Share:
Share this content in WeChat
X
Clinical Article
The value of susceptibility weighted imaging in the diagnosis of cerebral micro-bleeding
WANG Shao-juan  WANG Li-wei  HUANG Hai-qing  GAO Ge-jun  YIN Xin-dao 

DOI:10.3969/j.issn.1674-8034.2013.05.004.


[Abstract] Objective: To evaluate the detection ability of MR susceptibility weighted imaging (SWI) in the cerebral micro-bleedings (CMB) and recessive cerebral micro-bleedings (rCMB).Materials and Methods: Magnetic resonance images of 45 cases with cerebral micro-bleeding were retrospectively analyzed. The features including size and location of the cerebral micro-bleedings were observed, and the detection rate of MRI and SWI were compared. These sequences of magnetic resonance imaging (T1WI, T2WI, FLAIR, DWI) and SWI were carried out. SWI was the VEN-BOLD-HR gradient echo sequence.Results: Altogether, 197 CMBs were deceted with a total of 162 CMB lesions on MRI, 191 CMB lesions on SWI. The detection rate of SWI is 1.18 times of the routine sequences. There was statistic difference in showing cerebral micro-bleeding among those sequences(χ2=22.90, P<0.01).Conclusion: SWI has a higher value in the detection of CMB and rCMB than the routine sequences, and should be one of the conventional sequences.
[Keywords] Magnetic resonance imaging;Brain;Susceptibility weighted imaging

WANG Shao-juan CT Room, Jiangsu Hospital of Traditional Chinese Medicine, Nanjing 210029, China

WANG Li-wei Department of Radiology, Affiliated Nanjing Hospital, Nanjing Medical University, Nanjing 210006, China

HUANG Hai-qing * CT Room, Jiangsu Hospital of Traditional Chinese Medicine, Nanjing 210029, China

GAO Ge-jun CT Room, Jiangsu Hospital of Traditional Chinese Medicine, Nanjing 210029, China

YIN Xin-dao Department of Radiology, Affiliated Nanjing Hospital, Nanjing Medical University, Nanjing 210006, China

*Correspondence to: Huang HQ, E-mail: we2010@163.com

Conflicts of interest   None.

Received  2013-07-25
Accepted  2013-08-19
DOI: 10.3969/j.issn.1674-8034.2013.05.004
DOI:10.3969/j.issn.1674-8034.2013.05.004.

[1]
Lee SH, Bae HJ, Ko SB, et al. Comparative analysis of the spatial distribution and severity of cerebral microbleeds and old lacunes. J Neurol Neurosurg Psychiatry, 2004, 75(3): 423-427.
[2]
Goos JD, van der Flier WM, Knol DL, et al. Clinical relevance of improved microbleed detection by susceptibility-weighted magnetic resonance imaging. Stroke, 2011, 42(7): 1894-1900.
[3]
Santhosh K, Kesavadas C, Thomas B, et al. Susceptibility weighted imaging: a new tool in magnetic resonance imaging of stroke. Clin Radiol, 2009, 64(1): 74-83.
[4]
Huang P, Chen CH, Lin WC, et al. Clinical applications of susceptibility weighted imaging in patients with major stroke. J Neurol, 2012, 259(7): 1426-1432.
[5]
Arnould MC, Grandin CB, Peeters A, et al. Comparison of CT and three MR sequences for detecting and categorizing early (48 hours) hemorrhagic transformation in hyperacute ischemic stroke. AJNR Am J Neuroradiol, 2004, 25(6): 939-944.
[6]
Poels MM, Ikram MA, Vernooij MW. Improved MR imaging detection of cerebral microbleeds more accurately identifies persons with vasculopathy. AJNR Am J Neuroradiol, 2012, 33(8): 1553-1556.
[7]
Hermier M, Nighoghossian N. Contribution of susceptibility-weighted imaging to acute stroke assessment. Stroke, 2004, 35(8): 1989-1994.

PREV The comparative study of CT and MR enhancement images after induction chemotherapy of nasopharyngeal carcinoma
NEXT MRI diagnosis of posterior reversible encephalopathy syndrome
  



Tel & Fax: +8610-67113815    E-mail: editor@cjmri.cn