormalities for emergency surgical treatment
Magnetic Resonance Imaging (MRI) Radiofrequency pulses to detect changes in spin signal of hydrogen atoms. Detecting gray and white matter structures, brain stem areas,subacute hemorrhages and macroscopic areas of white matter damage. Better resolution for soft tissue.
Diffusion Weighted Imaging (DWI)/ Diffusion Tensor Imaging (DTI) MRI sequence that uses the diffusion properties of water to detect microstructural tissue. Detecting white matter integrity or damage, microscopic white matter damage and trace specific tracts of the brain
Susceptibility Weighted Imaging (SWI) MRI technique used for susceptibility differences among structures (e.g., oxygenated vs. deoxygenated blood and iron). Detecting areas of micro hemorrhage, gray- white matter junctions,
Magnetic Resonance Spectroscopy (MRS) Produce a spectrum for individual chemicals or metabolites can be identified and concentrations can be measured. Detecting structural damage or changes, neuronal health, neurotransmission, hypoxia and other brain functions.
Positron Emission Tomography (PET) Uses radiotracers labeled with different isotopes that emit signals indicating areas of uptake or binding in the brain, most commonly used is 18- Fluorodeoxyglucose, an analog of glucose. Detecting concentration of a chemical or protein in the brain such as the amount of glucose, which reflects activity, or the density of a type of protein such as beta amyloid, a hallmark of neurodegenerative disease.
Table 2: Imaging technical modalities for MTBI.