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Published on: September 25, 2016
Imaging the future of stroke: II. Hemorrhage
1University of California, Los Angeles (UCLA) Stroke Center, Los Angeles, CA 90095, USA. davidliebeskind@yahoo.com
Annals of Neurology
|October 30, 2010
Summary
Brain hemorrhage is a severe neurological condition. Advanced imaging techniques like multimodal CT and MRI are crucial for understanding its causes and improving patient outcomes.
Area of Science:
- Neurology
- Radiology
- Neuroimaging
Background:
- Brain hemorrhage is a devastating neurological condition with significant costs.
- Clinical presentation alone is often insufficient for diagnosis, necessitating imaging.
- Understanding hemorrhage pathophysiology is key to developing effective treatments.
Purpose of the Study:
- To survey brain hemorrhage patterns and their causes.
- To explore recent advancements in hemorrhage imaging techniques.
- To discuss the interplay between hemorrhage and cerebral ischemia.
Main Methods:
- Review of multimodal computed tomography (CT) and magnetic resonance imaging (MRI) techniques.
- Analysis of imaging applications for blood-brain barrier, microbleeds, and perfusion.
- Evaluation of imaging for hemorrhagic transformation, venous thrombosis, and microvascular disorders.
Main Results:
- Multimodal CT and MRI have transformed clinical practice in diagnosing brain hemorrhage.
- Advanced imaging allows for detailed assessment of hemorrhage-related pathologies, including microbleeds and vascular lesions.
- Imaging strategies for hemorrhage now parallel those for ischemic stroke.
Conclusions:
- Imaging is essential for differentiating hemorrhage variants and understanding underlying pathophysiology.
- Future advancements in neuroimaging hold promise for improved hemorrhage management and prevention of associated ischemia.
- Despite treatment challenges, imaging offers significant opportunities for progress in combating brain hemorrhage.
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