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急性缺血性卒中的神经影像学：急性血管内治疗的多模态成像方法

Neuroimaging of Acute Ischemic Stroke: Multimodal Imaging Approach for Acute Endovascular Therapy.

作者信息

Abdalkader Mohamad, Siegler James E, Lee Jin Soo, Yaghi Shadi, Qiu Zhongming, Huo Xiaochuan, Miao Zhongrong, Campbell Bruce C V, Nguyen Thanh N

机构信息

Department of Radiology, Boston Medical Center, Boston, MA, USA.

Cooper Neurological Institute, Cooper University Hospital, Camden, NJ, USA.

出版信息

J Stroke. 2023 Jan;25(1):55-71. doi: 10.5853/jos.2022.03286. Epub 2023 Jan 31.

DOI:10.5853/jos.2022.03286
PMID:36746380
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9911849/
Abstract

Advances in acute ischemic stroke (AIS) treatment have been contingent on innovations in neuroimaging. Neuroimaging plays a pivotal role in the diagnosis and prognosis of ischemic stroke and large vessel occlusion, enabling triage decisions in the emergent care of the stroke patient. Current imaging protocols for acute stroke are dependent on the available resources and clinicians' preferences and experiences. In addition, differential application of neuroimaging in medical decision-making, and the rapidly growing evidence to support varying paradigms have outpaced guideline-based recommendations for selecting patients to receive intravenous or endovascular treatment. In this review, we aimed to discuss the various imaging modalities and approaches used in the diagnosis and treatment of AIS.

摘要

急性缺血性卒中（AIS）治疗的进展一直依赖于神经影像学的创新。神经影像学在缺血性卒中和大血管闭塞的诊断及预后评估中起着关键作用，有助于在卒中患者的急诊护理中做出分诊决策。目前用于急性卒中的成像方案取决于可用资源以及临床医生的偏好和经验。此外，神经影像学在医疗决策中的差异应用，以及支持不同模式的证据迅速增加，已经超过了基于指南的关于选择接受静脉或血管内治疗患者的建议。在本综述中，我们旨在讨论用于AIS诊断和治疗的各种成像方式和方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c27/9911849/9cab01d578a1/jos-2022-03286f8.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c27/9911849/9cab01d578a1/jos-2022-03286f8.jpg

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