当前状态和成像在急性缺血性中风的进步:一个实际的审查
Ali Al-Salahat1, Yasaman Pirahanchi2, Thirumalaivasan Dhasakeerthi3
1Department of Neurology, Creighton University, Nebraska, USA. alsalahatmd@gmail.com.
概括
神经成像对于急性缺血性中风 (AIS) 的诊断和治疗至关重要. 像CT和MRI这样的各种技术评估大脑组织和血液流动,指导干预以获得更好的患者结果.
科学领域:
- 神经学 神经学
- 放射学 放射学是一门学科.
- 医疗成像医学成像
背景情况:
- 神经成像在诊断,管理和预测急性缺血性中风 (AIS) 的结果方面发挥着至关重要的作用.
- 进步使大血管封闭 (LVO) 的更好地识别,评估可挽救的大脑组织,并指导急性治疗.
- 本综述概述了AIS的神经成像模式,详细介绍了它们的实际用途,最近的进展和局限性.
研究的目的:
- 审查在急性缺血性中风 (AIS) 评估中使用的神经成像模式.
- 要突出实际应用,最近的进步,以及每个模式的局限性.
- 讨论AIS神经成像中的新兴趋势.
主要方法:
- 进行了叙事文学评论.
- 焦点包括非对比CT (NCCT),CT血管造影 (CTA),CT输液 (CTP),MRI,MR血管造影 (MRA),数字减去血管造影 (DSA) 和跨的多普勒超声波 (TCD).
- 还检查了诸如虚拟NCCT,声分析和直接到血管套件 (DTAS) 等新兴趋势.
主要成果:
- 由于速度和可用性,非对比CT (NCCT) 是初始AIS评估的主要工具.
- 图像扫描血管造影 (CTA) 和图像扫描输液 (CTP) 对于分别检测大血管封闭 (LVO) 和评估缺血半阴影至关重要.
- 磁力共振扫描有助于识别早期的缺血变化和中风模仿,而MRA和DSA提供了详细的血管洞察力;TCD提供了血液动力学监测. 像人工智能这样的新兴技术可以提高诊断的准确性.
结论:
- 神经成像对于有效的AIS管理是不可或缺的,每个模式都有不同的优点和缺点.
- 持续的进步,标准化和多式成像方法是必要的,以优化患者的治疗结果.
- 整合临床和放射学发现对于AIS中准确的诊断和治疗决策至关重要.
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