Objective: This is a report on the usefulness of 3D fusion imaging with susceptibility-weighted imaging (SWI) as preoperative imaging for mechanical thrombectomy (MT) for acute ischemic stroke (AIS).

Case Presentations: Among 17 cases of patients who underwent MT in AIS between March 2021 and April 2022, 14 patients who underwent MRI with SWI (shortened SWI for stroke) and 3D T2-weighted sampling perfection with application-optimized contrasts using different flip angle evolution were targeted in the study. Three cases with motion artifacts due to body movement were excluded from the images.After imaging, 3D fusion images were constructed to visualize thrombi and occluded vessels. SWI for stroke obtained thrombus information in 11 of the 14 cases (78.5%) and 3D images of the thrombi could be created in all 11 cases. 3D fusion images could be created in nine of the 14 cases (64.2%).

Conclusion: 3D fusion images, using SWI for stroke, can visualize thrombi and occluded vessels and may be effectively used as preoperative images for MT.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10508990PMC
http://dx.doi.org/10.5797/jnet.tn.2023-0031DOI Listing

Publication Analysis

Top Keywords

swi stroke
12
fusion images
12
preoperative images
8
mechanical thrombectomy
8
patients underwent
8
visualize thrombi
8
thrombi occluded
8
occluded vessels
8
created cases
8
stroke
5

Similar Publications

Brush sign (BS) was first reported as prominent hypointensity of deep medullary veins and subependymal veins on T2*-weighted images at 3 T MRI in patients with acute stroke in the territory of the middle cerebral artery. Subsequently, BS in central nervous system (CNS) diseases such as moyamoya disease, cerebral venous thrombosis, and Sturge-Weber syndrome was also described on susceptibility-weighted imaging (SWI), and the clinical implications of BS were discussed. The purpose of this review is to demonstrate BS on SWI in various CNS diseases and its mechanisms in the above-mentioned diseases.

View Article and Find Full Text PDF

Prognostic study of intracranial branch atheromatous disease in the blood-supplying areas of the lenticulostriate and paramedian pontine arteries.

J Stroke Cerebrovasc Dis

December 2024

Department of Neurology, the Second Affiliated Hospital, Harbin Medical University, Harbin, Heilongjiang 150000, China.. Electronic address:

Introduction: Branch atheromatous disease (BAD) is prone to early neurological deterioration (END), leading to a poor prognosis. The most common arteries causing END are the lenticulostriate arteries (LSA) and the paramedian pontine arteries (PPA). To gain insight into the characteristics of symptomatic plaques and their association with poor prognosis in patients with BAD, we conducted a prospective study using high-resolution magnetic resonance imaging (HRMRI).

View Article and Find Full Text PDF

Ischemic stroke is the second leading cause of mortality and morbidity worldwide. Due to the urgency of implementing immediate therapy, acute stroke necessitates prompt diagnosis. The current gold standards for vascular imaging in stroke include computed tomography angiography (CTA), digital subtraction angiography (DSA) and magnetic resonance angiography (MRA).

View Article and Find Full Text PDF
Article Synopsis
  • Researchers investigated the relationship between the integrity of deep medullary veins and markers of cerebral small vessel disease in patients who had experienced a recent small subcortical infarct.
  • They collected data from 50 patients using 3 Tesla-MRI imaging, examining various factors such as the presence of microbleeds, white matter hyperintensities, and diffusivity measures to assess glymphatic function.
  • Results indicated that several imaging variables correlated with venular integrity and small vessel disease markers, with specific measures of diffusivity showing significant associations related to the appearance of the veins.
View Article and Find Full Text PDF

Prevalence and Clinical Implications of Hemosiderin Deposits in Recent Small Subcortical Infarcts.

Neurology

November 2024

From the China National Clinical Research Center for Neurological Diseases (Y.-Y.X.), Beijing Tiantan Hospital, Capital Medical University; Centre for Clinical Brain Sciences (F.M.C., M.D.C.V.H., C.A.-R., U.C., D.J.G., S.W., M.S.S., M.T., A.C.C.J., F.D., J.M.W.), UK Dementia Research Institute, University of Edinburgh, United Kingdom; Department of Neurology (Y.C.), West China Hospital, Sichuan University, Chengdu; Department of Neurology & Institute of Neurology (J.Z.), Ruijin Hospital affiliated with Shanghai Jiao Tong University School of Medicine; and Division of Neurology (X.L.), Department of Medicine, LKS Faculty of Medicine, The University of Hong Kong, China.

Article Synopsis
  • A significant portion of ischemic strokes are classified as lacunar subtypes, often characterized by recent small subcortical infarcts (RSSIs), but the long-term effects of these conditions are not well understood.
  • In a study involving 108 participants, hemosiderin deposits (HDs) were found in over half of them within 3 months, and in about 77% within 12 months, with a notable "rim" pattern suggesting they could resemble primary hemorrhage.
  • The study highlighted that the volume of the infarct and a higher total small vessel disease (SVD) score are predictive of the presence of HDs, emphasizing the importance of not misinterpreting these deposits as signs of bleeding in chronic
View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!