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Stroke pp 61–74Cite as

Modern Imaging Technology in the Assessment of Acute Ischemic Stroke

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Part of the book series: Update in Intensive Care and Emergency Medicine ((UICM,volume 27))

Abstract

Advances in modern imaging techniques are being applied in two areas of acute stroke management: refining triage decisions on which patients should receive thrombolytic therapy, and improving clinical trials of new stroke treatments. For guiding thrombolytic therapy decisions, the need is to be able to determine whether there is sufficient salvageable tissue to warrant the risks of treatment. These risks include reperfusion injury and hemorrhagic complications.

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References

  1. Heiss WD, Rosner G (1983) Functional recovery of cortical neurons as related to degree and duration of ischemia. Ann Neurol 14: 294–301

    Article  PubMed  CAS  Google Scholar 

  2. von Kummer R, Meyding-Lamade U, Forsting M et al (1994) Sensitivity and prognostic value of early CT in occlusion of the middle cerebral artery trunk. Am J Neuroradiol 15: 9–15

    Google Scholar 

  3. Yonas H, Gur D, Latchaw RE, Wolfson SK (1987) Xenon computed tomographic blood flow mapping. In: Wood JH (ed) Cerebral blood flow: physiologic and clinical aspects. McGraw- Hill Co., New York, pp 220–242

    Google Scholar 

  4. Tomsick TA, Brott TG, Chambers A A, et al (1990) Hyperdense middle cerebral artery sign on CT: efficacy in detecting middle cerebral artery thrombosis. Am J Neuroradiol 11: 473–477

    PubMed  CAS  Google Scholar 

  5. Shrier DA, Tanaka H, Numaguchi Y, Konno S, Patel U, Shibata D (1997) CT angiography in the evaluation of acute stroke. Am J Neuroradiol 18: 1011–1020

    PubMed  CAS  Google Scholar 

  6. Hamberg LM, Hunter GJ, Kierstead D, Lo EH, Gonzalez RG, Wolf GL (1996) Measurement of cerebral blood volume with subtraction three-dimensional functional CT. Am J Neuroradiol 17: 1861–1869

    PubMed  CAS  Google Scholar 

  7. Yuh WTC, Crain MR, Loes DJ, Greene GM, Ryals TJ, Sato Y (1991) MR imaging of cerebral ischemia: findings in the first 24 hours. Am J Neuroradiol 12: 621–629

    PubMed  CAS  Google Scholar 

  8. Mosely ME, Kucharczyk J, Mintorovitch J, et al (1990) Diffusion-weighted MR imaging of acute stroke: correlation with T2-weighted and magnetic susceptibility-enhanced MR imaging in cats. Am J Neuroradiol 11: 423–429

    Google Scholar 

  9. Kucharczyk J, Vexler ZS, Roberts TP, et al (1993) Echo-planar perfusion-sensitive MR imaging of acute cerebral ischemia. Radiology 188: 711–717

    PubMed  CAS  Google Scholar 

  10. Latchaw RE, Hu X, Ugurbil K, Hall WA, Madison MT, Heros RC (1995) Functional magnetic resonance imaging as a management tool for cerebral arteriovenous malformations. Neurosurgery 37: 619–626

    Article  PubMed  CAS  Google Scholar 

  11. Sorenson AG, Buonanno FS, Gonzalez RG, et al (1996) Hyperacute stroke: evaluation with combined multisection diffusion-weighted and hemodynamically weighted echo-planar MR imaging. Radiology 199: 391–401

    Google Scholar 

  12. Furst G, Hofer M, Steinmetz H, et al (1996) Intracranial stenoocclusive disease: MR angiography with magnetization transfer and variable flip angle. Am J Neuroradiol 17: 1749–1757

    PubMed  CAS  Google Scholar 

  13. Patel MR, Edelman RR, Warach S (1996) Detection of hyperacute primary intraparenchymal hemorrhage by magnetic resonance imaging. Stroke 27: 2321–2324

    Article  PubMed  CAS  Google Scholar 

  14. Relts W, Hasegawa Y, Latour U. et al (1995) Multislice diffusion mapping for 3–0 evolution of cerebral ischemia in a rat stroke model. Neurology 45: 172–177

    Google Scholar 

  15. Mineratsu K, Fisher MLL, Sotak CH (1993) Diffusion and perfusion MRI studies to evaluate a non-competitive NMDA antagonist and reperfusion in experimental stroke. Stroke 24: 2074–2081

    Article  Google Scholar 

  16. Sorensen AB, Buonanno FS, Gonzalez RB, et al (1996) Hyperacute stroke: evaluation with combined multislice diffusion-weighted and hemodynamically weighted echoplanar MRI imaging. Radiology 199: 391–401

    PubMed  CAS  Google Scholar 

  17. Baird AE, Benfield A, Sclaug G, et al (1997) Enlargement of human cerebral ischemic lesion volumes measured by diffusion-weighted magnetic resonance imaging. Ann Neurol 41: 581–589

    Article  PubMed  CAS  Google Scholar 

  18. Baron JC, von Kummar R, del Zoppo GJ (1995) Treatment of acute ischemic stroke: challenging the concept of a rigid and universal time window. Stroke 26: 2219–2221

    Article  PubMed  CAS  Google Scholar 

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© 1998 Springer-Verlag Berlin Heidelberg

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Latchaw, R.E., Fisher, M. (1998). Modern Imaging Technology in the Assessment of Acute Ischemic Stroke. In: Steiner, T., Hacke, W., Hanley, D.F. (eds) Stroke. Update in Intensive Care and Emergency Medicine, vol 27. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60264-1_7

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  • DOI: https://doi.org/10.1007/978-3-642-60264-1_7

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-64326-2

  • Online ISBN: 978-3-642-60264-1

  • eBook Packages: Springer Book Archive

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