Detection of Intracranial Hemorrhage with Susceptibility-Weighted MR Sequences
Luxia Lianga,
Yukunori Korogia,
Takeshi Sugaharaa,
Yoshinori Shigematsua,
Tomoko Okudaa,
Ichiro Ikushimaa and
Mutsumasa Takahashia
a From the Department of Radiology, Kumamoto University School of Medicine, 1-1-1 Honjo, Kumamoto 860-8556, Japan.
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FIG 1. A–C, Quantitative and qualitative analysis among the six sequences for CNR (A), lesion detection (B), and conspicuity of internal architecture (C). GRE indicates gradient-echo sequence; GRE-EPI, GRE-type echo-planar imaging; SE-EPI, spin-echo–type echo-planar imaging; TSE, turbo spin-echo sequence; HASTE, half-Fourier acquisition single-shot turbo spin-echo sequence; s-HASTE, segmented-HASTE sequence
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FIG 2. Intraventricular anaplastic astrocytoma in a 19-year-old woman.
A and B, The GRE (A) and GRE-EPI (B) images clearly show the intratumoral hemorrhage; however, the size of the hypointense area is larger on the GRE-EPI image than on the GRE image. The linear hemorrhage along the right ventricular wall (arrows) is seen on the GRE image only.
C and D, Contrast between the hemorrhage and the white matter is poorer on the SE-EPI (C) and TSE (D) images than on the GRE and GRE-EPI images.
E and F, Hemorrhage is poorly seen on the s-HASTE (E) and HASTE (F) images.
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FIG 3. Anaplastic astrocytoma after surgery and radio/chemotherapy in a 32-year-old woman.
A and B, Multiple small hemorrhagic lesions (large arrows) are detected on the GRE (A) and GRE-EPI (B) images.The GRE image is more sensitive to the cortical and subcortical lesions (arrowheads) than the GRE-EPI image, which is distorted by artifacts from frontal sinuses and calvaria. The GRE-EPI image is more sensitive to the white matter lesions than is the GRE image (small arrows).
C and D, Fewer lesions are seen on the SE-EPI (C) and TSE (D) images than on the GRE and GRE-EPI images (arrows and arrowheads).
E and F, The s-HASTE (E) and HASTE (F) images do not show the small hemorrhagic lesions (arrows and arrowheads). Note the interface low intensity between CSF and cerebral parenchyma on the s-HASTE image, which should not be mistaken for hemosiderosis (curved arrow).
G and H, Lower sections around the skull base. Susceptibility artifacts (arrows) from the skull base obscure the lesions at the infratentorial and skull-base level on the GRE-EPI image (H) and less so on the GRE image (G).
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AJNR - American Journal of Neuroradiology