9. Brain Trauma: How old is the blood? Flashcards
Blood on CT
Hypodense
Hyperacute (< 1 hour)
Blood on CT
Hyperdense
Acute (1hour - 3days)
Blood on CT
progressively less dense
ISODENSE to brain
Peripheral rim enhancement on contrast
Subacute (4 days - 3 weeks)
Blood on CT
Hypodense
Chronic (> 3 weeks)
This is an ominous sign of active
bleeding
Swirl Sign
Hyperacute central blood (hypodense) with surrounding acute clotted blood.
T1 Iso
T2 Bright
Hyperacute (< 24 hours)
Osyhemoglobin
Inracellular
Hyperacute (< 24 hours)
T1 Iso
T2 Dark
Acute (1-3 days)
Deoxyhemoglobin
Intracellular
Acute (1-3 days)
T1 Bright
T2 Dark
Ealry Subacute >3 days)
Methemoglobin
Intracellular
Early Subacute (>3 days)
T1 Bright
T2 Bright
Late Subacute ( > 7 days)
Methemoglobin
Extracellular
Late Subacute (> 7 days)
T1/T2 Dark peripherally
T2 brigth center
Chronic (> 14 days)
Ferritin and Hemosiderin
Extracellular
Chronic (> 14 days)