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Abstract

Neuroimages play a crucial role in the diagnosis and treatment of critically ill neurological patients. Modern neuroimaging techniques allow the fast acquisition of detailed images of the brain, spinal cord and blood vessels. Here, we review the anatomy, diagnostic principles, and clinical application of brain imaging methods currently used in the neurocritical care setting.

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References

  1. d’Esterre CD, Fainardi E, Aviv RI, et al. Improving acute stroke management with computed tomography perfusion: a review of imaging basics and applications. Transl Stroke Res. 2012;3:205–20.

    Article  PubMed  Google Scholar 

  2. Power S, McEvoy SH, Cunningham J, et al. Value of CT angiography in anterior circulation large vessel occlusive stroke: imaging findings, pearls, and pitfalls. Eur J Radiol. 2015;84:1333–44.

    Article  PubMed  Google Scholar 

  3. Latchaw RE, Yonas H, Hunter GJ, et al. Guidelines and recommendations for perfusion imaging in cerebral ischemia: a scientific statement for healthcare professionals by the writing group on perfusion imaging, from the Council on Cardiovascular Radiology of the American Heart Association. Stroke; J Cereb Circ. 2003;34:1084–104.

    Article  Google Scholar 

  4. Atkinson IC, Renteria L, Burd H, et al. Safety of human MRI at static fields above the FDA 8 T guideline: sodium imaging at 9.4 T does not affect vital signs or cognitive ability. J Magn Reson Imaging: JMRI. 2007;26:1222–7.

    Article  PubMed  Google Scholar 

  5. Kim YJ, Chang KH, Song IC, et al. Brain abscess and necrotic or cystic brain tumor: discrimination with signal intensity on diffusion-weighted MR imaging. AJR Am J Roentgenol. 1998;171:1487–90.

    Article  CAS  PubMed  Google Scholar 

  6. Gonzalez RG, Schwamm LH. Imaging acute ischemic stroke. Handb Clin Neurol. 2016;135:293–315.

    Article  PubMed  Google Scholar 

  7. El-Koussy M, Schroth G, Brekenfeld C, et al. Imaging of acute ischemic stroke. Eur Neurol. 2014;72:309–16.

    Article  CAS  PubMed  Google Scholar 

  8. Lev MH, Farkas J, Rodriguez VR, et al. CT angiography in the rapid triage of patients with hyperacute stroke to intraarterial thrombolysis: accuracy in the detection of large vessel thrombus. J Comput Assist Tomogr. 2001;25:520–8.

    Article  CAS  PubMed  Google Scholar 

  9. Leach JL, Fortuna RB, Jones BV, et al. Imaging of cerebral venous thrombosis: current techniques, spectrum of findings, and diagnostic pitfalls. Radiographics: Rev Publ Radiol Soc N Am Inc. 2006;26(Suppl 1):S19–41; discussion S42–13.

    Google Scholar 

  10. Lee EJ. The empty delta sign. Radiology. 2002;224:788–9.

    Article  PubMed  Google Scholar 

  11. Kurz KD, Ringstad G, Odland A, et al. Radiological imaging in acute ischaemic stroke. Eur J Neurol. 2016;23(Suppl 1):8–17.

    Article  PubMed  Google Scholar 

  12. Leiva-Salinas C, Provenzale JM, Wintermark M. Responses to the 10 most frequently asked questions about perfusion CT. AJR Am J Roentgenol. 2011;196:53–60.

    Article  PubMed  Google Scholar 

  13. Campbell BC, Christensen S, Levi CR, et al. Comparison of computed tomography perfusion and magnetic resonance imaging perfusion-diffusion mismatch in ischemic stroke. Stroke; J Cereb Circ. 2012;43:2648–53.

    Article  Google Scholar 

  14. Khawaja AZ, Cassidy DB, Al Shakarchi J, et al. Revisiting the risks of MRI with Gadolinium based contrast agents-review of literature and guidelines. Insights Imaging. 2015;6:553–8.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Kanda T, Fukusato T, Matsuda M, et al. Gadolinium-based contrast agent accumulates in the brain even in subjects without severe renal dysfunction: evaluation of autopsy brain specimens with inductively coupled plasma mass spectroscopy. Radiology. 2015;276:228–32.

    Article  PubMed  Google Scholar 

  16. McDonald RJ, McDonald JS, Kallmes DF, et al. Intracranial Gadolinium deposition after contrast-enhanced MR imaging. Radiology. 2015;275:772–82.

    Article  PubMed  Google Scholar 

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Correspondence to Susan Yeager ACNP-BC .

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Yeager, S., Datta, M., Malhotra, A. (2018). Neuroradiology. In: White, J., Sheth, K. (eds) Neurocritical Care for the Advanced Practice Clinician. Springer, Cham. https://doi.org/10.1007/978-3-319-48669-7_3

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  • DOI: https://doi.org/10.1007/978-3-319-48669-7_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-48667-3

  • Online ISBN: 978-3-319-48669-7

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