Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2006-8-28
pubmed:abstractText
At the time of this publication, the fast examination time, wide availability, lack of contraindications, and high accuracy for detecting hemorrhage make NCCT the diagnostic study of choice for initial evaluation of patients who have preoperative stroke. NCCT also has a role in excluding patients who will not benefit from IV thrombolysis, including those who have ICH and patients who have ASPECTS less than 7 or ischemic signs exceeding one third of the MCA territory. Because optimal selection of inpatients who have acute stroke mandates not just brain tissue data but also information about the aortic arch, cervical and intracranial vasculature, and cerebral hemodynamics, additional imaging with multimodal CT technology can, in one scanning session, depicts early ischemic changes, demonstrates hypoperfusion/ischemic penumbra, and locates the vascular lesion. When combined with the clinical scenario, the information provided by CT often is sufficient to help clinicians decide on the appropriate treatment, especially determining eligibility for thrombolysis. The rapidly evolving field of neuroradiology will provide a newer armamentarium in the near future. Although MRI can provide more precise information, it is more time consuming and currently should be considered the method of choice for follow-up imaging, rather than initial imaging, in patients who have perioperative stroke.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
0733-8619
pubmed:author
pubmed:issnType
Print
pubmed:volume
24
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
807-20
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed:year
2006
pubmed:articleTitle
Choice of neuroimaging in perioperative acute stroke management.
pubmed:affiliation
Department of Neurology, University of Minnesota, Minneapolis VA Medical Center, Minneapolis, MN, USA.
pubmed:publicationType
Journal Article, Review