Hemorrhage on DWI (mnemonic)

Last revised by COIMBATORE NARAYANAN on 24 Mar 2021

General isotropic DWI signal characteristics of hemorrhage on MRI may be recalled by the mnemonic:

  • Hobbits Love Little Hairy Ladies

Mnemonic

  • Hobbits
    • high isotropic DWI signal with reduced ADC values
    • intracellular oxyhemoglobin: hyperacute (<1day)
  • Love
    • low isotropic DWI signal with reduced ADC values
    • intracellular deoxyhemoglobin: acute (1 to 3 days)
  • Little
    • low isotropic DWI signal with reduced ADC values
    • intracellular methemoglobin: early subacute (3 to 7 days)
  • Hairy
    • high isotropic DWI signal with reduced ADC values
    • extracellular methemoglobin: late subacute (7 to 14-28 days)
  • Ladies
    • low isotropic DWI signal with increased ADC values (centrally)
    • extracellular haemichromes at the central portion of the infarct: chronic (>14-28 days)

See hemorrhage on MRI article for more information.

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