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All that bleeds is not black: susceptibility weighted imaging of intracranial hemorrhage and the effect of T1 signal.

Clinical Imaging 2017 January
PURPOSE: To determine if intracranial hemorrhages (ICH) are always hypointense on Susceptibility weighted imaging (SWI) and to determine the effect of T1-signal intensity on the appearance of ICH in SWI series.

METHODS: SWI and T1-signal intensities of ICH were retrospectively studied in a series of patients. SWI signal intensities were statistically correlated with T1-signal intensities.

RESULTS: In a series of 57 MRI scans from 40 patients, ICH was hypointense in 19, mixed-intensity in 21, and hyperintense in 17. Hyperintensity of ICH on SWI was significantly associated with increased T1 signal (P<.001).

CONCLUSION: ICH can have a varied appearance on SWI.

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