Wednesday, January 24, 2018

Editorial: Imaging in Acute Stroke—New Options and State of the Art

They don't even mention using imaging to map the dead and damaged area to stroke protocols for recovery. That tells you the stroke medical world just cares about treating the initial stroke and nothing about getting you 100% recovered. A lot of people need to retire or die before stroke will be solved. 
https://www.frontiersin.org/articles/10.3389/fneur.2017.00736/full?
  • 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.

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