Table 1. CT/MR Imaging characteristics of “target signs” in various conditions.
Types of target signs | Conditions | Centre | Periphery | Pathology correlate |
---|---|---|---|---|
CT contrast: two zone target | Tuberculoma (22) | Hypodense | Enhancing border | Centre: caseation Periphery: histiocytes + leaky inflamed vessels |
Metastases (23,24) | Hypodense | Enhancing border due to leaky blood vessels | Centre: inspissated mucin Periphery: leaky vessels |
|
MRI T2WI: two zone target | Tuberculoma (25,26) | Hypo intense | Hyper intense | Centre: caseation Periphery: histiocytes + leaky inflamed vessels |
Toxoplasmosis (7) | Hyper intense | Hypo intense | Centre: fibrin + edema rich necrosis Periphery: closely packed histiocytes |
|
MRI T1WI (post contrast): two zone target | Toxoplasmosis (27) | Iso/hypo intense | Ring enhancement | Not known |
MRI T1WI (non enhanced): two zone target | Toxoplasmosis (28) | Hypo intense | Iso intense | Not known |
MRI T1WI (post contrast): 3 zone target (eccentric/central target sign) | Toxoplasmosis (17) | Enhancing central/eccentric core | Intermediate: hypo intense Outer most: enhancing hyper intense |
Organizing abscess stage Enhancing core: inflamed vessels in sulcus running through centre of lesion Intermediate hypo intensity: compact necrosis Enhancing periphery: inflammation, endarteritis (6) |
MRI T2WI/FLAIR: 3 zone target (Concentric T2 target sign) Contrast pattern: not known | Toxoplasmosis (7) | Hypo intense | Intermediate: hyper intense Outer: iso Outer most: hypo intense |
Central hypo intensities: hemorrhage Intermediate hyper intensities: fibrin rich necrosis Outer iso – compact necrosis Outermost hypo intensity – edema (present report) |
MRI T2WI/FLAIR: 3 zone target (T2 target sign) T1 and Contrast: lamellar rings |
Balo's concentric sclerosis (18) | Hyper intense | Alternating hypo intense | Alternate histiocyte rich foci of demyelination and remyelination |