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编辑评论:血管高信号在血管内治疗后缺血性脑卒中的预后价值。

Editorial comment: Prognostic value of post-treatment fluid-attenuated inversion recovery vascular hyperintensity in ischemic stroke after endovascular thrombectomy.

机构信息

Department of Radiology, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, No. 88 Changling Road, Xiqing District, Tianjin, China.

National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, China.

出版信息

Eur Radiol. 2022 Dec;32(12):8065-8066. doi: 10.1007/s00330-022-09099-2. Epub 2022 Sep 8.

DOI:10.1007/s00330-022-09099-2
PMID:36074265
Abstract

• The fluid-attenuated inversion recovery vascular hyperintensity (FVH) sign on FLAIR has been reported as a surrogate marker to predict collateral status and clinical outcome in patients with stroke. Most previous studies on the relationship between FVH and prognosis generally focused on the pre-treatment of stroke.• This article focused on FVH in AIS patients with LVO post-treatment EVT. It proved that the post-treatment FVH sign may be associated with poor clinical outcome. It may offer an additional imaging biomarker for the prognosis evaluation of EVT patients.

摘要

• FLAIR 上的液体衰减反转恢复血管高信号(FVH)标志已被报道为预测中风患者侧支状态和临床结果的替代标志物。 大多数关于 FVH 与预后之间关系的先前研究通常集中在中风的治疗前。

• 本文重点研究了 LVO 后 EVT 的 AIS 患者的 FVH。 它证明治疗后 FVH 标志可能与不良临床结果相关。 它可能为 EVT 患者的预后评估提供额外的影像学生物标志物。

相似文献

1
Editorial comment: Prognostic value of post-treatment fluid-attenuated inversion recovery vascular hyperintensity in ischemic stroke after endovascular thrombectomy.编辑评论:血管高信号在血管内治疗后缺血性脑卒中的预后价值。
Eur Radiol. 2022 Dec;32(12):8065-8066. doi: 10.1007/s00330-022-09099-2. Epub 2022 Sep 8.
2
Prognostic value of post-treatment fluid-attenuated inversion recovery vascular hyperintensity in ischemic stroke after endovascular thrombectomy.血管内血栓切除术治疗后缺血性卒中后治疗后液体衰减反转恢复血管高信号的预后价值。
Eur Radiol. 2022 Dec;32(12):8067-8076. doi: 10.1007/s00330-022-08886-1. Epub 2022 Jun 3.
3
FLAIR vascular hyperintensity-DWI mismatch and DWI-FLAIR mismatch ASPECTS for prediction of good outcome after recanalization in anterior circulation stroke; multicenter observational study.FLAIR 血管高信号-DWI 不匹配和 DWI-FLAIR 不匹配 ASPECTS 预测前循环卒中再通后的良好结局:多中心观察性研究。
Eur J Radiol. 2023 Jun;163:110837. doi: 10.1016/j.ejrad.2023.110837. Epub 2023 Apr 15.
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FLAIR vascular hyperintensity predicts early neurological deterioration in patients with acute ischemic stroke receiving endovascular thrombectomy.FLAIR 血管高信号可预测接受血管内血栓切除术的急性缺血性脑卒中患者的早期神经功能恶化。
Neurol Sci. 2022 Jun;43(6):3747-3757. doi: 10.1007/s10072-021-05853-4. Epub 2022 Jan 22.
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FLAIR vascular hyperintensities and functional outcome in nonagenarians with anterior circulation large-vessel ischemic stroke treated with endovascular thrombectomy.血管 FLAIR 高信号与血管内治疗的前循环大动脉闭塞性缺血性卒中高龄患者的功能结局。
Eur Radiol. 2021 Oct;31(10):7406-7416. doi: 10.1007/s00330-021-07866-1. Epub 2021 Apr 14.
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FLAIR vascular hyperintensities predict functional outcome after endovascular thrombectomy in patients with large ischemic cores.FLAIR 血管高信号与大缺血核心患者血管内血栓切除术后的功能结局相关。
Eur Radiol. 2022 Sep;32(9):6136-6144. doi: 10.1007/s00330-022-08683-w. Epub 2022 Apr 8.
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Correlation of fluid-attenuated inversion recovery sequence vascular hyperintensity in magnetic resonance with collateral circulation and short-term clinical prognosis in acute ischemic stroke.磁共振流体衰减反转恢复序列血管高信号与急性缺血性卒中侧支循环及短期临床预后的相关性
Quant Imaging Med Surg. 2024 Jun 1;14(6):4123-4133. doi: 10.21037/qims-23-1640. Epub 2024 May 9.
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FLAIR vascular hyperintensity in acute stroke is associated with collateralization and functional outcome.FLAIR 血管高信号与急性脑卒中的侧支循环和功能结局相关。
Eur Radiol. 2019 Sep;29(9):4879-4888. doi: 10.1007/s00330-019-06022-0. Epub 2019 Feb 14.
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Interpretation of fluid-attenuated inversion recovery vascular hyperintensity in stroke.卒中中液体衰减反转恢复序列血管高信号的解读
J Neuroradiol. 2022 May;49(3):258-266. doi: 10.1016/j.neurad.2021.01.009. Epub 2021 Jan 28.
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FLAIR vascular hyperintensity-DWI mismatch most likely to benefit from recanalization and good outcome after stroke.液体衰减反转恢复序列血管高信号-扩散加权成像不匹配在卒中后最有可能从再通中获益且预后良好。
Medicine (Baltimore). 2020 Jan;99(2):e18665. doi: 10.1097/MD.0000000000018665.

本文引用的文献

1
Fluid-Attenuated Inversion Recovery Vascular Hyperintensity as a Potential Predictor for the Prognosis of Acute Stroke Patients After Intravenous Thrombolysis.液体衰减反转恢复序列血管高信号作为静脉溶栓后急性卒中患者预后的潜在预测指标
Front Neurosci. 2022 Jan 25;15:808436. doi: 10.3389/fnins.2021.808436. eCollection 2021.
2
FLAIR vascular hyperintensity predicts early neurological deterioration in patients with acute ischemic stroke receiving endovascular thrombectomy.FLAIR 血管高信号可预测接受血管内血栓切除术的急性缺血性脑卒中患者的早期神经功能恶化。
Neurol Sci. 2022 Jun;43(6):3747-3757. doi: 10.1007/s10072-021-05853-4. Epub 2022 Jan 22.
3
FLAIR vascular hyperintensities and functional outcome in nonagenarians with anterior circulation large-vessel ischemic stroke treated with endovascular thrombectomy.
血管 FLAIR 高信号与血管内治疗的前循环大动脉闭塞性缺血性卒中高龄患者的功能结局。
Eur Radiol. 2021 Oct;31(10):7406-7416. doi: 10.1007/s00330-021-07866-1. Epub 2021 Apr 14.
4
Extent of FLAIR Hyperintense Vessels May Modify Treatment Effect of Thrombolysis: A Analysis of the WAKE-UP Trial.液体衰减反转恢复序列高信号血管范围可能改变溶栓治疗效果:对WAKE-UP试验的分析
Front Neurol. 2021 Feb 4;11:623881. doi: 10.3389/fneur.2020.623881. eCollection 2020.
5
Association between fluid-attenuated inversion recovery vascular hyperintensity and outcome varies with different lesion patterns in patients with intravenous thrombolysis.在接受静脉溶栓治疗的患者中,液体衰减反转恢复血管高信号与结局的相关性因不同的病变模式而有所不同。
Stroke Vasc Neurol. 2021 Sep;6(3):449-457. doi: 10.1136/svn-2020-000641. Epub 2021 Feb 16.
6
Interpretation of fluid-attenuated inversion recovery vascular hyperintensity in stroke.卒中中液体衰减反转恢复序列血管高信号的解读
J Neuroradiol. 2022 May;49(3):258-266. doi: 10.1016/j.neurad.2021.01.009. Epub 2021 Jan 28.