Summary
Diffusion-weighted MR imaging is a new technique which measures the microscopic motion of water protons. Signal hyperintensity on diffusion-weighted images correlates closely with evidence of ischaemic damage on histopathologic sections. Following occlusion of the middle cerebral artery (MCA), diffusion-weighted images indicate the presence of early pathophysiologic changes occurring first in the basal ganglia and, subsequently, in cortical gray matter within the MCA vascular territory. Diffusion-weighted images also better define the anatomic locus of ischaemic tissue injury than T2-weighted images. Diffusion-weighted imaging thus appears to facilitate early detection and thereby possible therapeutic intervention in patients with acute stroke.
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References
Bederson JB, Pitts LH, Germano SM, Nishimura MC, Davis RL, Bartkowski HM (1986) Evaluation of 2,3,5 triphenyltetrazolium chloride as a stain for detection and quantification of experimental cerebral infarction in rats. Stroke 17: 1304–1308
Bose B, Osterholm JL, Berry R (1984) A reproducible model of focal cerebral ischaemia in the cat. Brain Res 311: 385–391
Bose B, Jones SC, Lorig R, Friel HT, Weinstein M, Little JR (1988) Evolving focal cerebral ischaemia in cats: Spatial correlation of nuclear magnetic resonance imaging, cerebral blood flow, tetrazolium staining and histopathology. Stroke 19: 28–37
Brant-Zawadzki M, Pereira B, Weinstein P, Moore S, Kucharczyk W, Berry I, McNamara M, Derugin N (1986) MR imaging of acute experimental ischaemia in cats. AJNR 7: 7–11
LeBihan D, Breton E, Lallemand D, Grenier P, Cabanis E, Laval-Jeantet M (1986) MR imaging of intravoxel incoherentmotions: Application to diffusion and perfusion in neurologic disorders. Radiology 161: 401–407
LeBihan D, Breton E, Lallemand D, Aubin ML, Vignaud J, Laval-Jeantet M (1988) Separation of diffusion and perfusion in intravoxel incoherent motion MR imaging. Radiology 168: 497–505
Kucharczyk J, Chew W, Derugin N, Moseley M, Rollin C, Berry I, Norman D (1989) Nicardipine reduces ischaemic brain injury-Magnetic resonance imaging/spectroscopy study in cats. Stroke 20: 268–274
Moseley ME, Kucharczyk J, Mintorovitch J, Cohen Y, Kurhanewicz J, Derugin N, Asgari H, Norman D (1990) Diffusion-weighted MR imaging of acute stroke: Correlation with T2-weighted and magnetic susceptibility-enhanced MR imaging cats. AJNR 11: 423–429
Moseley M, Cohen Y, Mintorovitch J, Chileuitt L, Shimizu H, Kucharczyk J, Wendland MF, Weinstein PR (1990). Early detection of regional cerebral ischaemia in cats: Comparison of diffusion-and T2-weighted MRI and spectroscopy. Magn Reson Med 14: 330–346
Seidler E (1980) New nitro-monotetrazolium salts and their use in histochemistry. Histochem J 12: 619–630
Thomsen C, Henricksen O, Ring P (1987) In vivo measurement of water self diffusion in the human brain by magnetic resonance imaging. Acta Radiol 28: 353–361
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© 1990 Springer-Verlag
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Sevick, R.J., Kucharczyk, J., Mintorovitch, J., Moseley, M.E., Derugin, N., Norman, D. (1990). Diffusion-Weighted MR Imaging and T2-Weighted MR Imaging in Acute Cerebral Ischaemia: Comparison and Correlation with Histopathology. In: Reulen, HJ., Baethmann, A., Fenstermacher, J., Marmarou, A., Spatz, M. (eds) Brain Edema VIII. Acta Neurochirurgica, vol 51. Springer, Vienna. https://doi.org/10.1007/978-3-7091-9115-6_71
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DOI: https://doi.org/10.1007/978-3-7091-9115-6_71
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