Dating blood products on mri

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Cerebral microbleeds: overview and implications in cognitive impairment

Although MRI is often thought of as not being sensitive to acute hemorrhage, this is not, in fact, true particularly with more modern sequences 5,7. The factors that affect the appearance of hemorrhage on MRI vary according to the sequence. The oxygenation state of hemoglobin and the location of either contained within red blood cells or diffused in the extracellular space have a tremendous effect on the imaging effects of blood. The three hemoglobin states to be considered are oxyhemoglobin, deoxyhemoglobin and methemoglobin. Oxyhemoglobin and deoxyhemoglobin little effect on T1 signal.

Types of intracranial hemorrhage Optimal imaging procedure for investigation of intracranial hemorrhage Etiology for intracranial hemorrhage Imaging findings of each type of intracranial hemorrhage Systematic reading of imaging study in suspected case of intracranial hemorrhage What are the types of presentation of intracranial hemorrhage? Subdural hematoma Epidural hematoma Subarachnoid hemorrhage Intracerebral hemorrhage Intraventricular hemorrhage Hemorrhage in different anatomical sites has various etiologies. Pre-contrast CT scan is the imaging procedure of choice to evaluate intracerebral hemorrhage. Acute hematoma is seen by pre-contrast CT imaging as an area of high density. CT can detect acute intracerebral blood as small as 2 mm, due to contrast between high density of blood and low density of surrounding brain. Epidural hematoma is defined as collection of blood between the inner table of the skull and the dura. Common etiology is head trauma.

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Dating blood products on mri

Aging blood on MRI is dependent on the varying MRI signal characteristics of hemorrhagic collections with time and can be very useful in correlating the imaging findings with the clinical picture. However, as it can be complicated to recall the MRI features of aging blood through the five stages of hematoma evolution several mnemonics have been devised:. The first two mnemonics use the first letters of the words and word pairs to denote the signal characteristics of blood at each stage as isointense I , bright B , or dark D. The first bold letter in each pair denotes the typical T1 signal finding, while the second denotes the T2 signal change. For those that find it difficult to memorize the mnemonic above an alternative is found below which uses full word pairs.

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