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. Author manuscript; available in PMC: 2018 Feb 14.
Published in final edited form as: Circulation. 2016 Dec 28;135(7):671–682. doi: 10.1161/CIRCULATIONAHA.116.021724

Table 1.

Definitions of brain abnormalities

Brain Abnormality* Definition
Acute Ischemic Changes Any acute ischemia and infract seen in the brain based on
diffusion weighted imaging trace maps and apparent
diffusion coefficient maps
PVL Lesions with typical appearance and location of
periventricular leukomalacia, including punctate white
matter injury
Nonacute Ischemic T2 Changes Focal lesions without acute ischemic findings that are likely
to be result of prior ischemia based on imaging appearance
and which follow vascular territories
Delayed Myelination Assessment of myelination based on well established norms
of myelination progression on the basis of T1-weighted and
T2-weighted images
Developmental Defect (Malformation) Any congenital malformation of the brain
Generalized Atrophy Diffuse volume loss in the brain
Focal Tissue Loss & Atrophy Any non-diffuse focal loss and atrophy of brain
parenchymal tissue
Ventriculomegaly Enlargement of the ventricles due to any cause; may or may
not be associated with generalized volume loss
Intracranial hemorrhage – gross (acute or
chronic)
Detection of gross brain parenchymal or extra-axial
hemorrhage, acute or chronic, based on any combination of
imaging sequences
Intraventricular Hemorrhage Presence of any new or old intraventricular hemorrhage
Operculum Whether the Sylvian operculum remains widely open or has
normally closed
SWI Veins Presence or absence of abnormal prominence of the cortical
and medullary veins based on susceptibility weighted
imaging maximum intensity projection images
Choroid Plexus Susceptibility Presence or absence of susceptibility in either choroids
plexus on susceptibility weighted imaging
*

Note that while these classifiers are distinct, there may often be overlap in some of the features for a particular lesion or patient.