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Improved Turnaround Times | Median time to first decision: 12 days

Research ArticleBrain

Cerebral Microbleeds on MR Imaging: Comparison between 1.5 and 7T

M.M.A. Conijn, M.I. Geerlings, G.-J. Biessels, T. Takahara, T.D. Witkamp, J.J.M. Zwanenburg, P.R. Luijten and J. Hendrikse
American Journal of Neuroradiology June 2011, 32 (6) 1043-1049; DOI: https://doi.org/10.3174/ajnr.A2450
M.M.A. Conijn
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M.I. Geerlings
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G.-J. Biessels
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T. Takahara
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T.D. Witkamp
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J.J.M. Zwanenburg
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P.R. Luijten
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J. Hendrikse
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  • Fig 1.
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    Fig 1.

    A, MIP of 3 mm thickness of the 1.5T scan. Two microbleeds are visible (arrows).B, MIP of 3 mm thickness of the TE1 at 7T and of the TE2 image (C). The 2 microbleeds are also visible on both the TE1 and TE2 images (arrows). Note the developmental venous anomaly visible on the 1.5T scan (arrowhead) and very clearly demarcated on the TE2 of the 7T scan. D-F, Magnifications of the microbleeds on the 1.5T scan, the TE1 of the 7T scan, and the TE2 of the 7T scan, respectively.

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    Fig 2.

    A, On this 1.5T scan, a hypointense lesion (arrow) is visible that is not a typical well-defined, round-shaped lesion as in the definition of a microbleed. This lesion was not scored as a microbleed on the 1.5T scan. In B and C, this same lesion is visible on the 7T scan. On the TE1 image (B), it is visible as a faint, round hypointensity and on the TE2 image (C), it is a clearly visible round hypointensity (arrow). On the 7T scan, both raters scored this lesion as a microbleed.

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    Fig 3.

    A, 1.5T scan shows a hypointense lesion (arrow) that can hardly be distinguished from noise and was not scored as a microbleed. On both the TE1 image (B) and TE2 image (C) of the 7T scan, this hypointense lesion is visible as a typical microbleed, showing enlargement at the TE2 due to the blooming effect. This lesion was scored as a microbleed by both observers.

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    Fig 4.

    A, 1.5T scan shows a well-defined, round, hypointense lesion (arrow) that was scored as a microbleed. However, on the TE1 of the 7T scan (B), this lesion is only visible as a very faint hypointensity and on the TE2 image (C) it appears as a small microbleed. On the 7T scan, this lesion was not scored as a microbleed.

Tables

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    Table 1:

    MR sequence parameters

    Sequence Parameter1.5T7T
    TR (ms)2520.0
    TE (ms)352.5/15.0
    Flip angle (°)1016–24 (variation over slab)
    Bandwidth (Hz/pixel)100203
    Matrix size276 × 226508 × 399
    Parallel imagingYes (acceleration factor = 1.8)Yes (acceleration factor = 2.5)
    Flow compensationNoYes
    Section thickness (mm)0.80.6
    Gap (mm)NoneNone
    No. of sections125167
    Acquired voxel size (mm)0.8 × 0.8 × 0.80.35 × 0.4 × 0.6
    Interpolated voxel size (mm)0.43 × 0.43 × 0.40.35 × 0.35 × 0.3
    Acquisition time6 min 56 s8 min 50 s
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    Table 2:

    Baseline characteristics of all patients

    All Patients (n = 34)
    Age (yr)a58 ± 12
    Male gender (%)85
    Inclusion in SMART study with
        Vascular risk factors (%)50
        Cerebrovascular disease (%)26
        Peripheral artery disease (%)15
        Cardiovascular disease (%)9
    • a Age is expressed as mean ± SD.

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    Table 3:

    Number of patients with visible microbleeds at 1.5T for the 2 observers

    1.5TObserver 2Total
    Microbleeds AbsentMicrobleeds Present
    Observer 1
        Microbleeds absent21627
        Microbleeds present347
    Total241034
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    Table 4:

    Number of patients with visible microbleeds at 7T for the 2 observers

    7TObserver 2Total
    Microbleeds AbsentMicrobleeds Present
    Observer 1
        Microbleeds absent18725
        Microbleeds present279
    Total201434
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    Table 5:

    Number of patients with visible microbleeds at 1.5T and 7T after consensus between the 2 observers

    Consensus 2 observers7TTotal
    Microbleeds AbsentMicrobleeds Present
    1.5T
        Microbleeds absent17926
        Microbleeds present088
    Total171734
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American Journal of Neuroradiology: 32 (6)
American Journal of Neuroradiology
Vol. 32, Issue 6
1 Jun 2011
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Cite this article
M.M.A. Conijn, M.I. Geerlings, G.-J. Biessels, T. Takahara, T.D. Witkamp, J.J.M. Zwanenburg, P.R. Luijten, J. Hendrikse
Cerebral Microbleeds on MR Imaging: Comparison between 1.5 and 7T
American Journal of Neuroradiology Jun 2011, 32 (6) 1043-1049; DOI: 10.3174/ajnr.A2450

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Cerebral Microbleeds on MR Imaging: Comparison between 1.5 and 7T
M.M.A. Conijn, M.I. Geerlings, G.-J. Biessels, T. Takahara, T.D. Witkamp, J.J.M. Zwanenburg, P.R. Luijten, J. Hendrikse
American Journal of Neuroradiology Jun 2011, 32 (6) 1043-1049; DOI: 10.3174/ajnr.A2450
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