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MRI diffusion-weighted imaging in intracranial hemorrhage (ICH)
- Source :
- The Egyptian Journal of Radiology and Nuclear Medicine. 44(3):625-634
- Publication Year :
- 2013
- Publisher :
- Elsevier BV, 2013.
-
Abstract
- Purpose To assess the role of MRI DWI in detection and characterization of ICH. Patients and methods 61 patients with intracranial hemorrhage who underwent MRI (including DWI, ADC, and GRE) and CT were retrospectively included in this study. MRI DWIs were analyzed for age, type, (primary parenchymal hemorrhage or hemorrhagic lesion) and location of the hemorrhage. The results were compared with conventional MRI sequences, GRE, and CT to assess the diagnostic accuracy of DWI in assessment of patients with intracranial hematoma. Results We had 61 patients with intracranial hemorrhage, six cases were missed by DWI. MRI DWI was accurate for the detection of hyperacute, medium, large sized acute, early and late sub acute, subdural, hemorrhagic components of arterial and venous infarction, intraventricular hemorrhage. DWI showed low sensitivity in detection of subarachnoid and small intraparenchymal hemorrhage The ADC measurements in hyperacute, acute, early and late subacute hematoma were statistically equivalent and were significantly less than the late subacute hematoma as well as the contralateral white matter. Conclusion MRI DWI was accurate in detection, characterization and staging hyperacute, acute, subacute hemorrhage as well as hemorrhagic components of arterial and venous infarctions and of low diagnostic accuracy in subarachnoid and small parenchymal hemorrhage.
- Subjects :
- Hemorrhagic infarction
medicine.medical_specialty
ICH
MRI diffusion
business.industry
Intracranial hematoma
DWI
medicine.disease
Parenchymal hemorrhage
White matter
Intraventricular hemorrhage
medicine.anatomical_structure
Hematoma
Radiology Nuclear Medicine and imaging
medicine
Radiology, Nuclear Medicine and imaging
Radiology
cardiovascular diseases
business
Intraparenchymal hemorrhage
Diffusion MRI
Subjects
Details
- ISSN :
- 0378603X
- Volume :
- 44
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- The Egyptian Journal of Radiology and Nuclear Medicine
- Accession number :
- edsair.doi.dedup.....e9607d3394ed782abd09bfb3e22a2a8e
- Full Text :
- https://doi.org/10.1016/j.ejrnm.2013.04.010