Fluid-attenuated inversion recovery
Medical imaging technique
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By carefully choosing the inversion time (TI), the signal from any particular tissue can be nulled. The appropriate TI depends on the tissue via the formula:
In other words, one should typically use a TI of around 70% of the T1 value. In the case of CSF suppression, the long TI (inversion time) is adjusted to a zero crossing point for water (none of its signal is visible), so the signal of the CSF is theoretically "erased" from the image.
The standard T2 variant of FLAIR uses a long TE to develop T2-weighting and a long repetition time (TR) to increase signal to noise ratio (SNR), while the T1 variant of FLAIR uses a short echo time (TE) and short TR to develop T1-weighting. The TR also controls the SNR efficiency of the scan, which is optimal only for a particular T1.
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Clinical applications
The FLAIR sequence analysis has been especially useful in the evaluation and study of CNS disorders, involving:
- Lacunar infarction
- Multiple sclerosis (MS) plaques
- Subarachnoid haemorrhage
- Head trauma
- Meningitis and other leptomeningeal diseases

