Advanced Neuroimaging of Acute Ischemic Stroke Penumbra and Collateral Assessment

被引:35
|
作者
Heit, Jeremy J. [1 ]
Zaharchuk, Greg [1 ]
Wintermark, Max [1 ]
机构
[1] Stanford Healthcare, Dept Radiol, Div Neuroimaging & Neurointervent, 300 Pasteur Dr, Stanford, CA 94305 USA
关键词
Stroke; Perfusion; Collaterals; Penumbra; Infarction; MR imaging; CT; MRA; SPIN-LABELING PERFUSION; CT ANGIOGRAPHY; CLINICAL-APPLICATIONS; COMPUTED-TOMOGRAPHY; MR-ANGIOGRAPHY; ENDOVASCULAR THERAPY; MULTIPHASE CT; INFARCT CORE; FLOW; CIRCULATION;
D O I
10.1016/j.nic.2018.06.004
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Acute ischemic stroke (AIS) occurs when there is a sudden loss in cerebral blood flow due to embolic or thromboembolic occlusion of a cerebral or cervical artery. Patients with AIS require emergent neuroimaging to guide treatment, which includes intravenous thrombolysis and endovascular mechanical thrombectomy (EMT). Recent advances in AIS treatment by EMT has been driven in part by advances in computed tomography (CT) and MR imaging neuroimaging evaluation of ischemic penumbra and pial collateral vessels. The authors review advanced noninvasive brain imaging by CT and MR imaging for the evaluation of AIS focusing on penumbral and collateral imaging.
引用
收藏
页码:585 / 597
页数:13
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