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Now, we conduct cerebral microbleeds (CMBs) assessment.

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First, we open the VVEN_BOLD SWI sequence.

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This patient has 2 CMBs, and we can observe them first.

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CMBs are punctuate or small round/oval hypointense foci of 2-10 mm diameter.

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the BOMBS scale was used to get good interrater agreement.

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The whole brain was divided into 7 anatomical locations.

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The assessment should also be conducted separately for both hemispheres.

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Scan the entire brain in a specific order, looking for suspicious lesions.

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We see a suspicious lesion,

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 mark it.

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A new lesion, a new mark.

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Layers with marks will be indexed in the top navigation bar, so it is easy to backtrack.

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This ruler tool is for measurement of lenth, like diameter.

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Here is one of the tips for identifying mimics.

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Place the lesion in the center of the cursor, scrolling the layers, 

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and the lesion always stops at the center of the cursor.

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The same is true of this lesion.

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Two suspected lesions here. The position is changing across layers.

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They also point to vessels nearby. So, they're considered the vascular cut.

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Here is a diagram. The cerebellum and the brain stem were not shown.