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MRI Image Identification Exam Questions with Verified Solutions – Graded A+ Study Guide

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Master MRI image interpretation with this comprehensive exam guide! Includes verified questions and answers covering T1, T2, T2 FLAIR, STIR, PD, and inversion recovery sequences. Learn to identify white matter lesions, fat suppression, tissue contrast, and intrinsic vs. extrinsic MRI parameters. Perfect for radiology students, MRI technologists, and board exam preparation.

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MRI IMAGE IDENTIFICATION EXAM
QUESTIONS WITH VERIFIED SOLUTIONS
GRADED A+




White matter lesions/demyelination appears _____, or hyperintense to
white matter on T2 FLAIR imaging. --CORRECT ANSWER--bright



In Inversion Recovery MR pulse sequence, a short inversion time (TI)
_____ signal from short T1 tissues (fat/marrow), whereas the
application of a ____ TI time nulls signal from long T1 tissues such as
water/CSF. --CORRECT ANSWER--nulls, long



T1 weighted:



- _____ has a bright signal (bone marrow)

- tissues with little fat or water e.g. cortical bone, tendons, ligaments
are _____ in both T1 & T2 --CORRECT ANSWER--fat, dark



air =

fat =
Page | 1

,water (CSF) = --CORRECT ANSWER--dark, bright, dark



In both T1 and T2, bony cortex yields _____ signal, while bone
marrow can yield ____ signal. --CORRECT ANSWER--low/dark,
high



T1 tends to have ____ muscle compared to bright marrow, whereas
T2 muscle yields ______ signal intensity. --CORRECT ANSWER--
dark, hypointense




T1 is consistently ____ ____ and typically ______. --CORRECT
ANSWER--bright fat, hypointense



Downside to T1 imaging is the ____ to differentiate between gray and
white matter. --CORRECT ANSWER--inability



T1 "anatomy sequence" makes fluid appear _____, and anything with
fatty tissue/substance appear _____. --CORRECT ANSWER--dark,
bright




Page | 2

,On PD images, white matter lesions/demyelination will appear _____
to surrounding white matter, just not as "black to white" as T2
FLAIR. --CORRECT ANSWER--hyperintense



T2 "pathology/function" makes fluids/edema appear _____ or
______. --CORRECT ANSWER--bright, hyperintense



T2 FLAIR consistenly _____ the signal from fluid making CSF/fluid
appear very ____. --CORRECT ANSWER--suppresses, dark




On T1 images, tissues with short T1 times (subcutaneous fat or fatty
bone marrow) appear ____. --CORRECT ANSWER--bright



T1: Tissues with long T1 times (fluid) appear: --CORRECT
ANSWER--dark



T1: Solids (like cortical bone) appear: --CORRECT ANSWER--dark



T1: If "fat sat" is used, fat will appear: --CORRECT ANSWER--dark



Page | 3

, T1-weighted image: ____ subcutaneous fat, yellow marrow, ____
muscle and _____ meniscus and tendons. --CORRECT ANSWER--
bright, dark, black



T2 weighted:



dense bone =

air =

fat =

water (CSF) = --CORRECT ANSWER--dark, dark, dark, bright



Tissues with short T2s appear ____, those with long T2s are _____. --
CORRECT ANSWER--dark, bright



Fluid has a long T2, joint effusions and muscle/bone marrow edema
appear ____. Thus T2 images are the most ____ to pathology. --
CORRECT ANSWER--bright, sensitive



Cortical bone has a very ____ T2, thus it appears ____ on T2 images.
--CORRECT ANSWER--short, dark



Page | 4

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