Advanced Neuroimaging to Guide Acute Stroke Therapy
Advanced Neuroimaging to Guide Acute Stroke Therapy
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先进的神经影像学指导急性中风治疗
DOI：
--
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发表时间：
2012
影响因子：
3.7
通讯作者：
J. Sunshine
中科院分区：
文献类型：
--
作者：
G. Sandhu;J. Sunshine
传统上，非对比CT被认为是急性脑卒中的首选成像方式。急性缺血性脑卒中患者在症状出现后3小时内就诊，且CT图像上无明显出血或大病灶，被认为是再灌注治疗的最佳人选。然而，单独的非对比CT无法在此窗口之外确定最佳的再灌注治疗候选。新的先进成像技术目前正成功地用于这一目的。非侵入性CT或MR血管造影图像可以在初始成像评估中获得，用于识别和表征血管病变，包括闭塞、动脉瘤和畸形。在患者到达医院后立即进行基于ct的灌注成像或基于mri的扩散和灌注成像，都有助于估计缺血性病变的固定核心和半暗带的范围。具有小固定核和大半暗带的闭塞病变患者是首选的再灌注治疗候选人。
Traditionally non-contrast CT has been considered the first choice imaging modality for acute stroke. Acute ischemic stroke patients presenting to the hospital within 3-hours from symptom onset and without any visible hemorrhages or large lesions on CT images are considered optimum reperfusion therapy candidates. However, non-contrast CT alone has been unable to identify best reperfusion therapy candidates outside this window. New advanced imaging techniques are now being used successfully for this purpose. Non-invasive CT or MR angiography images can be obtained during initial imaging evaluation for identification and characterization of vascular lesions, including occlusions, aneurysms, and malformations. Either CT-based perfusion imaging or MRI-based diffusion and perfusion imaging performed immediately upon arrival of a patient to the hospital helps estimate the extent of fixed core and penumbra in ischemic lesions. Patients having occlusive lesions with small fixed cores and large penumbra are preferred reperfusion therapy candidates.
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迟到总比不到好：急性中风非造影动脉自旋标记灌注成像的漫长旅程。
影响因子：
8.3
作者：
Zaharchuk,Greg
通讯作者：
Zaharchuk,Greg
超早期溶栓治疗前大脑中动脉高密度征和卒中量表评分的预后价值。
DOI：
--
发表时间：
1996
期刊：
AJNR. American journal of neuroradiology
影响因子：
--
作者：
Tomsick,T;Brott,T;Barsan,W;Broderick,J;Haley,EC;Spilker,J;Khoury,J
通讯作者：
Khoury,J
影响因子：
120.7
作者：
Kidwell, CS;Chalela, JA;Warach, S
通讯作者：
Warach, S
影响因子：
2.8
作者：
Batalov, A., I;Afandiev, R. M.;Pronin, I. N.
通讯作者：
Pronin, I. N.