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Susceptibility-weighted imaging in post-treatment evaluation in the early stage in patients with acute ischemic stroke

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机构: [1]Radiology Department, Beijing Tiantan Hospital, Capital Medical University, Beijing, China [2]Radiology Department, Beijing Neurosurgical Institute, Beijing, China [3]Beijing Key Laboratory of Magnetic Resonance Imaging and Brain Informatics, Beijing, China [4]Interventional Neurology Department, Beijing Tiantan Hospital, Capital Medical University, Beijing, China [5]Neurology Department, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
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关键词: Acute ischemic stroke magnetic resonance imaging susceptibility-weighted imaging clinical outcome middle cerebral artery infarction susceptibility vessel sign

摘要:
Objective This study aimed to investigate the association between abnormal signs on susceptibility-weighted imaging (SWI) and post-treatment outcome in the early stage in patients with acute ischemic stroke. Methods Thirty-seven patients with middle cerebral artery territory infarction were recruited. Baseline and 24-hour follow-up magnetic resonance imaging was performed. Pre- and 24-hour post-treatment clinical conditions were assessed with the National Institutes of Health Stroke Scale (NIHSS) score. Prominent vessel sign (PVS) on SWI and infarcted areas on diffusion-weighted imaging (DWI) were assessed using the Alberta Stroke Program Early CT (ASPECT) score system. Susceptibility vessel sign (SVS) was evaluated and recorded. The associations between image abnormalities and clinical scores were analyzed. Results PVS was found in 35 patients and SVS in seven patients. The extent of PVS was significantly correlated with the post-treatment DWI ASPECT score (r=0.79), but not with the post-treatment NIHSS score or the post-pre NIHSS difference score. The presence of SVS was significantly correlated with the post-treatment NIHSS score (r=0.41). Conclusion PVS might be a useful predictor of early imaging prognosis and infarct growth in patients with acute ischemic stroke. SVS is related to a poor early outcome and could be useful for assessing stroke.

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出版当年[2018]版:
大类 | 4 区 医学
小类 | 4 区 医学:研究与实验 4 区 药学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 医学:研究与实验 4 区 药学
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出版当年[2017]版:
Q4 PHARMACOLOGY & PHARMACY Q4 MEDICINE, RESEARCH & EXPERIMENTAL
最新[2023]版:
Q4 MEDICINE, RESEARCH & EXPERIMENTAL Q4 PHARMACOLOGY & PHARMACY

影响因子: 最新[2023版] 最新五年平均 出版当年[2017版] 出版当年五年平均 出版前一年[2016版] 出版后一年[2018版]

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第一作者机构: [1]Radiology Department, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
通讯作者:
通讯机构: [1]Radiology Department, Beijing Tiantan Hospital, Capital Medical University, Beijing, China [2]Radiology Department, Beijing Neurosurgical Institute, Beijing, China [3]Beijing Key Laboratory of Magnetic Resonance Imaging and Brain Informatics, Beijing, China [*1]Radiology Department, Beijing Tiantan Hospital, No. 6 Tiantan Xili, Dongcheng District, Beijing, 100050, China.
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