Normally brain tumors appears Hypointense on T1 and Hyperintense on T2.
But a handful of tumors don't follow this rule and aid in narrowing down the diagnosis.
HIGH SIGNAL ON T1W
METHEMOGLOBIN : Hemorrhage into tumor or aneurysm, apoplexy, thrombosed aneurysm
PROTEINACEOUS MATERIAL : Protein containing cysts - dermoid cysts and neuroenteric cysts.
FAT - Lipoma and dermoid cysts
CHOLESTEROL - Colloid cysts
MELANIN- Melanoma metastasis
PARAMAGNETIC CATIONS - CU,MG etc
LOW SIGNAL INTENSITY ON T2W
HYPERCELLULARITY -Lymphoma, meningioma, pnet, germinoma ,GBM, oligodendroglioma,
Mucinous -adeno metastases
CALCIFICATION - oligodendroglioma , Astrocytoma,
BLOOD - old hemorrhage in tumour or vascular malformations
PROTEIN - colloid cyst
MELANIN - melanoma metastastases
FLOW EFFECTS - Hemangioblastoma , vascular malformations
But a handful of tumors don't follow this rule and aid in narrowing down the diagnosis.
HIGH SIGNAL ON T1W
METHEMOGLOBIN : Hemorrhage into tumor or aneurysm, apoplexy, thrombosed aneurysm
PROTEINACEOUS MATERIAL : Protein containing cysts - dermoid cysts and neuroenteric cysts.
FAT - Lipoma and dermoid cysts
CHOLESTEROL - Colloid cysts
MELANIN- Melanoma metastasis
PARAMAGNETIC CATIONS - CU,MG etc
LOW SIGNAL INTENSITY ON T2W
HYPERCELLULARITY -Lymphoma, meningioma, pnet, germinoma ,GBM, oligodendroglioma,
Mucinous -adeno metastases
CALCIFICATION - oligodendroglioma , Astrocytoma,
BLOOD - old hemorrhage in tumour or vascular malformations
PROTEIN - colloid cyst
MELANIN - melanoma metastastases
FLOW EFFECTS - Hemangioblastoma , vascular malformations
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