Effect of methemoglobin formation on the MR appearance of subarachnoid hemorrhage

Radiology
|July 1, 1985
PubMed

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.