Abstract: Objective To investigate the risk factors of distant lesions based on MRI-DWI in adult patients with ICH to provide more references for early definition of distant lesions based on MRI-DWI and construct the prevention and treatment intervention. Methods 406 adult patients with ICH were retrospectively chosen in the period from January 2016 to June 2021 in Laiwu Central Hospital of Shandong Health Care Group. MRI-DWI were underwent in all patients and they were grouped according to whether there were distant lesions or not and included distant lesions detection group (78 cases) and non- distant lesions detection group (328 cases). The general data and laboratory inspection indicators were analyzed. Multivariate logistic regression model was used to evaluate the independent risk factors of distant lesions in adult patients with ICH. Results 78 cases in all 406 patients had distant lesions as total of 110 lesions. The levels of SBP, DBP, WBC, NEU, NLR and fasting blood glucose of distant lesions detection group were significantly higher than non-distant lesions detection group（P<0.05）. Univariate analysis showed that SBP, DBP, WBC, NEU, NLR and fasting blood glucose were related to the occurrence of distant lesions in adult patients with ICH（P<0.05）. Multivariate logistic regression analysis showed that high abdominal blood glucose, high neu and high NLR levels were independent risk factors for distant lesions in adult patients with ICH（P<0.05）. Conclusion Adult ICH patients with high abdominal blood glucose, high neu and high NLR levels should be more prone to distant lesions based on MRI-DWI,and cortical subcortical areas may be more common.

Key words: adult, spontaneous intracerebral hemorrhage, MRI, distant lesions, risk factors