Multimodal CT techniques for cerebrovascular and hemodynamic evaluation of ischemic stroke: occlusion, collaterals, and perfusion

被引:8
作者
Jia, Baixue [1 ,2 ,3 ,4 ]
Scalzo, Fabien [5 ]
Agbayani, Elijah [6 ]
Woolf, Graham W. [5 ]
Liu, Liping [2 ,3 ,4 ,7 ]
Miao, Zhongrong [1 ,2 ,3 ,4 ]
Liebeskind, David S. [8 ]
机构
[1] Capital Med Univ, Beijing Tiantan Hosp, Dept Neuroradiol, Beijing, Peoples R China
[2] China Natl Clin Res Ctr Neurol Dis, Beijing, Peoples R China
[3] Beijing Inst Brain Disorders, Ctr Stroke, Beijing, Peoples R China
[4] Beijing Key Lab Translat Med Cerebrovasc Dis, Beijing, Peoples R China
[5] Univ Calif Los Angeles, UCLA Stroke Ctr, Neurovasc Imaging Res Core, Los Angeles, CA USA
[6] Univ Calif Los Angeles, Dept Comp Sci, Henry Samueli Sch Engn & Appl Sci, Los Angeles, CA 90024 USA
[7] Capital Med Univ, Beijing Tiantan Hosp, Dept Neurol, Beijing, Peoples R China
[8] Univ Calif Los Angeles, Dept Neurol, Stroke Ctr, Los Angeles, CA 90024 USA
关键词
Computed tomography technique; cerebral vascular; hemodynamics; CT angiography; CT perfusion; collateral; DIGITAL-SUBTRACTION-ANGIOGRAPHY; IMAGING RESEARCH ROADMAP; MIDDLE CEREBRAL-ARTERY; COMPUTED-TOMOGRAPHY; TECHNICAL IMPLEMENTATIONS; INTRAVENOUS THROMBOLYSIS; ENDOVASCULAR THERAPY; THEORETIC BASIS; FLOW; CIRCULATION;
D O I
10.1586/14737175.2016.1165094
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Neuroimaging of cerebrovascular status and hemodynamics has vastly improved our understanding of stroke mechanisms and provided information for therapeutic decision-making. CT techniques are the most commonly used techniques due to wide availability, rapid acquisition and acceptable tolerance. Numerous multimodal CT techniques have been developed in the last few years. We summarize and explain the various multimodal CT acquisition techniques within three categories based on the scanning mode, namely static mode (single-phase CTA), multiple static mode (multi-phase CTA) and continuous mode (CT perfusion and dynamic CTA). Post-processing methods based on different acquisition modes are also introduced in an easy manner by focusing on the information extracted and products generated. We also describe the applications for these techniques along with their advantages and disadvantages.
引用
收藏
页码:515 / 525
页数:11
相关论文
共 60 条
  • [1] Multimodality Imaging of Carotid Stenosis
    Adla, Theodor
    Adlova, Radka
    [J]. INTERNATIONAL JOURNAL OF ANGIOLOGY, 2015, 24 (03) : 179 - 184
  • [2] Ischemic Core and Hypoperfusion Volumes Predict Infarct Size in SWIFT PRIME
    Albers, Gregory W.
    Goyal, Mayank
    Jahan, Reza
    Bonafe, Alain
    Diener, Hans-Christoph
    Levy, Elad I.
    Pereira, Vitor M.
    Cognard, Christophe
    Cohen, David J.
    Hacke, Werner
    Jansen, Olav
    Jovin, Tudor G.
    Mattle, Heinrich P.
    Nogueira, Raul G.
    Siddiqui, Adnan H.
    Yavagal, Dileep R.
    Baxter, Blaise W.
    Devlin, Thomas G.
    Lopes, Demetrius K.
    Reddy, Vivek K.
    de Rochemont, Richard du Mesnil
    Singer, Oliver C.
    Bammer, Roland
    Saver, Jeffrey L.
    [J]. ANNALS OF NEUROLOGY, 2016, 79 (01) : 76 - 89
  • [3] Collateral Circulation in Ischemic Stroke Assessment Tools and Therapeutic Strategies
    Bang, Oh Young
    Goyal, Mayank
    Liebeskind, David S.
    [J]. STROKE, 2015, 46 (11) : 3302 - 3309
  • [4] A Randomized Trial of Intraarterial Treatment for Acute Ischemic Stroke
    Berkhemer, O. A.
    Fransen, P. S. S.
    Beumer, D.
    van den Berg, L. A.
    Lingsma, H. F.
    Yoo, A. J.
    Schonewille, W. J.
    Vos, J. A.
    Nederkoorn, P. J.
    Wermer, M. J. H.
    van Walderveen, M. A. A.
    Staals, J.
    Hofmeijer, J.
    van Oostayen, J. A.
    Nijeholt, G. J. Lycklama A.
    Boiten, J.
    Brouwer, P. A.
    Emmer, B. J.
    de Bruijn, S. F.
    van Dijk, L. C.
    Kappelle, L. J.
    Lo, R. H.
    Van Dijk, E. J.
    de Vries, J.
    de Kort, P. L. M.
    van Rooij, W. J. J.
    van den Berg, J. S. P.
    van Hasselt, B. A. A. M.
    Aerden, L. A. M.
    Dallinga, R. J.
    Visser, M. C.
    Bot, J. C. J.
    Vroomen, P. C.
    Eshghi, O.
    Schreuder, T. H. C. M. L.
    Heijboer, R. J. J.
    Keizer, K.
    Tielbeek, A. V.
    den Hertog, H. M.
    Gerrits, D. G.
    van den Berg-Vos, R. M.
    Karas, G. B.
    Steyerberg, E. W.
    Flach, H. Z.
    Marquering, H. A.
    Sprengers, M. E. S.
    Jenniskens, S. F. M.
    Beenen, L. F. M.
    van den Berg, R.
    Koudstaal, P. J.
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2015, 372 (01) : 11 - 20
  • [5] Strategies of Collateral Blood Flow Assessment in Ischemic Stroke: Prediction of the Follow-Up Infarct Volume in Conventional and Dynamic CTA
    Beyer, S. E.
    Thierfelder, K. M.
    von Baumgarten, L.
    Rottenkolber, M.
    Meinel, F. G.
    Janssen, H.
    Ertl-Wagner, B.
    Reiser, M. F.
    Sommer, W. H.
    [J]. AMERICAN JOURNAL OF NEURORADIOLOGY, 2015, 36 (03) : 488 - 494
  • [6] Perfusion CT in Acute Stroke: A Comprehensive Analysis of Infarct and Penumbra
    Bivard, Andrew
    Levi, Christopher
    Spratt, Neil
    Parsons, Mark
    [J]. RADIOLOGY, 2013, 267 (02) : 543 - 550
  • [7] Impact of collateral circulation on early outcome and risk of hemorrhagic complications after systemic thrombolysis
    Brunner, Freimuth
    Tomandl, Bernd
    Hanken, Katrin
    Hildebrandt, Helmut
    Kastrup, Andreas
    [J]. INTERNATIONAL JOURNAL OF STROKE, 2014, 9 (08) : 992 - 998
  • [8] Endovascular Therapy for Ischemic Stroke with Perfusion-Imaging Selection
    Campbell, B. C. V.
    Mitchell, P. J.
    Kleinig, T. J.
    Dewey, H. M.
    Churilov, L.
    Yassi, N.
    Yan, B.
    Dowling, R. J.
    Parsons, M. W.
    Oxley, T. J.
    Wu, T. Y.
    Brooks, M.
    Simpson, M. A.
    Miteff, F.
    Levi, C. R.
    Krause, M.
    Harrington, T. J.
    Faulder, K. C.
    Steinfort, B. S.
    Priglinger, M.
    Ang, T.
    Scroop, R.
    Barber, P. A.
    McGuinness, B.
    Wijeratne, T.
    Phan, T. G.
    Chong, W.
    Chandra, R. V.
    Bladin, C. F.
    Badve, M.
    Rice, H.
    de Villiers, L.
    Ma, H.
    Desmond, P. M.
    Donnan, G. A.
    Davis, S. M.
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2015, 372 (11) : 1009 - 1018
  • [9] Comparison of Computed Tomography Perfusion and Magnetic Resonance Imaging Perfusion-Diffusion Mismatch in Ischemic Stroke
    Campbell, Bruce C. V.
    Christensen, Soren
    Levi, Christopher R.
    Desmond, Patricia M.
    Donnan, Geoffrey A.
    Davis, Stephen M.
    Parsons, Mark W.
    [J]. STROKE, 2012, 43 (10) : 2648 - 2653
  • [10] Christensen S., 2015, BRAIN CIRC, V1, P114, DOI [10.4103/2394-8108.164991, DOI 10.4103/2394-8108.164991]