中风成像中的多模态CT：新概念
Multimodal CT in stroke imaging: new concepts.
作者信息
Ledezma Carlos J, Wintermark Max
机构信息
Morristown Memorial Hospital, Department of Radiology, 100 Madison Avenue, Morristown, NJ 07962, USA.
出版信息
Radiol Clin North Am. 2009 Jan;47(1):109-16. doi: 10.1016/j.rcl.2008.10.008.
Abstract
A multimodal CT protocol provides a comprehensive noninvasive survey of acute stroke patients with accurate demonstration of the site of arterial occlusion and its hemodynamic tissue status. It combines widespread availability with the ability to provide functional characterization of cerebral ischemia, and could potentially allow more accurate selection of candidates for acute stroke reperfusion therapy. This article discusses the individual components of multimodal CT and addresses the potential role of a combined multimodal CT stroke protocol in acute stroke therapy.
摘要
多模态CT方案能对急性中风患者进行全面的无创检查，准确显示动脉闭塞部位及其血流动力学组织状态。它兼具广泛可用性和提供脑缺血功能特征的能力，有可能使急性中风再灌注治疗的候选者选择更加准确。本文讨论了多模态CT的各个组成部分，并阐述了联合多模态CT中风方案在急性中风治疗中的潜在作用。
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本文引用的文献
1
The anterior cerebral artery is an appropriate arterial input function for perfusion-CT processing in patients with acute stroke.
Neuroradiology. 2008 Mar;50(3):227-36. doi: 10.1007/s00234-007-0336-8. Epub 2007 Dec 5.
2
Systematic comparison of perfusion-CT and CT-angiography in acute stroke patients.
Ann Neurol. 2007 Jun;61(6):533-43. doi: 10.1002/ana.21130.
3
Guidelines for the early management of adults with ischemic stroke: a guideline from the American Heart Association/American Stroke Association Stroke Council, Clinical Cardiology Council, Cardiovascular Radiology and Intervention Council, and the Atherosclerotic Peripheral Vascular Disease and Quality of Care Outcomes in Research Interdisciplinary Working Groups: the American Academy of Neurology affirms the value of this guideline as an educational tool for neurologists.
Stroke. 2007 May;38(5):1655-711. doi: 10.1161/STROKEAHA.107.181486. Epub 2007 Apr 12.
4
Comparison of CT perfusion and angiography and MRI in selecting stroke patients for acute treatment.
Neurology. 2007 Feb 27;68(9):694-7. doi: 10.1212/01.wnl.0000255959.30107.08.
5
Perfusion CT in acute stroke: predictive value of perfusion parameters in assessing tissue viability versus infarction.
Radiol Med. 2007 Feb;112(1):113-22. doi: 10.1007/s11547-007-0125-9. Epub 2007 Feb 22.
6
Surgical endovascular neuroradiology in the 21st century: what lies ahead?
Neurosurgery. 2006 Nov;59(5 Suppl 3):S48-55; discussion S3-13. doi: 10.1227/01.NEU.0000237340.82724.19.
7
New techniques in CT angiography.
Radiographics. 2006 Oct;26 Suppl 1:S45-62. doi: 10.1148/rg.26si065508.
8
The MCA Dot Sign.
Radiology. 2006 Oct;241(1):315-8. doi: 10.1148/radiol.2411040573.
9
Perfusion-CT assessment of infarct core and penumbra: receiver operating characteristic curve analysis in 130 patients suspected of acute hemispheric stroke.
Stroke. 2006 Apr;37(4):979-85. doi: 10.1161/01.STR.0000209238.61459.39. Epub 2006 Mar 2.
10
Comparative overview of brain perfusion imaging techniques.
J Neuroradiol. 2005 Dec;32(5):294-314. doi: 10.1016/s0150-9861(05)83159-1.
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