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磁共振灌注成像在急性缺血性卒中中的应用。

MR perfusion imaging in acute ischemic stroke.

机构信息

Department of Radiology, Division of Neuroradiology, Massachusetts General Hospital, GRB-273A, 55 Fruit Street, Boston, MA 02114, USA.

出版信息

Neuroimaging Clin N Am. 2011 May;21(2):259-83, x. doi: 10.1016/j.nic.2011.02.007.

DOI:10.1016/j.nic.2011.02.007
PMID:21640299
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3135980/
Abstract

Magnetic resonance (MR) perfusion imaging offers the potential for measuring brain perfusion in acute stroke patients, at a time when treatment decisions based on these measurements may affect outcomes dramatically. Rapid advancements in both acute stroke therapy and perfusion imaging techniques have resulted in continuing redefinition of the role that perfusion imaging should play in patient management. This review discusses the basic pathophysiology of acute stroke, the utility of different kinds of perfusion images, and research on the continually evolving role of MR perfusion imaging in acute stroke care.

摘要

磁共振(MR)灌注成像是一种有潜力的测量急性脑卒中患者脑灌注的方法,此时基于这些测量的治疗决策可能会显著影响预后。急性脑卒中治疗和灌注成像技术的快速发展,导致不断重新定义灌注成像在患者管理中应发挥的作用。本文讨论了急性脑卒中的基本病理生理学、不同类型灌注图像的效用,以及不断发展的 MR 灌注成像在急性脑卒中治疗中的作用的研究。

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本文引用的文献

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Imaging stroke patients with unclear onset times.对发病时间不明确的脑卒中患者进行影像学检查。
Neuroimaging Clin N Am. 2011 May;21(2):327-44, xi. doi: 10.1016/j.nic.2011.02.008.
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The ASPIRE approach for TIA risk stratification.ASPIRE 用于 TIA 风险分层的方法。
Can J Neurol Sci. 2011 Jan;38(1):78-81.
3
EPITHET: Positive Result After Reanalysis Using Baseline Diffusion-Weighted Imaging/Perfusion-Weighted Imaging Co-Registration.形容词:使用基线弥散加权成像/灌注加权成像配准后重新分析的阳性结果。
改善哈萨克斯坦急性缺血性中风护理:横断面调查
J Clin Med. 2025 Mar 28;14(7):2336. doi: 10.3390/jcm14072336.
4
Optimizing acute ischemic stroke outcome prediction by integrating radiomics features of DSC-PWI and perfusion parameter maps.通过整合动态磁敏感对比增强灌注加权成像(DSC-PWI)的影像组学特征和灌注参数图来优化急性缺血性卒中的预后预测
Front Neurol. 2025 Mar 21;16:1528812. doi: 10.3389/fneur.2025.1528812. eCollection 2025.
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Neuroimaging-Based Responses to Blood Pressure Augmentation in Acute Ischaemic Stroke: A Systematic Review.基于神经影像学的急性缺血性卒中血压升高反应:一项系统综述
Biomed Hub. 2025 Jan 2;10(1):50-56. doi: 10.1159/000543341. eCollection 2025 Jan-Dec.
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DSC MR Perfusion at 7T MRI: An Initial Single-Center Study for Validity and Practicability.7T磁共振成像的动态对比增强磁共振灌注成像:一项关于有效性和实用性的初步单中心研究。
AJNR Am J Neuroradiol. 2025 Mar 4;46(3):627-634. doi: 10.3174/ajnr.A8513.
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Blood-brain barrier breakdown in brain ischemia: Insights from MRI perfusion imaging.脑缺血中的血脑屏障破坏:来自MRI灌注成像的见解
Neurotherapeutics. 2025 Jan;22(1):e00516. doi: 10.1016/j.neurot.2024.e00516. Epub 2024 Dec 21.
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Early time points perfusion imaging.早期时间点灌注成像。
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Reperfusion phenomenon masking acute and subacute infarcts at dynamic perfusion CT: confirmation by fusion of CT and diffusion-weighted MR images.动态灌注 CT 中再灌注现象掩盖急性和亚急性梗死:CT 与弥散加权磁共振图像融合的证实。
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