Nael Kambiz, Kubal Wayne
Department of Radiology, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1234, New York, NY 10029, USA; Department of Medical Imaging, University of Arizona, PO Box 245067, 1501 N Campbell Ave, Room 1365, Tucson, AZ 85724-5067, USA.
Department of Medical Imaging, University of Arizona, PO Box 245067, 1501 N Campbell Ave, Room 1365, Tucson, AZ 85724-5067, USA.
Magn Reson Imaging Clin N Am. 2016 May;24(2):293-304. doi: 10.1016/j.mric.2015.11.002. Epub 2016 Feb 17.
Neuroimaging plays a critical role in the management of patients with acute stroke syndrome, with diagnostic, therapeutic, and prognostic implications. A multiparametric magnetic resonance (MR) imaging protocol in the emergency setting can address both primary goals of neuroimaging (ie, detection of infarction and exclusion of hemorrhage) and secondary goals of neuroimaging (ie, identifying the site of arterial occlusion, tissue characterization for defining infarct core and penumbra, and determining stroke cause/mechanism). MR imaging provides accurate diagnosis of acute ischemic stroke (AIS) and can differentiate AIS from other potential differential diagnoses.
神经影像学在急性卒中综合征患者的管理中起着关键作用，具有诊断、治疗和预后意义。在急诊环境中采用多参数磁共振（MR）成像方案，既可以实现神经影像学的主要目标（即检测梗死和排除出血），也可以实现神经影像学的次要目标（即确定动脉闭塞部位、对梗死核心和半暗带进行组织特征分析以及确定卒中原因/机制）。MR成像能够对急性缺血性卒中（AIS）做出准确诊断，并可将AIS与其他可能的鉴别诊断区分开来。
