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A Murine Model of Subarachnoid Hemorrhage
Published on: November 21, 2013
Effect of methemoglobin formation on the MR appearance of subarachnoid hemorrhage
Abstract:
Subarachnoid hemorrhage has a much higher intensity in magnetic resonance (MR) images with the passage of time. Acute subarachnoid hemorrhage is difficult to see; within 1 week its appearance has become intensified on T1-weighted images. Different concentrations of blood and lysed red blood cells in cerebrospinal fluid (CSF) were examined spectroscopically but did not significantly alter T1 and T2 relaxation of CSF acutely. Ultraviolet visible spectroscopy of bloody CSF stored hypoxically for 3 days showed the presence of methemoglobin. The iron in methemoglobin is paramagnetic; in combination with water this facilitates T1 relaxation. It is concluded that methemoglobin formation with T1 shortening at least partially accounts for the increasing intensity of the MR appearance of subarachnoid hemorrhage over time in the central nervous system and may also explain the intense appearance of subacute hemorrhage in MR images elsewhere in the body.
Insights
Subarachnoid hemorrhage becomes more visible on MR images over time due to methemoglobin formation. This paramagnetic substance shortens T1 relaxation, enhancing the intensity of subarachnoid hemorrhage in scans.
Area of Science:
- Radiology
- Biochemistry
- Neuroscience
Background:
- Subarachnoid hemorrhage (SAH) detection on MR imaging (MRI) is challenging in acute stages.
- SAH intensity on T1-weighted MR images increases significantly within the first week.
Purpose of the Study:
- To investigate the biochemical basis for the increasing MR signal intensity of subarachnoid hemorrhage over time.
- To understand the role of blood degradation products in altering MR imaging characteristics of SAH.
Main Methods:
- Spectroscopic analysis of cerebrospinal fluid (CSF) with varying blood concentrations.
- Ultraviolet-visible spectroscopy of hypoxic bloody CSF.
- Assessment of T1 and T2 relaxation times of CSF.
Main Results:
- Spectroscopy did not reveal significant acute alterations in CSF T1 and T2 relaxation due to blood or lysed red blood cells.
- Ultraviolet-visible spectroscopy identified methemoglobin in hypoxic bloody CSF after 3 days.
- Methemoglobin's paramagnetic iron facilitates T1 relaxation.
Conclusions:
- Methemoglobin formation contributes to the increased MR signal intensity of subarachnoid hemorrhage over time.
- T1 shortening by methemoglobin formation likely explains the intensifying MR appearance of SAH.
- This mechanism may also account for intense imaging of subacute hemorrhage in other body regions.
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