Research ArticleBRAIN
Feasibility and Practicality of MR Imaging of Stroke in the Management of Hyperacute Cerebral Ischemia
Peter D Schellinger, Olav Jansen, Jochen B Fiebach, Olivia Pohlers, Henning Ryssel, Sabine Heiland, Torsten Steiner, Werner Hacke and and Klaus Sartor
American Journal of Neuroradiology August 2000, 21 (7) 1184-1189;
Peter D Schellinger
aFrom the Departments of Neurology (P.D.S., T.S., W.H.) and Neuroradiology (P.D.S., O.J., J.B.F., O.P., H.R., S.H., K.S.), University of Heidelberg Medical School, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany.
Olav Jansen
aFrom the Departments of Neurology (P.D.S., T.S., W.H.) and Neuroradiology (P.D.S., O.J., J.B.F., O.P., H.R., S.H., K.S.), University of Heidelberg Medical School, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany.
Jochen B Fiebach
aFrom the Departments of Neurology (P.D.S., T.S., W.H.) and Neuroradiology (P.D.S., O.J., J.B.F., O.P., H.R., S.H., K.S.), University of Heidelberg Medical School, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany.
Olivia Pohlers
aFrom the Departments of Neurology (P.D.S., T.S., W.H.) and Neuroradiology (P.D.S., O.J., J.B.F., O.P., H.R., S.H., K.S.), University of Heidelberg Medical School, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany.
Henning Ryssel
aFrom the Departments of Neurology (P.D.S., T.S., W.H.) and Neuroradiology (P.D.S., O.J., J.B.F., O.P., H.R., S.H., K.S.), University of Heidelberg Medical School, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany.
Sabine Heiland
aFrom the Departments of Neurology (P.D.S., T.S., W.H.) and Neuroradiology (P.D.S., O.J., J.B.F., O.P., H.R., S.H., K.S.), University of Heidelberg Medical School, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany.
Torsten Steiner
aFrom the Departments of Neurology (P.D.S., T.S., W.H.) and Neuroradiology (P.D.S., O.J., J.B.F., O.P., H.R., S.H., K.S.), University of Heidelberg Medical School, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany.
Werner Hacke and
aFrom the Departments of Neurology (P.D.S., T.S., W.H.) and Neuroradiology (P.D.S., O.J., J.B.F., O.P., H.R., S.H., K.S.), University of Heidelberg Medical School, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany.
Klaus Sartor
aFrom the Departments of Neurology (P.D.S., T.S., W.H.) and Neuroradiology (P.D.S., O.J., J.B.F., O.P., H.R., S.H., K.S.), University of Heidelberg Medical School, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany.

References
- ↵Le Bihan D, Breton E, Lallemand D, et al. MR imaging of intravoxel incoherent motions: application to diffusion and perfusion in neurologic disorders. Radiology 1986;161:401-407
- Moseley ME, Kucharczyk J, Asgari HS, Norman D. Anisotropy in diffusion-weighted MRI. Magn Reson Med 1991;19:321-326
- Moseley ME, Kucharczyk J, Mintorovitch J, et al. Diffusion-weighted MR imaging of acute stroke: correlation with T2-weighted and magnetic susceptibility-enhanced MR imaging in cats. AJNR Am J Neuroradiol 1990;11:423-429
- Mintorovitch J, Moseley ME, Chileuitt L, et al. Comparison of diffusion- and T2-weighted MRI for the early detection of cerebral ischemia and reperfusion in rats. Magn Reson Med 1991;18:39-50
- Warach S, Chien D, Li W, Ronthal M, Edelman RR. Fast magnetic resonance diffusion-weighted imaging of acute human stroke. Neurology 1992;42:1717-1723
- Fisher M, Albers GW. Applications of diffusion-perfusion magnetic resonance imaging in acute ischemic stroke. Neurology 1999;52:1750-1756
- ↵Warach S, Boska M, Welch KM. Pitfalls and potential of clinical diffusion-weighted MR imaging in acute stroke. Stroke 1997;28:481-482
- ↵Warach S, Dashe JF, Edelman RR. Clinical outcome in ischemic stroke predicted by early diffusion-weighted and perfusion magnetic resonance imaging: a preliminary analysis. J Cereb Blood Flow Metab 1996;16:53-59
- Sorensen AG, Buonanno FS, Gonzalez RG, et al. Hyperacute stroke: evaluation with combined multisection diffusion-weighted and hemodynamically weighted echo-planar MR imaging. Radiology 1996;199:391-401
- ↵Lovblad KO, Baird AE, Schlaug G, et al. Ischemic lesion volumes in acute stroke by diffusion-weighted magnetic resonance imaging correlate with clinical outcome. Ann Neurol 1997;42:164-170
- ↵Barber PA, Darby DG, Desmond PM, et al. Prediction of stroke outcome with echoplanar perfusion- and diffusion-weighted MRI. Neurology 1998;51:418-426
- Tong DC, Yenari MA, Albers GW, et al. Correlation of perfusion- and diffusion-weighted MRI with NIHSS score in acute (<6.5 hour) ischemic stroke. Neurology 1998;50:864-870
- ↵Lovblad KO, Laubach HJ, Baird AE, et al. Clinical experience with diffusion-weighted MR in patients with acute stroke. AJNR Am J Neuroradiol 1998;19:1061-1066
- Gonzales RG, Schaefer PW, Buonanno FS, et al. Diffusion-weighted MR imaging: diagnostic accuracy in patients imaged within 6 hours of stroke symptom onset. Radiology 1999;210:155-162
- ↵Jansen O, Schellinger PD, Fiebach JB, Hacke W, Sartor K. Early recanalization in acute ischemic stroke saves tissue at risk defined by MRI. Lancet 1999;353:2036-2037
- ↵Marks MP, Tong D, Beaulieu C, et al. Evaluation of early reperfusion and IV rt-PA therapy using diffusion- and perfusion-weighted MRI. Neurology 1999;52:1792-1798
- ↵Hacke W, Kaste M, Fieschi C, et al. Randomised double-blind placebo-controlled trial of thrombolytic therapy with intravenous alteplase in acute ischaemic stroke (ECASS II). Lancet 1998;352:1245-1251
- ↵Patel MR, Edelman RR, Warach S. Detection of hyperacute primary intraparenchymal hemorrhage by magnetic resonance imaging. Stroke 1996;27:2321-2324
- Schellinger PD, Jansen O, Fiebach JB, Hacke W, Sartor K. A standardized MRI stroke protocol: comparison with CT in hyperacute intracerebral hemorrhage. Stroke 1999;30:765-768
- ↵Powers WJ, Zivin J. Magnetic resonance imaging in acute stroke: not ready for prime time. Neurology 1998;50:842-843
- Baird AE, Benfield A, Schlaug G, et al. Enlargement of human cerebral ischemic lesion volumes measured by diffusion-weighted magnetic resonance imaging. Ann Neurol 1997;41:581-589
- Baron JC, von Kummer R, del Zoppo GJ. Treatment of acute ischemic stroke. Challenging the concept of a rigid and universal time window. Stroke 1995;26:2219-2221
- Beaulieu C, de Crespigny A, Tong D, et al. Longitudinal MRI study of perfusion and diffusion in stroke: evolution of lesion volume and correlation with clinical outcome. Ann Neurol 1999;46:568-578
- Koroshetz WJ, Gonzalez G. Diffusion-weighted magnetic resonance imaging: an ECG for “brain attack”? Ann Neurol 1997;41:565-566
- Minematsu K, Hasegawa Y, Yamaguchi T. Diffusion MRI for evaluating cerebrovascular disease. Rinsho Shinkeigaku 1995;35:1575-1577
- Mohr JP, Biller J, Hilal SK, et al. Magnetic resonance versus computed tomographic imaging in acute stroke. Stroke 1995;26:807-812
- Prichard JW, Grossman RI. New reasons for early use of MRI in stroke. Neurology 1999;52:1733-1736
- Jansen O, Knauth M, Sartor K. Advances in clinical neuroradiology. Akt Neurologie 1999;26:1-7
- ↵
- ↵Kidwell CS, Alger JR, F Di, Salle et al. Diffusion MRI in patients with transient ischemic attacks. Stroke 1999;30:1174-1180
- ↵Grotta J. Should thrombolytic therapy be the first-line treatment for acute ischemic stroke? N Engl J Med 1997;337:1309-1310
- Clark WM, Wissman S, Albers GW, Jhamandas JH, Madden KP, Hamilton S. Recombinant tissue-type plasminogen activator (Alteplase) for ischemic stroke 3 to 5 hours after symptom onset. The ATLANTIS study: a randomized controlled trial. JAMA 1999;282:2019-2026
- Schellinger PD, Jansen O, Fiebach JB, Sartor K, Hacke W. Multimodal MRI in hyperacute ischemic stroke: associations of tissue at risk, vessel occlusion, recanalization, morphological and functional outcome. Neurology 1999;52:A87-A88
- ↵The European Ad Hoc Consensus Group. Optimizing intensive care in stroke: a European perspective—a report of an ad hoc consensus group meeting. Cerebrovasc Dis 1997;7:113-128
- The European Ad Hoc Consensus Group. European strategies for early intervention in stroke. A report of an ad hoc consensus group meeting. Cerebrovasc Dis 1996;6:315-324
- Albers GW. Expanding the window for thrombolytic therapy in acute stroke—the potential role of acute MRI for patient selection. Stroke 1999;30:2230-2237
- Barber PA, Davis SM, Darby DG, et al. Absent middle cerebral artery flow predicts the presence and evolution of the ischemic penumbra. Neurology 1999;52:1125-1132
- ↵Sunshine JL, Tarr RW, Lanzieri CF, et al. Hyperacute stroke: ultrafast MR imaging to triage patients prior to therapy. Radiology 1999;212:325-332
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Peter D Schellinger, Olav Jansen, Jochen B Fiebach, Olivia Pohlers, Henning Ryssel, Sabine Heiland, Torsten Steiner, Werner Hacke and, Klaus Sartor
Feasibility and Practicality of MR Imaging of Stroke in the Management of Hyperacute Cerebral Ischemia
American Journal of Neuroradiology Aug 2000, 21 (7) 1184-1189;
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Feasibility and Practicality of MR Imaging of Stroke in the Management of Hyperacute Cerebral Ischemia
Peter D Schellinger, Olav Jansen, Jochen B Fiebach, Olivia Pohlers, Henning Ryssel, Sabine Heiland, Torsten Steiner, Werner Hacke and, Klaus Sartor
American Journal of Neuroradiology Aug 2000, 21 (7) 1184-1189;
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