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Heart as a source of stroke: imaging evaluation with computed tomography

Jonathan H Chung1, Lee M Mitsumori, Karen G Ordovas

  • 1Department of Radiology, University of Washington Medical Center, Seattle, WA 98195, USA. jchung2@u.washington.edu

Journal of Thoracic Imaging
|September 3, 2010
PubMed

Insights

Cardiac sources are a significant cause of stroke, leading to cerebral infarction. New imaging techniques may allow simultaneous evaluation of the chest, head, and neck to improve stroke diagnosis and patient care.

Area of Science:

  • Cardiology
  • Neurology
  • Radiology

Background:

  • Stroke originating from cardiac sources is a primary cause of cerebral infarction and ischemia.
  • Common cardiac sources include intracardiac thrombus, right-to-left shunts, tumors, and hemodynamic compromise-induced slow-flow states.

Purpose of the Study:

  • To explore advanced imaging techniques for comprehensive stroke evaluation.
  • To streamline the diagnostic process for patients with suspected stroke from cardiac origins.

Main Methods:

  • Utilizing longer multidetector computed tomography detector arrays.
  • Implementing prospective echocardiography triggering techniques.

Main Results:

  • The proposed methods enable simultaneous evaluation of the chest, head, and neck in a single examination.
  • This integrated approach has the potential to significantly improve patient evaluation and management workflows.

Conclusions:

  • Advanced computed tomography and echocardiography techniques offer a unified approach to diagnosing cardiac-related strokes.
  • These innovations promise to enhance efficiency and effectiveness in managing patients with stroke.

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