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. 2022 Feb 21;23(4):2397. doi: 10.3390/ijms23042397

Table 2.

SVD radiological features.

Subtypes of SVD Neuroradiological Aspect
Recent small subcortical infarct • Recent infarction in one perforating arteriole and its territory
• Increased DWI, FLAIR, T2-weighted signal
• Decreased T1-weighted signal
• Iso-intense T2-weighted GRE signal
WMHs • Increase intensity or hyperintensity on T2-weighted, T2 weighted GRE and FLAIR signal
• Iso-intense on DWI and T1-weighted signal
• Decrease intensity or hypointense on T1-weighted signal
Lacune • Round or ovoid fluid filed cavity mostly in subcortical region
• Hyperintensity on T2-weighted signal
• Decreased signal in FLAIR and T1-weighted images
• Signal similar to CSF
• Decreased or iso-intense signal on DWI
Perivascular space • Fluid-filled spaces that follow the typical course of a vessel as it goes through gray or white matter similar signal intensity with CSF
• Decrease FLAIR and T1-weighted signal
• IncreasedT2-weighted-signal
• DW1 and T2- weighted GRE signal seems iso-intense
Cerebral microbleed • Small, rounded areas of signal void
• Iso-intense DWI, FLAIR, 12- and-weighted signal
• Best seen in T21 weighted GRE with decreased signal

SVD: small vessel disease; WMHs: white matter hyperintensities; DWI: diffusion weighted imaging; FLAIR: fluid attenuated inversion recovery; GRE: gradient echo; CSF: cerebrospinal fluid.