Neurology
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Figures Only
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow CME: Take the course for this article:
 Volume 68, Number 9, February 27, 2007
Right arrow Correspondence:
Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Correspondence are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Wintermark, M.
Right arrow Articles by Michel, P.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Wintermark, M.
Right arrow Articles by Michel, P.
NEUROLOGY 2007;68:694-697
© 2007 American Academy of Neurology

Comparison of CT perfusion and angiography and MRI in selecting stroke patients for acute treatment

M. Wintermark, MD, R. Meuli, MD, P. Browaeys, MD, M. Reichhart, MD, J. Bogousslavsky, MD, P. Schnyder, MD and P. Michel, MD

From the Department of Radiology (M.W.), University of California, San Francisco; and Departments of Radiology (R.M., P.B., P.S.) and Neurology (M.R., P.M.), University Hospital (CHUV), Lausanne, and Department of Neurology (J.B.), Genolier Swiss Medical Network Valmont Clinic, Glion-sur-Montreux, Switzerland.

Address correspondence and reprint requests to Dr. M. Wintermark, Neuroradiology Section, Department of Radiology, University of California, San Francisco (UCSF), 505 Parnassus Ave., Box 0628, San Francisco, CA 94143-0628; e-mail: Max.Wintermark{at}radiology.ucsf.edu

Forty-two stroke patients successively underwent perfusion CT (PCT)/CT angiography (CTA) and MRI examinations within 3 to 9 hours following symptom onset; 14 would have been suitable candidates for reperfusion treatment based on MRI findings. Correlation between PCT/CTA and MRI was excellent for infarct size, cortical involvement, and internal cerebral artery occlusion and substantial for penumbra/infarct ratio. Relying on MRI or PCT/CTA would have led to the same treatment decisions in all cases but one.

Disclosure: Max Wintermark is a consultant for Paion GmbH and Forest Laboratories. The other authors report no conflicts of interest.

Received June 16, 2006. Accepted in final form November 7, 2006.




This article has been cited by other articles:


Home page
 Am. J. Roentgenol.Home page
V. A. Nagar, A. M. McKinney, A. T. Karagulle, and C. L. Truwit
Reperfusion Phenomenon Masking Acute and Subacute Infarcts at Dynamic Perfusion CT: Confirmation by Fusion of CT and Diffusion-Weighted MR Images
Am. J. Roentgenol., December 1, 2009; 193(6): 1629 - 1638.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
S. K. Natarajan, K. V. Snyder, A. H. Siddiqui, C. C. Ionita, L. N. Hopkins, and E. I. Levy
Safety and Effectiveness of Endovascular Therapy After 8 Hours of Acute Ischemic Stroke Onset and Wake-Up Strokes
Stroke, October 1, 2009; 40(10): 3269 - 3274.
[Abstract] [Full Text] [PDF]

Home page
 RadiologyHome page
M. Wintermark, H. A. Rowley, and M. H. Lev
Acute Stroke Triage to Intravenous Thrombolysis and Other Therapies with Advanced CT or MR Imaging: Pro CT
Radiology, June 1, 2009; 251(3): 619 - 626.
[Full Text] [PDF]

Home page
 StrokeHome page
W.-D. Heiss and A. G. Sorensen
Advances in Imaging
Stroke, May 1, 2009; 40(5): e313 - e314.
[Full Text] [PDF]

Home page
 Am. J. Neuroradiol.Home page
R. Gasparotti, M. Grassi, D. Mardighian, M. Frigerio, M. Pavia, R. Liserre, M. Magoni, L. Mascaro, A. Padovani, and A. Pezzini
Perfusion CT in Patients with Acute Ischemic Stroke Treated with Intra-Arterial Thrombolysis: Predictive Value of Infarct Core Size on Clinical Outcome
AJNR Am. J. Neuroradiol., April 1, 2009; 30(4): 722 - 727.
[Abstract] [Full Text] [PDF]

Home page
 NeurologyHome page
M. W. Parsons, F. Miteff, G. A. Bateman, N. Spratt, A. Loiselle, J. Attia, and C. R. Levi
Acute ischemic stroke: Imaging-guided tenecteplase treatment in an extended time window
Neurology, March 10, 2009; 72(10): 915 - 921.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
S. C. Josephs, H. A. Rowley, G. D. Rubin, and for Writing Group 3
Atherosclerotic Peripheral Vascular Disease Symposium II: Vascular Magnetic Resonance and Computed Tomographic Imaging
Circulation, December 16, 2008; 118(25): 2837 - 2844.
[Full Text] [PDF]

Home page
 StrokeHome page
P. W. Schaefer, E. R. Barak, S. Kamalian, L. R. Gharai, L. Schwamm, R. G. Gonzalez, and M. H. Lev
Quantitative Assessment of Core/Penumbra Mismatch in Acute Stroke: CT and MR Perfusion Imaging Are Strongly Correlated When Sufficient Brain Volume Is Imaged
Stroke, November 1, 2008; 39(11): 2986 - 2992.
[Abstract] [Full Text] [PDF]

Home page
 RadioGraphicsHome page
E. M. de Lucas, E. Sanchez, A. Gutierrez, A. G. Mandly, E. Ruiz, A. F. Florez, J. Izquierdo, J. Arnaiz, T. Piedra, N. Valle, et al.
CT Protocol for Acute Stroke: Tips and Tricks for General Radiologists1
RadioGraphics, October 1, 2008; 28(6): 1673 - 1687.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
M. N. Nguyen-Huynh, M. Wintermark, J. English, J. Lam, E. Vittinghoff, W. S. Smith, and S. C. Johnston
How Accurate Is CT Angiography in Evaluating Intracranial Atherosclerotic Disease?
Stroke, April 1, 2008; 39(4): 1184 - 1188.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
A. G. Sorensen and W.-D. Heiss
Advances in Imaging 2007
Stroke, February 1, 2008; 39(2): 276 - 278.
[Full Text] [PDF]

Home page
 StrokeHome page
M. H. Lev
CT/NIHSS Mismatch for Detection of Salvageable Brain in Acute Stroke Triage Beyond the 3-Hour Time Window: Overrated or Undervalued?
Stroke, July 1, 2007; 38(7): 2028 - 2029.
[Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2007 by AAN Enterprises, Inc.