Read e-book online Book MRI in Ischemic Stroke PDF

By Rüdiger von Kummer, Tobias Back, K. Sartor

ISBN-10: 3540008616

ISBN-13: 9783540008613

The imaging of stroke has gone through major alterations due to the speedy development in imaging expertise. This quantity, comprising 3 components, is designed to supply a entire precis of the present position of MR imaging in sufferers with ischemic stroke. the 1st half outlines the medical displays of stroke and discusses the diagnostic efficacy and healing impression of MR imaging. the second one and 3rd elements shape the middle of the amount, and are in line with a singular strategy in that the subject is gifted from very assorted viewpoints. half 2 offers a close presentation of the distinguishing beneficial properties of stroke from the radiologist's point of view. against this, half three addresses the desires of the clinician, documenting particular stroke syndromes and their correlates on MR imaging. the general goal has been to create a well-illustrated quantity with wide attraction that hyperlinks pathology, radiology and stroke medication in an informative manner.

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Book MRI in Ischemic Stroke by Rüdiger von Kummer, Tobias Back, K. Sartor PDF

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M. Davis 34 step would be to use PI/DWI to select patients for tPA in the 3- to 6-h window in a phase III placebocontrolled RCT with primary clinical endpoints. 2 Future Stroke Patient Management: A Potential Thrombolysis Algorithm Although ongoing trials may modify the following treatment algorithm, a possible role of combined PI and DWI as part of a multimodal MRI protocol in the near future for the selection of acute ischaemic stroke patient for thrombolysis is presented below. Indeed, many centres do use stroke MRI to select patients for thrombolysis beyond 3 h (Schellinger et al.

2001). However, as our group has previously reported, about 25% of patients with perfusion-diffusion mismatch do not have an observable lesion on MRA (Barber et al. 1999b). These patients have PI lesions indicating probable branch MCA occlusion below the resolution of the MRA sequence. In our experience with acute stroke patients, the time invested in using longer MRA sequences (> 4 min) which may have greater resolution beyond the MCA division, is not productive. In our thrombolytic series, considerable at risk tissue was still present in the mismatch patients without visible MRA lesions (Parsons et al.

Cerebrovasc Dis 10:441–448 Baird TA, Parsons MW, Phanh T, Butcher KS, Desmond PM, Tress BM, Colman PG, Chambers BR, Davis SM (2003) Persistent poststroke hyperglycemia is independently associated with infarct expansion and worse clinical outcome. Stroke 34:2208–2214 37 Barber PA, Darby DG, Desmond PM, Yang Q, Gerraty RP, Jolley D, Donnan GA, Tress BM, Davis SM (1998a) Prediction of stroke outcome with echoplanar perfusion- and diffusion-weighted magnetic resonance imaging. Neurology 51:418–426 Barber PA, Davis SM, Infeld B, Baird AE, Donnan GA, Jolley D, Lichtenstein M (1998b) Spontaneous reperfusion following ischemic stroke is associated with improved outcome.

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