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Updated: Aug 8, 2026

Diffusion Imaging in the Rat Cervical Spinal Cord
Published on: April 7, 2015
Diffusion-weighted MR imaging in intracranial infections
1Department of Neuroradiology, National Neuroscience Institute, 11 Jalan Tan Tock Seng, Singapore 308433. tchoyoson_lim@notes.ttsh.gov.sg
Introduction:
Diffusion-weighted magnetic resonance (MR) imaging (DWMRI) is valuable in the assessment of acute cerebral infarction and may be useful for other diseases of the central nervous system (CNS). In this study, we present the DWMRI appearance of intracranial infection.
Materials And Methods:
Thirty patients with clinical diagnosis of CNS infection were reviewed. All patients underwent conventional contrast-enhanced MR examination and DWMRI using single-shot echo-planar imaging at b = 1000 s/mm2.
Results:
Cerebral abscess, tuberculoma, subdural empyema and epidural abscess were hyperintense on DWMRI. Neurocysticercosis showed hypointense lesions on DWMRI. Four of 5 patients with encephalitis showed DWMRI hyperintensity; the appearance of toxoplasmosis lesions was variable. Patients suffering from meningitis without parenchymal involvement did not exhibit any abnormality of diffusion. One patient with tuberculous meningitis developed abnormality on DWMRI from acute cerebral infarction.
Conclusion:
DWMRI increased lesion conspicuity and may be useful in assessment of cerebral infection. There were striking differences in the DWMRI appearances caused by different organisms and diseases.
Insights
Diffusion-weighted MRI (DWMRI) aids in diagnosing intracranial infections by showing distinct lesion appearances. This technique enhances lesion visibility, proving valuable for assessing central nervous system infections.
Area of Science:
- Neurology
- Radiology
- Infectious Diseases
Background:
- Diffusion-weighted magnetic resonance (MR) imaging (DWMRI) is a valuable tool for assessing acute cerebral infarction.
- Its utility extends to other central nervous system (CNS) diseases, including intracranial infections.
Purpose of the Study:
- To present the DWMRI appearance of various intracranial infections.
- To evaluate DWMRI's effectiveness in lesion conspicuity and assessment of CNS infections.
Main Methods:
- Reviewed 30 patients with clinically diagnosed CNS infections.
- All patients underwent conventional contrast-enhanced MR and DWMRI (b = 1000 s/mm2) using single-shot echo-planar imaging.
Main Results:
- Intracranial infections like abscesses and tuberculomas appeared hyperintense on DWMRI.
- Neurocysticercosis lesions were hypointense, while encephalitis and toxoplasmosis showed variable DWMRI signal intensities.
- Meningitis without parenchymal involvement was not detected by DWMRI, though one case of tuberculous meningitis showed infarction.
Conclusions:
- DWMRI enhances lesion conspicuity in cerebral infections.
- Distinct DWMRI appearances were observed for different infectious organisms and diseases, aiding in diagnosis.
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