Imaging-based management of acute ischemic stroke patients: current neuroradiological perspectives

Korean J Radiol. 2015 Mar-Apr;16(2):372-90. doi: 10.3348/kjr.2015.16.2.372. Epub 2015 Feb 27.

Abstract

Advances in imaging-based management of acute ischemic stroke now provide crucial information such as infarct core, ischemic penumbra/degree of collaterals, vessel occlusion, and thrombus that helps in the selection of the best candidates for reperfusion therapy. It also predicts thrombolytic efficacy and benefit or potential hazards from therapy. Thus, radiologists should be familiar with various imaging studies for patients with acute ischemic stroke and the applicability to clinical trials. This helps radiologists to obtain optimal rapid imaging as well as its accurate interpretation. This review is focused on imaging studies for acute ischemic stroke, including their roles in recent clinical trials and some guidelines to optimal interpretation.

Keywords: Brain infarction; Magnetic resonance imaging; Multidetector-row computed tomography; Stroke.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Brain / blood supply
  • Brain / diagnostic imaging
  • Brain Infarction / diagnostic imaging*
  • Brain Infarction / therapy*
  • Cerebral Angiography / methods
  • Diagnostic Imaging
  • Diffusion Magnetic Resonance Imaging / methods*
  • Fibrinolytic Agents / therapeutic use*
  • Humans
  • Intracranial Hemorrhages / diagnosis
  • Intracranial Hemorrhages / diagnostic imaging

Substances

  • Fibrinolytic Agents