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Titolo:
Imaging of acute stroke
Autore:
Moonis, M; Fisher, M;
Indirizzi:
Univ Massachusetts, Sch Med, Dept Neurol, Worcester, MA 01655 USA Univ Massachusetts Worcester MA USA 01655 Neurol, Worcester, MA 01655 USA
Titolo Testata:
CEREBROVASCULAR DISEASES
fascicolo: 3, volume: 11, anno: 2001,
pagine: 143 - 150
SICI:
1015-9770(2001)11:3<143:IOAS>2.0.ZU;2-3
Fonte:
ISI
Lingua:
ENG
Soggetto:
ACUTE ISCHEMIC STROKE; DIFFUSION-WEIGHTED MRI; MIDDLE CEREBRAL-ARTERY; MAGNETIC-RESONANCE SPECTROSCOPY; TISSUE-PLASMINOGEN ACTIVATOR; EARLY CT; INTRACEREBRAL HEMORRHAGE; THROMBOLYTIC THERAPY; T2-WEIGHTED MRI; SYMPTOM ONSET;
Keywords:
ischemic stroke; diffusion-weighted MRI; perfusion MRI; CT angiography; cerebral blood flow;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
59
Recensione:
Indirizzi per estratti:
Indirizzo: Moonis, M Univ Massachusetts, Sch Med, Dept Neurol, 55 Lake Ave N, Worcester, MA 01655 USA Univ Massachusetts 55 Lake Ave N Worcester MA USA 01655 1655 USA
Citazione:
M. Moonis e M. Fisher, "Imaging of acute stroke", CEREB DIS, 11(3), 2001, pp. 143-150

Abstract

The utility of diagnostic imaging during the critical first few hours after stroke onset has many important applications. First and foremost, imagingtechnologies that can reliably detect and quantify the location of acute stroke will greatly enhance the clinician's ability to accurately diagnose individual stroke patients, Secondly, if imaging technology could provide information about the likely severity of the ischemic injury, patient prognosis and management would be enhanced. The possibility of potentially distinguishing severely injured and likely irreversible ischemic brain tissue fromischemic tissue likely not yet irreversibly injured may soon be attainable. The ability of imaging technology to reliably distinguish the status of focally ischemic brain will presumably dramatically impact upon patient management. This information, along with the data about the severity and extentof blood flow and tissue perfusion abnormalities, will help acute stroke care evolve beyond rigid time windows to individualized, pathophysiologically based treatment decisions. Not only will decisions to treat or not be made based upon imaging-derived status, but also the most appropriate type of therapy to be employed, i.e. thrombolysis, neuroprotection, therapy to reduce secondary reperfusion-related injury or combinations of these modalities. In this brief and necessarily incomplete overview of acute stroke imaging, the focus will be on new developments in CT and MRI. Copyright (C) 2001 S. Karger AG, Basel.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 07/08/20 alle ore 00:27:54