Patient "candidate" for thrombolysis: MRI is essential

被引：8

作者：

Tisserand, M. ^{[1
]}

Naggara, O. ^{[1
]}

Legrand, L. ^{[1
]}

Mellerio, C. ^{[1
]}

Edjlali, M. ^{[1
]}

Lion, S. ^{[1
]}

Rodriguez-Regent, C. ^{[1
]}

Souillard-Scemama, R. ^{[1
]}

Jbanca, C. -F. ^{[1
]}

Trystram, D. ^{[1
]}

Meder, J. -F. ^{[1
]}

Oppenheim, C. ^{[1
]}

机构：

[1] Univ Paris 05, Inserm S894, Ctr Psychiat & Neurosci, Sorbonne Paris Cite,St Anne Hosp, F-75014 Paris, France

来源：

DIAGNOSTIC AND INTERVENTIONAL IMAGING | 2014年 / 95卷 / 12期

关键词：

Arterial ischemic stroke; Thrombolysis; Diffusion-weighted imaging; Penumbra; Perfusion-weighted imaging; ACUTE ISCHEMIC-STROKE; MIDDLE CEREBRAL-ARTERY; INTRACEREBRAL HEMORRHAGE; ENDOVASCULAR REPERFUSION; COMPUTED-TOMOGRAPHY; DIFFUSION; BRAIN; MISMATCH; TRIAL; DESMOTEPLASE;

D O I：

10.1016/j.diii.2014.07.003

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Because of its excellent sensitivity and specificity to diagnose arterial ischemic stroke (AIS) in the acute phase, MRI answers the main questions to guide treatment in "candidates" for thrombolysis. It lasts less than ten minutes, can confirm the diagnosis of AIS and distinguish it from hematomas and other "stroke mimics". It can identify the ischemic penumbra (perfusion-diffusion mismatch), determine the site of occlusion and provide prognostic information to adapt treatment in some cases in which the indications are poorly defined. In light of the most recent scientific findings, MRI can guide the treatment turning it into the investigation of choice in "candidates" for thrombolysis.(C) 2014 Editions francaises de radiologie. Published by Elsevier Masson SAS. All rights reserved.

引用

页码：1135 / 1144

页数：10

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