Dating Stroke Radiographics

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@RadioGraphics - RSNA Publications Online
@RadioGraphics - RSNA Publications Online
Dating Ischemic Stroke Radiographics - Brain Ischemia . . .
Dating Stroke Radiographics - Sequence-specific MR imaging . . .
(PDF) Sequence-specific MR Imaging Findings That Are . . .
Stroke and Its Imaging Evaluation | Radiology Key
Ischemic stroke | Radiology Reference Article . . .
State-of-the-art imaging of acute stroke
Diffusion weighted MRI in acute stroke | Radiology . . .
Dating Stroke Radiographics
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Abstract . Use of various MR imaging sequences in dating ischemic stroke is discussed, with a brief review of the current and most widely accepted guidelines for thrombolytic and neurointerventional therapy in patients with acute ischemic stroke . Patients may present to the hospital at various times after an ischemic stroke .
In another study by Aoki et al of 333 consecutive patients with stroke that excluded lacunar and vertebrobasilar system infarcts, when restricted diffusion was present and FLAIR imaging findings were negative, the positive predictive value was 77% that the stroke was less than 3 hours old, 96% that it was less than 4 .5 hours old, and 100% that it was less than 6 hours old . These findings suggest that when FLAIR imaging findings are negative, the stroke is likely less than 6 hours old .
Strokes may be classified and dated as early hyperacute, late hyperacute, acute, subacute, or cortical . Recent data indicate that in many patients with restricted diffusion and no change on FLAIR images, it is more likely than was very thought that the stroke is less than 6 hours useful .
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Stroke is the second most common cause of morbidity worldwide after ischemic infarction and is the leading cause of acquired disability 2 . Risk factors for ischemic stroke largely mirror the risk factors for atherosclerosis and include radiographics , gender, family history, smoking, hypertension, radiographics , and protocol mellitus .
Strokes may be classified and dated as early hyperacute, late hyperacute, acute, subacute, or chronic . . . . RadioGraphics 2012; 32:1285-1297 • Published online 10 .1148/rg .325115760 • Content . . .
CT imaging, including noncontrast CT (NCCT), CT angiography (CTA), and CT perfusion (CTP), are the most often the initial imaging modalities in stroke evaluation . At our institution, NCCT followed by CTA is the initial study in stroke evaluation . CTP is performed in select cases to help stratify patients for treatment .
Visualization of loss of grey-white matter differentiation is aided by the use of a stroke window which has a narrow width and slightly lower center than routine brain window (width = 8, center = 32 HU) 18 . Acute . With time the hypoattenuation and swelling become more marked resulting in a significant mass effect .
A comprehensive evaluation may be performed with a combination of computed tomography (CT) or magnetic resonance (MR) imaging techniques . Unenhanced CT can be performed quickly, can help identify early signs of stroke , and can help rule out hemorrhage .
Diffusion weighted imaging (DWI) is a commonly performed MRI sequence for evaluation of acute ischemic stroke , and is sensitive in the detection of small and early infarcts . Conventional MRI sequences (T1WI, T2WI) may not demonstrate an infarct for 6 hours, and small infarcts may be hard to appreciate on CT for days, especially without the benefit of prior imaging .
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Dating Stroke Radiographics