https://www.frontiersin.org/articles/10.3389/fneur.2017.00736/full?
Anders Fogh Christensen1,2* and 
Hanne Christensen1,2
- 1Department of Radiology, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark
- 2Department of Neurology, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark
Editorial on the Research Topic
During the last two decades, the state of art imaging in
acute stroke has developed from non-contrast CT performed within 7 days
to including hyperacute imaging including both angiographic and
perfusion imaging. This includes using both new techniques but also
using new ways to combine long existing modalities in daily practice.
The increasing focus on the importance of both swift and reliable
diagnostics combined with an improved scanner accessibility has fueled
this development.
This development in imaging has answered to the needs of
the introduction of acute vascular recanalization treatments in
ischemic stroke, which has revolutionized the area. I.V. thrombolysis
has been increasingly used since the end of the 1990s and is now
considered a standard treatment, while mechanical thrombectomy has been
accepted as a standard procedure following randomized controlled trials
documenting its efficacy within the last 5 years. Further, efficacious
treatment options in acute ICH are sought, including thrombostatics to
reduce final hematoma volume leading to increased activity in this area
also.
The imaging modalities, which are in widespread use in
primary stroke imaging—at least in tertiary centers, include CT, MRI,
and sonography. These methods are complementary in clinical practice
with their different strengths. In the following, we will discuss
generally available methods to image brain parenchyma, cerebral, and
pre-cerebral vasculature and cerebral perfusion in acute stroke.
No comments:
Post a Comment