Monitoring cerebral blood flow change through use of arterial spin labelling in acute ischaemic stroke patients after intra-arterial thrombectomy

European Radiology
Roh-Eul YooChul-Ho Sohn

Abstract

To evaluate the ability of arterial spin labelling perfusion-weighted imaging (ASL-PWI) to identify reperfusion status and to predict the early neurological outcome of acute ischaemic stroke patients after intra-arterial (IA) thrombectomy. A total of 51 acute ischaemic stroke patients who underwent IA thrombectomy were retrospectively reviewed. Asymmetrical index before and after IA thrombectomy (AICBFpre and AICBFpost) and volume ratio of the reperfused territory to the baseline perfusion abnormality (reperfusion volume ratio) were calculated on ASL-PWI. A paired t-test was used to compare AICBFpre and AICBFpost. Pearson correlation and multiple linear regression were performed to evaluate correlations between the imaging parameters and NIHSS scores. Mean AICBFpost was significantly higher than mean AICBFpre (0.923±0.352 vs. 0.312±0.191, p<0.001). AICBFpre had a significant correlation with NIHSSpre (pr=-0.430, p=.004). ∆AICBF had significant correlations with NIHSS24 h, NIHSS5-7 days and ∆NIHSS5-7 days (r=-0.356, p=0.028; r=-0.597, p<0.001; r=-0.346, p=0.033, respectively). ∆AICBF, reperfusion volume ratio and baseline infarct volume were significant independent predictors for NIHSS5-7 days. ASL-PWI has the potential to serve...Continue Reading

References

Jan 1, 1992·Magnetic Resonance in Medicine : Official Journal of the Society of Magnetic Resonance in Medicine·J A DetreA P Koretsky
Jun 1, 1986·Magnetic Resonance in Medicine : Official Journal of the Society of Magnetic Resonance in Medicine·W T DixonS Rossnick
Mar 14, 2008·AJNR. American Journal of Neuroradiology·T TomsickUNKNOWN Interventional Management of Stroke II Investigators
Feb 14, 2012·Stroke; a Journal of Cerebral Circulation·Danny J J WangUNKNOWN UCLA Stroke Investigators
Mar 20, 2012·Stroke; a Journal of Cerebral Circulation·Reinoud P H BokkersUNKNOWN National Institutes of Health Stroke Natural History Investigators
Apr 28, 2012·Stroke; a Journal of Cerebral Circulation·Greg ZaharchukGregory W Albers
Feb 16, 2013·Stroke; a Journal of Cerebral Circulation·Sang Hyun SuhDavid F Kallmes
Aug 8, 2013·Stroke; a Journal of Cerebral Circulation·Osama O ZaidatUNKNOWN STIR Thrombolysis in Cerebral Infarction (TICI) Task Force
Dec 29, 2013·AJR. American Journal of Roentgenology·Masayuki KanematsuKyongtae T Bae
Apr 10, 2014·Magnetic Resonance in Medicine : Official Journal of the Society of Magnetic Resonance in Medicine·David C AlsopGreg Zaharchuk
Dec 18, 2014·The New England Journal of Medicine·Olvert A BerkhemerUNKNOWN MR CLEAN Investigators
Dec 20, 2014·Stroke; a Journal of Cerebral Circulation·Roh-Eul YooMoon Hee Han
Feb 12, 2015·The New England Journal of Medicine·Bruce C V CampbellUNKNOWN EXTEND-IA Investigators
Feb 12, 2015·The New England Journal of Medicine·Mayank GoyalUNKNOWN ESCAPE Trial Investigators
Apr 18, 2015·The New England Journal of Medicine·Jeffrey L SaverUNKNOWN SWIFT PRIME Investigators
Apr 18, 2015·The New England Journal of Medicine·Tudor G JovinUNKNOWN REVASCAT Trial Investigators
Jan 15, 2016·International Journal of Stroke : Official Journal of the International Stroke Society·Nils WahlgrenUNKNOWN ESO-KSU, ESO, ESMINT, ESNR and EAN
Mar 7, 2017·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Sang Min SungSamuel Yip

❮ Previous
Next ❯

Citations

May 20, 2020·Journal of Cerebral Blood Flow and Metabolism : Official Journal of the International Society of Cerebral Blood Flow and Metabolism·Anna Luisa KühnMatthew J Gounis
Oct 26, 2018·Stroke; a Journal of Cerebral Circulation·Markus KneihslThomas Gattringer
Mar 25, 2020·Nuclear Medicine and Molecular Imaging·Teck Huat WongDong Soo Lee
Dec 8, 2021·Disease Models & Mechanisms·Pragati KakkarSikha Saha

❮ Previous
Next ❯

Related Concepts

Related Feeds

Acute Stroke

A stroke occurs when blood supply to the brain is interrupted depriving the brain of oxygen and nutrients. This feed focuses cerebrovascular accidents including ischemic and paralytic stroke.

Brain Ischemia

Brain ischemia is a condition in which there is insufficient blood flow to the brain to meet metabolic demand. Discover the latest research on brain ischemia here.