The perceived acuity (hyperacute, acute, subacute) of intracerebral hemorrhage (ICH) dramatically impacts patient management. While CT and standard MRI are limited for staging ICH, Quantitative Susceptibility Imaging (QSM) has shown promising results for tracking the evolution of ICH, as a substrate for the pathophysiology within bleeds. Here, we compare novel multi-echo complex total field inversion (mcTFI) QSM for staging ICHs, in comparison to conventional Morphology Enabled Dipole Inversion (MEDI). mcTFI better distinguished hyperacute/acute timepoints from subacute ICHs, in comparison to MEDI, likely as a result of the robust inversion computation, inherently reducing susceptibility quantification errors and shadowing artifacts.
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