OBJECTIVE. Our purpose was to evaluate how well diffusion-weighted MR imagi
ng shows viral or bacterial encephalitis in comparison with conventional MR
imaging that includes T1- and T2-weighted spin-echo and fluid-attenuated i
nversion-recovery sequences.
CONCLUSION. In nine of the 13 patients examined, diffusion-weighted imaging
was superior to other diagnostic imaging sequences (fluid-attenuated inver
sion-recovery sequences in eight patients and a T2-weighted spin-echo seque
nce in one patient). Diffusion-weighted imaging can serve as a method of de
tecting early encephalitic changes.