Dehkharghani Seena, Andre Jalal
Department of Radiology, Neuroradiology Section, New York University, New York City, NY at 660 First Ave, 2nd Floor, New York City, NY 10016.
University of Washington Medical Center, Department of Radiology, Seattle, WA.
Neurosurgery. 2017 May 1;80(5):681-700. doi: 10.1093/neuros/nyw108.
Imaging is paramount to the diagnosis and management of ischemic stroke, offering a battery of structural and functional probes of cerebrovascular physiology. The technical underpinnings of stroke imaging continue to evolve, bringing the neuroscience community increasingly closer to high-resolution, tissue-level biomarkers of brain perfusion, metabolism, and viability. The rapid expansion of neuroimaging in this domain has met with controversies, and in many respects, a lack of generalizable conclusions regarding optimized use in cerebrovascular disease. This review aims to provide the reader with the depth and scope of both established and emerging techniques, and an overview of prevailing viewpoints regarding neuroimaging in acute ischemic stroke.
影像学对于缺血性卒中的诊断和管理至关重要,它提供了一系列用于探测脑血管生理结构和功能的手段。卒中影像学的技术基础不断发展,使神经科学界越来越接近脑灌注、代谢及生存能力的高分辨率组织水平生物标志物。该领域神经影像学的迅速扩展引发了争议,并且在许多方面,对于其在脑血管疾病中的优化应用缺乏可推广的结论。本综述旨在向读者提供既定技术和新兴技术的深度与广度,以及关于急性缺血性卒中神经影像学的主流观点概述。