McDonough Rosalie, Ospel Johanna, Goyal Mayank
Department of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Department of Diagnostic Imaging, Foothills Medical Center, University of Calgary, Calgary, Alberta, Canada.
Can Assoc Radiol J. 2022 May;73(2):371-383. doi: 10.1177/08465371211028823. Epub 2021 Sep 27.
Acute stroke is a widespread, debilitating disease. Fortunately, it also has one of the most effective therapeutic options available in medicine, endovascular treatment. Imaging plays a major role in the diagnosis of stroke and aids in appropriate therapy selection. Given the rapid accumulation of evidence for patient subgroups and concurrent broadening of therapeutic options and indications, it is important to recognize the benefits of certain imaging technologies for specific situations. An effective imaging protocol should: 1) be fast, 2) easily implementable, 3) produce reliable results, 4) have few contraindications, and 5) be safe, all with the goal of providing the patient the best chance of achieving a favorable outcome. In the following, we provide a review of the currently available imaging technologies, their advantages and disadvantages, as well as an overview of the future of stroke imaging. Finally, we offer a perspective.
急性中风是一种广泛存在且使人衰弱的疾病。幸运的是，它也拥有医学上最有效的治疗选择之一，即血管内治疗。影像学在中风诊断中起着主要作用，并有助于选择合适的治疗方法。鉴于针对患者亚组的证据迅速积累，以及治疗选择和适应症的同时扩大，认识到某些成像技术在特定情况下的益处非常重要。一个有效的成像方案应：1）快速，2）易于实施，3）产生可靠的结果，4）禁忌症少，5）安全，所有这些都是为了给患者提供获得良好预后的最佳机会。以下，我们对当前可用的成像技术、它们的优缺点以及中风成像的未来概况进行综述。最后，我们给出一个观点。
