Early detection of acute ischemic stroke using Contrast-enhanced electrical impedance tomography perfusion.

Neuroimage Clin

Department of Biomedical Engineering, the Fourth Military Medical University, Xi'an 710032, People's Republic of China; Shaanxi Key Laboratory for Bioelectromagnetic Detection and Intelligent Perception, Xi'an 710032, People's Republic of China. Electronic address:

Published: September 2023

A cerebral contrast-enhanced electrical impedance tomography perfusion method is developed for acute ischemic stroke during intravenous thrombolytic therapy. Several clinical contrast agents with stable impedance characteristics and high-conductivity contrast were screened experimentally as electrical impedance contrast agent candidates. The electrical impedance tomography perfusion method was tested on rabbits with focal cerebral infarction, and its capability for early detection was verified based on perfusion images. The experimental results showed that ioversol 350 performed significantly better as an electrical impedance contrast agent than other contrast agents (p < 0.01). Additionally, perfusion images of focal cerebral infarction in rabbits confirmed that the electrical impedance tomography perfusion method could accurately detect the location and area of different cerebral infarction lesions (p < 0.001). Therefore, the cerebral contrast-enhanced electrical impedance tomography perfusion method proposed herein combines traditional, dynamic continuous imaging with rapid detection and could be applied as an early, rapid-detection, auxiliary, bedside imaging method for patients after a suspected ischemic stroke in both prehospital and in-hospital settings.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10318520PMC
http://dx.doi.org/10.1016/j.nicl.2023.103456DOI Listing

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