DWI-FLAIR Mismatch in Stroke: “P.S.” (Partial Strategic Concept) for Clinical Practice

DWI-FLAIR Mismatch in Stroke: “P.S.” (Partial Strategic Concept) for Clinical Practice

Recent studies have shown that diffusion-weighted imaging (DWI) and fluid-attenuated inversion recovery (FLAIR) MRI (DWI-FLAIR) mismatch is useful for thrombolytic treatment decisions in acute ischemic stroke. However, the role of partial mismatch in strategic locations among patients with evolving...

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Veröffentlicht in:Journal of stroke medicine 2022-12, Vol.5 (2), p.139-142
Hauptverfasser: Nedunchelian, Meena, Varadharajan, Shriram, G, Parvathy, Iyer, Rajesh Shankar, Cherian, Mathew, Mehta, Pankaj, Poyyamoli, Santosh, MA, Karthikeyan, Nikhil, H. R.
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Neuroimaging
Stroke
Thrombolytic drugs
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container_end_page 142
container_issue 2
container_start_page 139
container_title Journal of stroke medicine
container_volume 5
creator Nedunchelian, Meena
Varadharajan, Shriram
G, Parvathy
Iyer, Rajesh Shankar
Cherian, Mathew
Mehta, Pankaj
Poyyamoli, Santosh
MA, Karthikeyan
Nikhil, H. R.
description Recent studies have shown that diffusion-weighted imaging (DWI) and fluid-attenuated inversion recovery (FLAIR) MRI (DWI-FLAIR) mismatch is useful for thrombolytic treatment decisions in acute ischemic stroke. However, the role of partial mismatch in strategic locations among patients with evolving stroke has not been described before. Partial imaging mismatch involving strategic locations might indicate reversible ischemia, enabling thrombolysis even in those patients presenting in the extended time windows. In this report, we describe the partial strategic concept of DWI-FLAIR mismatch with case examples.
doi_str_mv 10.1177/25166085221122393
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subjects Neuroimaging
Stroke
Thrombolytic drugs
title DWI-FLAIR Mismatch in Stroke: “P.S.” (Partial Strategic Concept) for Clinical Practice
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