Hemorrhage on MRI: Stages of Hemosiderin
Hyperacute < 24hrs
- Oxyhemoglobin (intracellular)
Acute ~ 1 - 3 days
- Deoxyhemoglobin (intracellular)
Early Subacute: 3 - 7 days
- Methehemoglobin (intracellular)
Late Subacute > 7 days
- Methehemoglobin (extracellular)
Chronic > 14 days
Simplification of MRI Findings
Hyperacute/Acute
T2 - Bright (hyperacute blood may be isointense on T2*).
- GRE - Black in periphery of hematoma
Subacute
- T1 - Bright
- T2 - Isointense
- GRE - Black expands inward
Chronic
- T1 - Dark
- T2 - Dark
- GRE - Dark