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. 2014 Feb 12;5(3):375–385. doi: 10.1007/s13244-014-0312-x

Table 2.

Standard MRI protocol for the diagnosis of CAA

Sequence Expected role for the diagnosis
Minimum required protocol
 T2*-weighted image Depiction of haemosiderin depositions suggestive of chronic ICHs, MBs and SS
 Fluid-attenuated inversion recovery image Depiction of acute and subacute SAHs, and white matter signal changes
 Diffusion-weighted image

Depiction of acute microinfarction

Evaluation of vasogenic oedema due to CAA-related inflammation

Optional sequence for the diagnosis of CAA
 Susceptibility-weighted image Depiction of haemosiderin depositions, clearer than T2*-weighted image
Additional sequences for differential diagnosis
 T1-weighted image Depiction of T1 shortening due to methaemoglobin and melanin
 Contrast-enhanced T1-weighted image Differentiation between haemorrhagic tumours and other lesions
 Magnetic resonance angiogram Evaluation of vascular disorders such as vasculitis

CAA cerebral amyloid angiopathy, ICH intracerebral haemorrhage, MB microbleed, MRI magnetic resonance imaging, SAH subarachnoid haemorrhage, SS superficial siderosis