CT Perfusion Imaging in Acute Stroke

被引:67
作者
Konstas, Angelos A. [1 ]
Wintermark, Max [2 ]
Lev, Michael H. [1 ]
机构
[1] Massachusetts Gen Hosp, Dept Radiol, Boston, MA 02114 USA
[2] Univ Virginia, Dept Radiol, Neuroradiol Div, Charlottesville, VA 22908 USA
关键词
Acute stroke; CT perfusion; Cerebral blood volume; Cerebral blood flow; Ischemic core; Ischemic penumbra; CBV/CBF mismatch; ACUTE ISCHEMIC-STROKE; CEREBRAL-BLOOD-FLOW; TISSUE-PLASMINOGEN-ACTIVATOR; ANGIOGRAPHY SOURCE IMAGES; ACUTE HEMISPHERIC STROKE; SINGULAR-VALUE DECOMPOSITION; SUSCEPTIBILITY CONTRAST MRI; POSITRON-EMISSION-TOMOGRAPHY; INITIAL CLINICAL-EXPERIENCE; 3-DIMENSIONAL FUNCTIONAL CT;
D O I
10.1016/j.nic.2011.01.008
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Computed tomographic perfusion (CTP) imaging is an advanced modality that provides important information about capillary-level hemodynamics of the brain parenchyma. CTP can aid in diagnosis, management, and prognosis of acute stroke patients by clarifying acute cerebral physiology and hemodynamic status, including distinguishing severely hypoperfused but potentially salvageable tissue from both tissue likely to be irreversibly infarcted ("core") and hypoperfused but metabolically stable tissue ("benign oligemia"). A qualitative estimate of the presence and degree of ischemia is typically required for guiding clinical management. Radiation dose issues with CTP imaging, a topic of much current concern, are also addressed in this review.
引用
收藏
页码:215 / +
页数:25
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