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References 125
muscles. Choroid is hyperintense relative to vitreous
and sclera on T1W. The lens capsule has a signal
intensity between the fat and extraocular muscles
[4,49,50].
The T2W has the best soft tissue contrast and is typi-
cally better than T1W imaging for demonstrating orbital
pathology (Figure 7.21) [46]. The hallmark of a T2 image
of the orbit is the bright signal intensity of vitreous, the
absolute intensity of which depends on the magnetic
strength of the scanner. The relative order of signal
intensity on T2 images is, from high to low, vitreous
and aqueous, extraocular muscles/optic nerve, and fat
[4,9,50].
The optic nerve has a moderately high signal intensity
on T1W whereas it is moderately low intensity on T2W,
compared with the vitreous humor. However, since
orbital fat has very low intensity on T2W, the optic
nerve and chiasm can be visualized much better on
T2W images [49].
Figure 7.21 T2W image (transverse plane) showing the
characteristic bright signal intensity of the vitreous.
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