Pavlina Andrew A, Radhakrishnan Rupa, Vagal Achala S
Department of Radiology, University of Cincinnati Medical Center, Cincinnati, OH.
Department of Radiology and Imaging Sciences, Indiana University School of Medicine, Indianapolis, IN.
Semin Ultrasound CT MR. 2018 Oct;39(5):412-424. doi: 10.1053/j.sult.2018.01.002. Epub 2018 Feb 28.
Rapid multimodal imaging is essential in the workup and management of acute ischemic stroke. Early parenchymal findings on noncontrast computed tomography or standard magnetic resonance imaging are used to triage patients for intravenous thrombolysis and to provide insight on prognosis. In the wake of recent endovascular stroke trials, advanced techniques including perfusion imaging and noninvasive vascular imaging are becoming important tools to guide potential endovascular treatment or expand therapy windows. Advanced imaging is also important in pediatric ischemic stroke which requires a slightly different workflow and treatment approach. Here, we will discuss key imaging findings in acute ischemic stroke, as well as the present and future of neuroimaging in light of recent and ongoing clinical trials.
快速多模态成像在急性缺血性脑卒中的检查和管理中至关重要。非增强计算机断层扫描或标准磁共振成像上的早期实质 findings 用于对患者进行静脉溶栓分类，并提供预后信息。随着近期血管内卒中试验的开展，包括灌注成像和无创血管成像在内的先进技术正成为指导潜在血管内治疗或扩大治疗窗口的重要工具。先进成像在儿童缺血性卒中中也很重要，其需要略有不同的工作流程和治疗方法。在此，我们将根据近期和正在进行的临床试验，讨论急性缺血性卒中的关键成像 findings，以及神经影像学的现状和未来。
