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Clinical value of computed tomography perfusion source images in acute stroke

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机构: [1]Capital Med Univ, Affiliated Beijing Tiantan Hosp, Dept Neuroradiol, Beijing Neurosurg Inst, Beijing 100050, Peoples R China; [2]Capital Med Univ, Affiliated Beijing Tiantan Hosp, Dept Neurol, Beijing 100050, Peoples R China
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关键词: Computed tomography perfusion angiography acute infarction

摘要:
Computed tomography perfusion (CTP) map can sensitively and accurately distinguish between infarct core and ischemic penumbra. However, CTP mapping software might not generate a perfusion map because of head movement; thus, analysing CTP source images (CTP-SI) is necessary in this situation to provide information for stroke diagnosis and therapy. In our work, 'one-stop shop' computed tomography (CT) examination including non-contrast-enhanced CT (NCCT), CTP, CT angiography (CTA) were performed in 24 patients with symptoms of acute stroke less than 9 hours. We divided patients into two groups (with and without delayed perfusion on CTP-SI), and compared the Alberta Stroke Program Early CT Score (ASPECTS) on CTP-SI and CTA-SI with follow-up imaging. Using follow-up imaging ASPECTS as the final infarct size, our results suggests that the ASPECTS of both CTP-SI and CTA-SI effectively predict final infarct core in the group without delayed perfusion, whereas CTP-SI has a potential advantage over CTA-SI in being able to predict final infarct core in the group with delayed perfusion. In conclusion, CTP-SI provides useful complementary information when CTP map software could not generate perfusion maps. [Neurol Res 2009; 31: 1079-1083]

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出版当年[2008]版:
大类 | 4 区 医学
小类 | 4 区 临床神经病学 4 区 神经科学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 临床神经病学 4 区 神经科学
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出版当年[2007]版:
Q3 CLINICAL NEUROLOGY Q3 NEUROSCIENCES
最新[2023]版:
Q3 CLINICAL NEUROLOGY Q4 NEUROSCIENCES

影响因子: 最新[2023版] 最新五年平均 出版当年[2007版] 出版当年五年平均 出版前一年[2006版] 出版后一年[2008版]

第一作者:
第一作者机构: [1]Capital Med Univ, Affiliated Beijing Tiantan Hosp, Dept Neuroradiol, Beijing Neurosurg Inst, Beijing 100050, Peoples R China;
通讯作者:
通讯机构: [1]Capital Med Univ, Affiliated Beijing Tiantan Hosp, Dept Neuroradiol, Beijing Neurosurg Inst, Beijing 100050, Peoples R China;
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