CT-based Techniques for Brain Perfusion.
CT-based Techniques for Brain Perfusion.
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DOI：
10.1097/rmr.0000000000000129
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发表时间：
2017-06-01
期刊：
影响因子：
--
通讯作者：
Aviv, Richard I
中科院分区：
文献类型：
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作者：
Krishnan, Pradeep;Murphy, Amanda;Aviv, Richard I
急性缺血性卒中血管内治疗的最新快速进展突出了神经影像学尤其是多模式计算机断层扫描（CT）（包括CT灌注）在卒中分诊和管理决策中的关键作用。随着对急性缺血性卒中临床决策中脑生理学变化沿着时间矩阵的关注日益增加，CT灌注为评估和识别可挽救的危险组织和梗死核心提供了一种快速实用的模式，并提供了对脑生理学变化的更好理解。尽管存在定量评估缺乏标准化和准确性的挑战，但CT灌注正在发展成为急性缺血性卒中快速管理中基于成像的策略的基石。
Recent rapid advances in endovascular treatment for acute ischemic stroke highlight the crucial role of neuroimaging especially multimodal computed tomography (CT) including CT perfusion in stroke triage and management decisions. With an increasing focus on changes in cerebral physiology along with time-based matrices in clinical decisions for acute ischemic stroke, CT perfusion provides a rapid and practical modality for assessment and identification of salvageable tissue at risk and infarct core and provides a better understanding of the changes in cerebral physiology. Although there are challenges with the lack of standardization and accuracy of quantitative assessment, CT perfusion is evolving as a cornerstone for imaging-based strategies in the rapid management of acute ischemic stroke.