Subarachnoid hemorrhage MRI: Difference between revisions

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{{Subarachnoid hemorrhage}}
{{Subarachnoid hemorrhage}}
{{CMG}}; '''Associate Editor(s)-In-Chief:''' {{CZ}}
{{CMG}}; '''Associate Editor(s)-In-Chief:''' {{CZ}}; {{SaraM}}
 
==Overview==
 
==  MRI ==
==  MRI ==
*Fluid-attenuated inversion recovery (FLAIR) is the most sensitive MRI pulse sequence for the detection of SAH. SAH appears as high-intensity signal in normally low signal CSF spaces.
MRI may indicated in patients with subarachnoid hemorrhage if no lesion were found on prior angiography.
*T2- and T2*-weighted images can potentially demonstrate SAH as low signal intensity in normally high-signal subarachnoid spaces
Disadvantage of performing MRI in patients with subarachnoid hemorrhage may include:
*On T1-weighted images, acute SAH may appear as intermediate- or high-intensity signal in the subarachnoid space
*Higher cost
*MR angiography may be useful in the evaluation of [[aneurysm]]s and other vascular lesions that cause SAH
*Lower availability
Indications for magnetic resonance angiography in aSAH are still few because of limitations such as
*Longer study time make it less optimal for detecting SAH. In addition
*Difficulty in scanning acutely ill patients
*Not being sensitive for detection of subarachnoid hemorrhage within the first 48 hours
*predisposition to motion artifact
T2- and T2*-weighted images can potentially demonstrate SAH as low signal intensity in normally high-signal subarachnoid spaces. On T1-weighted images, acute SAH may appear as intermediate- or high-intensity signal in the subarachnoid space
*Patient compliance
 
*Longer study time
*Cost


==References==
==References==

Revision as of 02:48, 13 December 2016

Subarachnoid Hemorrhage Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Sara Mehrsefat, M.D. [3]

Overview

MRI

MRI may indicated in patients with subarachnoid hemorrhage if no lesion were found on prior angiography. Disadvantage of performing MRI in patients with subarachnoid hemorrhage may include:

  • Higher cost
  • Lower availability
  • Longer study time make it less optimal for detecting SAH. In addition
  • Not being sensitive for detection of subarachnoid hemorrhage within the first 48 hours

T2- and T2*-weighted images can potentially demonstrate SAH as low signal intensity in normally high-signal subarachnoid spaces. On T1-weighted images, acute SAH may appear as intermediate- or high-intensity signal in the subarachnoid space


References

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