Stroke Imaging

Shahmir Kamalian; Michael H Lev

doi:10.1016/j.rcl.2019.02.001

Stroke Imaging

Radiol Clin North Am. 2019 Jul;57(4):717-732. doi: 10.1016/j.rcl.2019.02.001. Epub 2019 Apr 8.

Authors

Shahmir Kamalian¹, Michael H Lev²

Affiliations

¹ Department of Radiology, Division of Emergency Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Blake SB Room 29A, Boston, MA 02114, USA. Electronic address: skamalian@mgh.harvard.edu.
² Department of Radiology, Division of Emergency Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Blake SB Room 29A, Boston, MA 02114, USA.

PMID: 31076028
DOI: 10.1016/j.rcl.2019.02.001

Abstract

Stroke is the clinical syndrome of acute onset of neurologic deficit caused by ischemia or hemorrhage. Neuroimaging has a crucial role in differentiating ischemic from hemorrhagic stroke. Advanced neuroimaging has become essential in the management of patients with acute ischemic stroke mainly because of improved awareness of the imaging findings and their role in patient selection for novel treatment options as highlighted in recent clinical trials, including "late window" (8-24 hours post ictus!) intra-arterial thrombectomy. This article focuses on the role of neuroimaging in the management of patients with acute ischemic stroke.

Keywords: CT; CT angiography; Endovascular thrombectomy; Intra-arterial thrombectomy; Intravenous thrombolysis; MR angiography; MR imaging; Stroke.

Publication types

Review

MeSH terms

Brain / diagnostic imaging
Endovascular Procedures / methods
Humans
Magnetic Resonance Imaging / methods*
Neuroimaging / methods*
Stroke / diagnostic imaging*
Stroke / therapy
Tomography, X-Ray Computed / methods*