Penumbra, the basis of neuroimaging in acute stroke treatment: Current evidence

被引：31

作者：

Kumar, Gyanendra ^{[1
]}

Goyal, Munish Kumar ^{[1
]}

Sahota, Pradeep Kumar ^{[1
]}

Jain, Rajan ^{[2
]}

机构：

[1] Univ Missouri Healthcare Columbia, Dept Neurol, Columbia, MO 65212 USA

[2] Henry Ford Hosp, Dept Radiol, Div Neuroradiol, Detroit, MI 48202 USA

来源：

JOURNAL OF THE NEUROLOGICAL SCIENCES | 2010年 / 288卷 / 1-2期

关键词：

Acute stroke; Thrombolysis; Penumbra; Neuroimaging; ACUTE-ISCHEMIC-STROKE; MIDDLE CEREBRAL-ARTERY; APPARENT DIFFUSION-COEFFICIENT; TISSUE-PLASMINOGEN-ACTIVATOR; PERFUSION COMPUTED-TOMOGRAPHY; POSITRON-EMISSION-TOMOGRAPHY; MAGNETIC-RESONANCE; EARLY CT; INTRAARTERIAL THROMBOLYSIS; INTRAVENOUS THROMBOLYSIS;

D O I：

10.1016/j.jns.2009.09.027

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

In modern medicine brain imaging is an essential prerequisite not only to acute stroke triage but also to determining the specific therapy indicated. This article reviews the need for imaging the brain in acute stroke, penumbral pathophysiology, penumbral imaging techniques, as well as current status of various imaging modalities that are being employed to select patients for specific therapeutic approaches. (C) 2009 Elsevier B.V. All rights reserved.

引用

页码：13 / 24

页数：12

共 121 条

[71] Visual evaluation of perfusion computed tomography in acute stroke accurately estimates infarct volume and tissue viability [J].

Muir, KW ;

Halbert, HM ;

Baird, TA ;

McCormick, M ;

Teasdale, E .

JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2006, 77 (03) :334-339

[72] CT and conventional and diffusion-weighted MR imaging in acute stroke: Study in 691 patients at presentation to the emergency department [J].

Mullins, ME ;

Schaefer, PW ;

Sorensen, AG ;

Halpern, EF ;

Ay, H ;

He, J ;

Koroshetz, WJ ;

Gonzalez, RG .

RADIOLOGY, 2002, 224 (02) :353-360

[73] CEREBRAL VASOMOTOR RESPONSIVENESS DURING 100 PERCENT OXYGEN INHALATION IN CEREBRAL-ISCHEMIA [J].

NAKAJIMA, S ;

MEYER, JS ;

AMANO, T ;

SHAW, T ;

OKABE, T ;

MORTEL, KF .

ARCHIVES OF NEUROLOGY, 1983, 40 (05) :271-276

[74] ATTENUATION MEASUREMENTS OF WHOLE-BLOOD AND BLOOD FRACTIONS IN COMPUTED TOMOGRAPHY [J].

NEW, PFJ ;

ARONOW, S .

RADIOLOGY, 1976, 121 (03) :635-640

[75]

Oppenheim C, 2002, J NEURORADIOLOGY, V29, P6

[76] Is there an apparent diffusion coefficient threshold in predicting tissue viability in hyperacute stroke? [J].

Oppenheim, C ;

Grandin, C ;

Samson, Y ;

Smith, A ;

Duprez, T ;

Marsault, C ;

Cosnard, G .

STROKE, 2001, 32 (11) :2486-2491

[77] Acute basilar artery occlusion - Diffusion-perfusion MRI characterization of tissue salvage in patients receiving intra-arterial stroke therapies [J].

Ostrem, JL ;

Saver, JL ;

Alger, JR ;

Starkman, S ;

Leary, MC ;

Duckwiler, G ;

Jahan, R ;

Vespa, P ;

Villablanca, JP ;

Gobin, YP ;

Vinuela, F ;

Kidwell, CS .

STROKE, 2004, 35 (02) :E30-E34

[78] Acute hyperglycemia adversely affects stroke outcome: A magnetic resonance imaging and spectroscopy study [J].

Parsons, MW ;

Barber, PA ;

Desmond, PM ;

Baird, TA ;

Darby, DG ;

Byrnes, G ;

Tress, BM ;

Davis, SM .

ANNALS OF NEUROLOGY, 2002, 52 (01) :20-28

[79] Non-invasive measurement of perfusion: a critical review of arterial spin labelling techniques [J].

Petersen, E. T. ;

Zimine, I. ;

Ho, Y-C L. ;

Golay, X. .

BRITISH JOURNAL OF RADIOLOGY, 2006, 79 (944) :688-701

[80]

Pexman JHW, 2001, AM J NEURORADIOL, V22, P1534

← 3 4 5 6 7 8 9 10 11 12 →