出血演变(国外英文资料).docVIP

出血演变(国外英文资料) Three diagrams learn the performance of MRI in different periods of brain hemorrhage Source: huaxia imaging center MRI signals of hematoma in the brain generally evolve The brain endohematoma can be divided into super acute, acute, subacute, subacute, subacute, and slow periods. (1) hyperacute phase (rare in clinical practice, negligible memory) It is to point out that the blood has not yet solidified. In fact, it lasts only minutes to a few minutes, and is rarely encountered clinically. The unclotted blood of the superacute phase shows the long T1 T2 characteristic of the blood, thus showing a low signal on T1WI and high signal on T2WI. (ii) acute phase Usually two days after bleeding. In this stage, the cell membrane remains intact, and the oxygen in the cell releases oxygen to deoxyhemoglobin. Deaeration hemoglobin paramagnetic effect, cause local inhomogeneous magnetic field, accelerated protons phase, so the hematoma T2 values obviously shortened, the performance for low signal on T2WI and T2 * WI. The effects of deoxyhemoglobin in cells on T1 are smaller, so the signal changes in T1WI are not evident and often appear as low signal or signal. (3) early in subacute Usually the third day to the fifth day after bleeding. The period of erythrocyte membrane is still intact, intracellular methemoglobin began to appear, so the period is also referred to as the iron of eggs leukocytes in the presence of the intracellular methemoglobin usually develops gradually to center around the hematoma. Because of the strong paramagnetism of the red protein in the cell, the T1 value of the hematoma is shortened, so the hematoma of the T1WI is gradually increasing from the periphery to the center. The hematoma is not a high signal on T2WI and is generally still low. (4) subacute phase Usually the sixth to the 10th day of the hemorrhage. The cell membrane of the red blood cell begins to break down, and the hemoglobin is spilling out of the cell, so the period is also k