Journal of neuroimaging : official journal of the American Society of Neuroimaging
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Fluid-attenuated inversion recovery imaging (FLAIR) has been suggested as a surrogate marker of lesion age in acute ischemic stroke. In a subgroup analysis, we evaluated whether the extent of perfusion deficit influences FLAIR lesion visibility and thus plays a role as a confounding variable in the interpretation of FLAIR images. ⋯ Visibility of FLAIR lesions in acute stroke imaging is influenced by lesion size and time from symptom onset to MRI, but not by the amount of perfusion deficit calculated by time-to-peak (TTP) measurements.
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Diffusion anisotropy color-coded maps of cerebral white matter can be generated from orthogonal anisotropic diffusion-weighted imaging (DWI) using the three-dimensional anisotropy contrast (3DAC) technique, but its precision has not been fully validated. Hence, we attempted to determine whether 3DAC is comparable to a diffusion tensor imaging (DTI) color map. ⋯ The 3DAC could visualize directional information of white matter tracts as precisely DTI-based color maps did, particularly when FA was large and/or e1 directions were orthogonal.
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Diagnosis of tibial neuropathy has been traditionally based on clinical examination and electrodiagnostic studies; however, cross-sectional imaging modalities have been used to increase the diagnostic accuracy and provide anatomic mapping of the abnormalities. In this context, magnetic resonance neurography (MRN) offers high-resolution imaging of the tibial nerve (TN), its branches and the adjacent soft tissues, and provides an objective assessment of the neuromuscular anatomy, abnormality, and the surrounding pathology. This review describes the pathologies affecting the TN and illustrates their respective 3 Tesla (T) MRN appearances with relevant case examples.
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A wide spectrum of pediatric corpus callosal diseases can occur in the pediatric age group. Cross-sectional magnetic resonance imaging plays an important role in the diagnosis of these patients. We reviewed our imaging record and collected cases of corpus callosal pathology. The purpose of this review is to illustrate the imaging features of various corpus callosal lesions encountered in children.
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Case Reports
Dramatic changes of a DWI lesion in a patient with acute ischemic stroke treated with IV t-PA.
A diffusion-weighted imaging (DWI) lesion changed dramatically in a hyperacute stroke case treated with intravenous tissue-plasminogen activator (IV t-PA). The initial hyperintense lesion on DWI disappeared completely immediately after IV t-PA treatment without improvement of neurological symptoms. However, the lesion reappeared 24 hours later. Successful thrombolysis can resolve DWI lesions but does not always improve the neurological symptoms.