Mineralizing microangiopathy, a distinctive histopathologic process in
volving the microvasculature of the central nervous system (CNS), is u
sually seen following combined radiation and chemotherapy for the trea
tment of CNS neoplasms in childhood. CT typically demonstrates calcifi
cation within the basal ganglia and subcortical white matter. The area
s of calcification may give paradoxically increased signal on T1-weigh
ted MRI due to a surface-relaxation mechanism, and decreased signal on
T2-weighted images.