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Traumatic brain injury: diffusion-weighted MR imaging findings. AJNR Am J Neuroradiol 1999 Oct;20(9):1636-41

Date

10/30/1999

Pubmed ID

10543633

Pubmed Central ID

PMC7056184

Scopus ID

2-s2.0-0032748903 (requires institutional sign-in at Scopus site)   205 Citations

Abstract

BACKGROUND AND PURPOSE: Diffuse axonal injury (DAI) accounts for a significant portion of primary intra-axial lesions in cases of traumatic brain injury. The goal of this study was to use diffusion-weighted MR imaging to characterize DAI in the setting of acute and subacute traumatic brain injury.

METHODS: Nine patients ranging in age from 26 to 78 years were examined with conventional MR imaging (including fast spin-echo T2-weighted, fluid-attenuated inversion-recovery, and gradient-echo sequences) as well as echo-planar diffusion-weighted MR imaging 1 to 18 days after traumatic injury. Lesions were characterized as DAI on the basis of their location and their appearance on conventional MR images. Trace apparent diffusion coefficient (ADC) maps were computed off-line with the diffusion-weighted and base-line images. Areas of increased signal were identified on the diffusion-weighted images, and regions of interests were used to obtain trace ADC values.

RESULTS: In the nine patients studied, isotropic diffusion-weighted images showed areas of increased signal with correspondingly decreased ADC. In one case, decreased ADC was seen 18 days after the initial event.

CONCLUSION: Decreased ADC can be demonstrated in patients with DAI in the acute setting and may persist into the subacute period, beyond that described for cytotoxic edema in ischemia.

Author List

Liu AY, Maldjian JA, Bagley LJ, Sinson GP, Grossman RI

Author

Grant P. Sinson MD Associate Professor in the Neurosurgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adult
Aged
Brain Concussion
Caudate Nucleus
Cerebral Cortex
Corpus Callosum
Diffuse Axonal Injury
Diffusion
Echo-Planar Imaging
Female
Humans
Image Enhancement
Magnetic Resonance Imaging
Male
Middle Aged