Radiological Evaluation of Acute Ischemic Stroke

Agenda

Agenda

Stroke

Impact of Stroke

Etiologies of Stroke

Early Diagnosis of Acute Ischemic Stroke is Critical

Agenda

Patient: Ms. L.

Goals of Imaging in Acute Stroke

Initial Stroke Imaging Should be Non-Contrast CT

Patient L’s Noncontrast CT Results

CT Evidence of New Infarction

CT Evidence of Old Infarction

MRI Was Performed…

MRI vs CT for Detecting Ischemic Stroke

Patient L’s T1W MRI Results

T1W MRI Not Useful for Imaging Acute Ichemia

Patient L’s T2 FLAIR MRI Results

T2 FLAIR MRI Superior to T1 For Imaging Ischemia

T2 FLAIR Poor at Differentiating Old vs New Ischemic Event

Patient L’s DWI MRI Results

Basic Principles of DWI MRI

DWI Demonstrates New Ischemia But Not Old Infarct

DDX of Patient L’s MRI Results

Diagnosis: Acute Ischemic Stroke

MRA of Circle of Willis was Performed

Agenda

Neuroanatomy Review: The Circle of Willis

Agenda

Frontiers

PWI MRI Lesions Correlate Well With Final Infarct Size

Agenda

Take Home Points

References

Acknowledgements