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Acute Ischemic Stroke: Evidence-Based Neuroimaging

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Evidence-Based Neuroimaging Diagnosis and Treatment

Part of the book series: Evidence-Based Imaging ((Evidence-Based Imag.))

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Abstract

This chapter focuses on the imaging of acute ischemic stroke patients within the first hours after stroke onset when the decision to administer thrombolytics is of paramount importance. The major goals of imaging during this hyperacute phase of ischemia include: 1. The exclusion of intracerebral hemorrhage for thrombolysis; 2. The detection of acute ischemia in order to exclude stroke mimics; 3. Emerging advanced imaging techniques to delineate ischemic but viable tissue for possible intervention beyond the current thrombolytic window; and 4. the imaging of pediatric acute stroke patients. The chapter provides an in-depth discussion of the literature supporting the use of specific modalities for each of the major goals listed. Finally, imaging case studies and an example of an acute stroke protocol are provided.

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Authors and Affiliations

  1. Department of Neurology, Washington University School of Medicine, 63110, St. Louis, MO, USA

    Andria L. Ford & Jin-Moo Lee

  2. Biomedical Research Imaging Center, University of North Carolina at Chapel Hill, 27599, Chapel Hill, NC, USA

    Weili Lin

  3. Washington University School of Medicine, Mallinckrodt Institute of Radiology, 63110, St. Louis, MO, USA

    Katie D. Vo

Authors
  1. Andria L. Ford
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  2. Jin-Moo Lee
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  3. Weili Lin
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  4. Katie D. Vo
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Corresponding author

Correspondence to Andria L. Ford .

Editor information

Editors and Affiliations

  1. Division of Neuroradiology-Neuroimaging, Department of Radiology, Miami Children’s Hospital, Miami, FL, USA

    L. Santiago Medina

  2. Herbert Wertheim College of Medicine, Florida International University, Miami, FL, USA

    L. Santiago Medina

  3. Former Lecturer in Radiology, Harvard Medical School, Boston, MA, USA

    L. Santiago Medina

  4. Department of Radiology, Weill Cornell Medical College/NewYork-Presbyterian Hospital, New York, NY, USA

    Pina C. Sanelli

  5. Department of Radiology, Harborview Medical Center, University of Washington, Seattle, WA, USA

    Jeffrey G. Jarvik

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Ford, A.L., Lee, JM., Lin, W., Vo, K.D. (2013). Acute Ischemic Stroke: Evidence-Based Neuroimaging. In: Medina, L.S., Sanelli, P.C., Jarvik, J.G. (eds) Evidence-Based Neuroimaging Diagnosis and Treatment. Evidence-Based Imaging. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3320-0_11

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  • DOI: https://doi.org/10.1007/978-1-4614-3320-0_11

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