Diffusion-weighted magnetic resonance imaging characteristics of hemorrhagic transformation in experimental embolic stroke

J Neuroimaging. 1997 Oct;7(4):227-31. doi: 10.1111/jon199774227.

Abstract

Diffusion-weighted magnetic resonance imaging (MRI) can detect ischemia within minutes of onset, but its ability to reliably detect hyperacute cerebral hemorrhage is unknown. The present study characterized diffusion-weighted, T2-weighted, and contrast-enhanced T1-weighted MRI appearances of hemorrhagic transformation within 5 hours of onset in experimental embolic stroke. Apparent diffusion coefficients and MRI signal characteristics were noted within corresponding regions of hemorrhage observed on gross pathology. Apparent diffusion coefficients were significantly increased within hemorrhagic lesions, but were still within the expected range for bland ischemia. The appearance of the hemorrhagic lesions on diffusion-weighted MRI was also very heterogeneous and not very useful for clinical screening. Other MRI modalities should be investigated, but computed tomography remains the only widely available clinical method of reliably detecting cerebral hemorrhage.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Analysis of Variance
  • Animals
  • Brain Ischemia / diagnosis
  • Brain Ischemia / drug therapy
  • Brain Ischemia / pathology
  • Cerebral Hemorrhage / diagnosis*
  • Cerebral Hemorrhage / diagnostic imaging
  • Cerebral Hemorrhage / pathology
  • Cerebrovascular Disorders / diagnosis*
  • Cerebrovascular Disorders / diagnostic imaging
  • Cerebrovascular Disorders / pathology
  • Contrast Media
  • Diffusion
  • Fibrinolytic Agents / therapeutic use
  • Image Enhancement
  • Intracranial Embolism and Thrombosis / diagnosis*
  • Intracranial Embolism and Thrombosis / diagnostic imaging
  • Intracranial Embolism and Thrombosis / drug therapy
  • Intracranial Embolism and Thrombosis / pathology
  • Magnetic Resonance Imaging / methods*
  • Male
  • Rabbits
  • Random Allocation
  • Reproducibility of Results
  • Thrombolytic Therapy
  • Time Factors
  • Tomography, X-Ray Computed

Substances

  • Contrast Media
  • Fibrinolytic Agents