Quantitative Susceptibility Mapping of Intracerebral Hemorrhages at Various Stages

Purpose To investigate the magnetic susceptibility of intracerebral hemorrhages (ICH) at various stages by applying quantitative susceptibility mapping (QSM). Materials and Methods Blood susceptibility was measured serially using QSM after venous blood withdrawal from healthy subjects. Forty‐two pat...

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Veröffentlicht in:Journal of magnetic resonance imaging 2016-08, Vol.44 (2), p.420-425
Hauptverfasser: Chang, Shixin, Zhang, Jingwei, Liu, Tian, Tsiouris, Apostolos John, Shou, Jian, Nguyen, Thanh, Leifer, Dana, Wang, Yi, Kovanlikaya, Ilhami
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container_end_page 425
container_issue 2
container_start_page 420
container_title Journal of magnetic resonance imaging
container_volume 44
creator Chang, Shixin
Zhang, Jingwei
Liu, Tian
Tsiouris, Apostolos John
Shou, Jian
Nguyen, Thanh
Leifer, Dana
Wang, Yi
Kovanlikaya, Ilhami
description Purpose To investigate the magnetic susceptibility of intracerebral hemorrhages (ICH) at various stages by applying quantitative susceptibility mapping (QSM). Materials and Methods Blood susceptibility was measured serially using QSM after venous blood withdrawal from healthy subjects. Forty‐two patients who provided written consent were recruited in this Institutional Review Board‐approved study. Gradient echo magnetic resonance imaging (MRI) data of the 42 patients (17 females; 64 ± 12 years) with ICH were processed with QSM. The susceptibilities of various blood products within hematomas were measured on QSM. Results Blood susceptibility continually increased and reached a plateau 96 hours after venous blood withdrawal. Hematomas at all stages were consistently hyperintense on QSM. Susceptibility was 0.57 ± 0.48, 1.30 ± 0.33, 1.14 ± 0.46, 0.40 ± 0.13, and 0.71 ± 0.31 ppm for hyperacute, acute, early subacute, late subacute, and chronic stages of hematomas, respectively. The susceptibility decrease from early subacute (1.14 ppm) to late subacute (0.4 ppm) was significant (P 
doi_str_mv 10.1002/jmri.25143
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Materials and Methods Blood susceptibility was measured serially using QSM after venous blood withdrawal from healthy subjects. Forty‐two patients who provided written consent were recruited in this Institutional Review Board‐approved study. Gradient echo magnetic resonance imaging (MRI) data of the 42 patients (17 females; 64 ± 12 years) with ICH were processed with QSM. The susceptibilities of various blood products within hematomas were measured on QSM. Results Blood susceptibility continually increased and reached a plateau 96 hours after venous blood withdrawal. Hematomas at all stages were consistently hyperintense on QSM. Susceptibility was 0.57 ± 0.48, 1.30 ± 0.33, 1.14 ± 0.46, 0.40 ± 0.13, and 0.71 ± 0.31 ppm for hyperacute, acute, early subacute, late subacute, and chronic stages of hematomas, respectively. The susceptibility decrease from early subacute (1.14 ppm) to late subacute (0.4 ppm) was significant (P &lt; 0.01). Conclusion QSM reveals positive susceptibility in hyperacute hematomas, indicating that even at their hyperacute stage, deoxyhemoglobin may exist throughout the hematoma volume, not just at its rim, as seen on conventional T2* imaging. QSM also reveals a reduction of susceptibility from early subacute to late subacute ICH, suggesting that methemoglobin concentration decreases at the late subacute stage. J. Magn. Reson. Imaging 2016;44:420–425.</description><identifier>ISSN: 1053-1807</identifier><identifier>EISSN: 1522-2586</identifier><identifier>DOI: 10.1002/jmri.25143</identifier><identifier>PMID: 26718014</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Blood ; Cerebral Hemorrhage - diagnostic imaging ; Cerebral Hemorrhage - pathology ; Disease Progression ; Female ; Females ; Hematoma ; Hemorrhage ; Humans ; Image Interpretation, Computer-Assisted - methods ; Imaging, Three-Dimensional - methods ; intracerebral hemorrhage ; Magnetic Fields ; Magnetic Resonance Angiography - methods ; Magnetic resonance imaging ; Magnetic susceptibility ; Male ; Mapping ; Measurement methods ; Methemoglobin ; Middle Aged ; NMR ; Nuclear magnetic resonance ; Patients ; QSM ; Reproducibility of Results ; Sensitivity and Specificity ; Severity of Illness Index</subject><ispartof>Journal of magnetic resonance imaging, 2016-08, Vol.44 (2), p.420-425</ispartof><rights>2015 Wiley Periodicals, Inc.</rights><rights>2016 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c6833-462a11096f39a61a029fb5545cd9b715292fcb5c89471682bdfc9b43e66cc8b73</citedby><cites>FETCH-LOGICAL-c6833-462a11096f39a61a029fb5545cd9b715292fcb5c89471682bdfc9b43e66cc8b73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjmri.25143$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjmri.25143$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,780,784,885,1417,1433,27924,27925,45574,45575,46409,46833</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26718014$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chang, Shixin</creatorcontrib><creatorcontrib>Zhang, Jingwei</creatorcontrib><creatorcontrib>Liu, Tian</creatorcontrib><creatorcontrib>Tsiouris, Apostolos John</creatorcontrib><creatorcontrib>Shou, Jian</creatorcontrib><creatorcontrib>Nguyen, Thanh</creatorcontrib><creatorcontrib>Leifer, Dana</creatorcontrib><creatorcontrib>Wang, Yi</creatorcontrib><creatorcontrib>Kovanlikaya, Ilhami</creatorcontrib><title>Quantitative Susceptibility Mapping of Intracerebral Hemorrhages at Various Stages</title><title>Journal of magnetic resonance imaging</title><addtitle>J. Magn. Reson. Imaging</addtitle><description>Purpose To investigate the magnetic susceptibility of intracerebral hemorrhages (ICH) at various stages by applying quantitative susceptibility mapping (QSM). Materials and Methods Blood susceptibility was measured serially using QSM after venous blood withdrawal from healthy subjects. Forty‐two patients who provided written consent were recruited in this Institutional Review Board‐approved study. Gradient echo magnetic resonance imaging (MRI) data of the 42 patients (17 females; 64 ± 12 years) with ICH were processed with QSM. The susceptibilities of various blood products within hematomas were measured on QSM. Results Blood susceptibility continually increased and reached a plateau 96 hours after venous blood withdrawal. Hematomas at all stages were consistently hyperintense on QSM. Susceptibility was 0.57 ± 0.48, 1.30 ± 0.33, 1.14 ± 0.46, 0.40 ± 0.13, and 0.71 ± 0.31 ppm for hyperacute, acute, early subacute, late subacute, and chronic stages of hematomas, respectively. The susceptibility decrease from early subacute (1.14 ppm) to late subacute (0.4 ppm) was significant (P &lt; 0.01). Conclusion QSM reveals positive susceptibility in hyperacute hematomas, indicating that even at their hyperacute stage, deoxyhemoglobin may exist throughout the hematoma volume, not just at its rim, as seen on conventional T2* imaging. QSM also reveals a reduction of susceptibility from early subacute to late subacute ICH, suggesting that methemoglobin concentration decreases at the late subacute stage. J. Magn. Reson. 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Zhang, Jingwei ; Liu, Tian ; Tsiouris, Apostolos John ; Shou, Jian ; Nguyen, Thanh ; Leifer, Dana ; Wang, Yi ; Kovanlikaya, Ilhami</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c6833-462a11096f39a61a029fb5545cd9b715292fcb5c89471682bdfc9b43e66cc8b73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Blood</topic><topic>Cerebral Hemorrhage - diagnostic imaging</topic><topic>Cerebral Hemorrhage - pathology</topic><topic>Disease Progression</topic><topic>Female</topic><topic>Females</topic><topic>Hematoma</topic><topic>Hemorrhage</topic><topic>Humans</topic><topic>Image Interpretation, Computer-Assisted - methods</topic><topic>Imaging, Three-Dimensional - methods</topic><topic>intracerebral hemorrhage</topic><topic>Magnetic Fields</topic><topic>Magnetic Resonance Angiography - methods</topic><topic>Magnetic resonance imaging</topic><topic>Magnetic susceptibility</topic><topic>Male</topic><topic>Mapping</topic><topic>Measurement methods</topic><topic>Methemoglobin</topic><topic>Middle Aged</topic><topic>NMR</topic><topic>Nuclear magnetic resonance</topic><topic>Patients</topic><topic>QSM</topic><topic>Reproducibility of Results</topic><topic>Sensitivity and Specificity</topic><topic>Severity of Illness Index</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chang, Shixin</creatorcontrib><creatorcontrib>Zhang, Jingwei</creatorcontrib><creatorcontrib>Liu, Tian</creatorcontrib><creatorcontrib>Tsiouris, Apostolos John</creatorcontrib><creatorcontrib>Shou, Jian</creatorcontrib><creatorcontrib>Nguyen, Thanh</creatorcontrib><creatorcontrib>Leifer, Dana</creatorcontrib><creatorcontrib>Wang, Yi</creatorcontrib><creatorcontrib>Kovanlikaya, Ilhami</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of magnetic resonance imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chang, Shixin</au><au>Zhang, Jingwei</au><au>Liu, Tian</au><au>Tsiouris, Apostolos John</au><au>Shou, Jian</au><au>Nguyen, Thanh</au><au>Leifer, Dana</au><au>Wang, Yi</au><au>Kovanlikaya, Ilhami</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Quantitative Susceptibility Mapping of Intracerebral Hemorrhages at Various Stages</atitle><jtitle>Journal of magnetic resonance imaging</jtitle><addtitle>J. Magn. Reson. Imaging</addtitle><date>2016-08</date><risdate>2016</risdate><volume>44</volume><issue>2</issue><spage>420</spage><epage>425</epage><pages>420-425</pages><issn>1053-1807</issn><eissn>1522-2586</eissn><abstract>Purpose To investigate the magnetic susceptibility of intracerebral hemorrhages (ICH) at various stages by applying quantitative susceptibility mapping (QSM). Materials and Methods Blood susceptibility was measured serially using QSM after venous blood withdrawal from healthy subjects. Forty‐two patients who provided written consent were recruited in this Institutional Review Board‐approved study. Gradient echo magnetic resonance imaging (MRI) data of the 42 patients (17 females; 64 ± 12 years) with ICH were processed with QSM. The susceptibilities of various blood products within hematomas were measured on QSM. Results Blood susceptibility continually increased and reached a plateau 96 hours after venous blood withdrawal. Hematomas at all stages were consistently hyperintense on QSM. Susceptibility was 0.57 ± 0.48, 1.30 ± 0.33, 1.14 ± 0.46, 0.40 ± 0.13, and 0.71 ± 0.31 ppm for hyperacute, acute, early subacute, late subacute, and chronic stages of hematomas, respectively. The susceptibility decrease from early subacute (1.14 ppm) to late subacute (0.4 ppm) was significant (P &lt; 0.01). Conclusion QSM reveals positive susceptibility in hyperacute hematomas, indicating that even at their hyperacute stage, deoxyhemoglobin may exist throughout the hematoma volume, not just at its rim, as seen on conventional T2* imaging. QSM also reveals a reduction of susceptibility from early subacute to late subacute ICH, suggesting that methemoglobin concentration decreases at the late subacute stage. J. Magn. Reson. Imaging 2016;44:420–425.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>26718014</pmid><doi>10.1002/jmri.25143</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Blood
Cerebral Hemorrhage - diagnostic imaging
Cerebral Hemorrhage - pathology
Disease Progression
Female
Females
Hematoma
Hemorrhage
Humans
Image Interpretation, Computer-Assisted - methods
Imaging, Three-Dimensional - methods
intracerebral hemorrhage
Magnetic Fields
Magnetic Resonance Angiography - methods
Magnetic resonance imaging
Magnetic susceptibility
Male
Mapping
Measurement methods
Methemoglobin
Middle Aged
NMR
Nuclear magnetic resonance
Patients
QSM
Reproducibility of Results
Sensitivity and Specificity
Severity of Illness Index
title Quantitative Susceptibility Mapping of Intracerebral Hemorrhages at Various Stages
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