Friday, June 19, 2020

MRI Stroke Diagnosis


Comparison of T2-FLAIR images obtained at 3 T and 7 T.

In all patients, all lesions detected at 3 T were also visible at 7 T. Boxed areas are shown at higher magnification. A) Patient No. 3, with a small chronic lesion consisting of hyperintense post-ischemic tissue (white arrowheads) surrounding a tissue defect area (asterisk); compare also figure 2 A. At 7 T, the intensity values of the tissue defect area were comparable to CSF, while at 3 T, the intensity values were comparable to white matter. Contrast between post-ischemic and healthy brain tissue was higher at 3 T. 

However, small white matter lesions (red arrowheads) were easier to identify at 7 T. B) Patient No. 1, with a chronic stroke lesion (white arrowheads) and a subacute lesion (red arrowheads). Both lesion types were readily identifiable at both field strengths. As in A), contrast between the lesion and healthy tissue appeared to be higher at 3 T. C) Patient No. 4, with a large chronic infarct, consisting of hyperintense lesion areas (white arrowheads) and hypo-intense defect areas (asterisks). Again, CSF-filled tissue defect areas were easier to identify at 7 T, while the lesion to healthy tissue contrast was higher at 3 T. Compare also fig. 2 A–C. 

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