Document Detail


Whole-brain arterial spin labeling perfusion MRI in patients with acute stroke.
MedLine Citation:
PMID:  22426319     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND PURPOSE: Perfusion MRI can be used to identify patients with acute ischemic stroke who may benefit from reperfusion therapies. The risk of nephrogenic systemic fibrosis, however, limits the use of contrast agents. Our objective was to evaluate the ability of arterial spin labeling (ASL), an alternative noninvasive perfusion technique, to detect perfusion deficits compared with dynamic susceptibility contrast (DSC) perfusion imaging.
METHODS: Consecutive patients referred for emergency assessment of suspected acute stroke within a 7-month period were imaged with both ASL and DSC perfusion MRI. Images were interpreted in a random order by 2 experts blinded to clinical information for image quality, presence of perfusion deficits, and diffusion-perfusion mismatches.
RESULTS: One hundred fifty-six patients were scanned with a median time of 5.6 hours (range, 3.0-17.7 hours) from last seen normal. Stroke diagnosis was clinically confirmed in 78 patients. ASL and DSC imaging were available in 64 of these patients. A perfusion deficit was detected with DSC in 39 of these patients; ASL detected 32 of these index perfusion deficits, missing 7 lesions. The median volume of the perfusion deficits as determined with DSC was smaller in patients who were evaluated as normal with ASL than in those with a deficit (median [interquartile range], 56 [10-116] versus 114 [41-225] mL; P=0.01).
CONCLUSIONS: ASL can depict large perfusion deficits and perfusion-diffusion mismatches in correspondence with DSC. Our findings show that a fast 2½-minute ASL perfusion scan may be adequate for screening patients with acute stroke with contraindications to gadolinium-based contrast agents.
Authors:
Reinoud P H Bokkers; Daymara A Hernandez; José G Merino; Raymond V Mirasol; Matthias J van Osch; Jeroen Hendrikse; Steven Warach; Lawrence L Latour;
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Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article; Research Support, N.I.H., Intramural; Research Support, Non-U.S. Gov't     Date:  2012-03-15
Journal Detail:
Title:  Stroke; a journal of cerebral circulation     Volume:  43     ISSN:  1524-4628     ISO Abbreviation:  Stroke     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-04-24     Completed Date:  2012-08-16     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  0235266     Medline TA:  Stroke     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1290-4     Citation Subset:  IM    
Affiliation:
Department of Radiology, University Medical Center Utrecht, Utrecht, The Netherlands. r.p.h.bokkers@umcutrecht.nl
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MeSH Terms
Descriptor/Qualifier:
Aged
Brain / blood supply*
Cerebral Arteries / pathology*
Cerebrovascular Circulation
Contrast Media / contraindications
Female
Gadolinium / contraindications
Humans
Magnetic Resonance Angiography / methods*
Male
Mass Screening / methods
Middle Aged
Perfusion Imaging / methods
Prospective Studies
Spin Labels*
Stroke / diagnosis,  pathology*
Grant Support
ID/Acronym/Agency:
Z99 NS999999/NS/NINDS NIH HHS
Chemical
Reg. No./Substance:
0/Contrast Media; 0/Spin Labels; 7440-54-2/Gadolinium
Comments/Corrections

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