Camargo Erica C S, Schaefer Pamela W, Singhal Aneesh B
Department of Neurology, Massachusetts General Hospital, Boston, MA, USA.
Department of Radiology, Massachusetts General Hospital, Boston, MA, USA.
Handb Clin Neurol. 2016;135:317-350. doi: 10.1016/B978-0-444-53485-9.00017-9.
In this chapter we review the optimal imaging modalities for subacute and chronic stroke. We discuss the utility of computed tomography (CT) and multimodal CT imaging. Further, we analyze the importance of specific magnetic resonance imaging sequences, such as diffusion-weighted imaging for acute ischemic stroke, T2/fluid-attenuated inversion recovery for subacute and chronic stroke, and susceptibility imaging for detection of intracranial hemorrhages. Different ischemic stroke mechanisms are reviewed, and how these imaging modalities may aid in the determination of such. Further, we analyze how topographic patterns in ischemic stroke may provide important clues to the diagnosis, in addition to the temporal evolution of the stroke. Lastly, specific cerebrovascular occlusive diseases are reviewed, with emphasis on the optimal imaging modalities and their findings in each condition.
在本章中,我们回顾了亚急性和慢性卒中的最佳成像方式。我们讨论了计算机断层扫描(CT)和多模态CT成像的效用。此外,我们分析了特定磁共振成像序列的重要性,例如用于急性缺血性卒中的扩散加权成像、用于亚急性和慢性卒中的T2/液体衰减反转恢复序列以及用于检测颅内出血的磁敏感成像。我们回顾了不同的缺血性卒中机制,以及这些成像方式如何有助于确定这些机制。此外,除了卒中的时间演变外,我们还分析了缺血性卒中的地形模式如何为诊断提供重要线索。最后,我们回顾了特定的脑血管闭塞性疾病,重点是每种情况下的最佳成像方式及其表现。