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Review
. 2015 Dec;36(12):2206-13.
doi: 10.3174/ajnr.A4530. Epub 2015 Oct 1.

Multimodal Diagnostic Imaging for Hyperacute Stroke

K D Vo  1 , A J Yoo  2 , A Gupta  3 , Y Qiao  4 , A S Vagal  5 , J A Hirsch  6 , D M Yousem  7 , C Lum  8
Affiliations
Review

Multimodal Diagnostic Imaging for Hyperacute Stroke

K D Vo et al. AJNR Am J Neuroradiol. 2015 Dec.

Abstract

In April 2015, the American Roentgen Ray Society and the American Society of Neuroradiology cosponsored a unique program designed to evaluate the state of the art in the imaging work-up of acute stroke. This topic has grown in importance because of the recent randomized controlled trials demonstrating the clear efficacy of endovascular stroke treatment. The authors, who were participants in that symposium, will highlight the points of emphasis in this article.

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Figures

Figure.
Figure.
ASPECTS scoring on an NCCT of a 52-year-old woman 2.5 hours after the onset of a left hemiparesis. Ten defined regions of the MCA distribution are identified on a normal left cerebral hemisphere at ganglionic (A) and supraganglionic (B) levels: the caudate nucleus (C), the lentiform nucleus (L), the internal capsule (IC), the insular cortex (I), and M1, M2, M3, M4, M5, and M6. The outlined areas in the right hemisphere show hypoattenuation in 8 regions given an ASPECTS score of 2.
See this image and copyright information in PMC

References

    1. National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group. Tissue plasminogen activator for acute ischemic stroke. N Engl J Med 1995;333:1581–87 10.1056/NEJM199512143332401 - DOI - PubMed
    1. Hacke W, Kaste M, Bluhmki E, et al. ; ECASS Investigators. Thrombolysis with alteplase 3 to 4.5 hours after acute ischemic stroke. N Engl J Med 2008;359:1317–29 10.1056/NEJMoa0804656 - DOI - PubMed
    1. Berkhemer OA, Fransen PS, Beumer D, et al. ; MR CLEAN Investigators. A randomized trial of intraarterial treatment for acute ischemic stroke. N Engl J Med 2015;372:11–20 10.1056/NEJMoa1411587 - DOI - PubMed
    1. Goyal M, Demchuk AM, Menon BK, et al. ; ESCAPE Trial Investigators. Randomized assessment of rapid endovascular treatment of ischemic stroke. N Engl J Med 2015;372:1019–30 10.1056/NEJMoa1414905 - DOI - PubMed
    1. Campbell BC, Mitchell PJ, Kleinig TJ, et al. ; EXTEND-IA Investigators. Endovascular therapy for ischemic stroke with perfusion-imaging selection. N Engl J Med 2015;372:1009–18 10.1056/NEJMoa1414792 - DOI - PubMed