Application value of magnetic susceptibility-weighted imaging in the evaluation of cerebral stroke

WEI Jiang-man, PAN Jing-jing, FAN Wei, CHEN Xin

Journal of China Clinic Medical Imaging ›› 2016, Vol. 27 ›› Issue (4) : 232-235.

Journal of China Clinic Medical Imaging ›› 2016, Vol. 27 ›› Issue (4) : 232-235.

Application value of magnetic susceptibility-weighted imaging in the evaluation of cerebral stroke

Author information +
History +

Abstract

Objective: To study application value of magnetic susceptibility-weighted imaging(SWI) in the evaluation of cerebral stroke. Methods: It’s a retrospective analysis of 25 patients with unilateral middle cerebral artery stenosis or occlusion in a few hours to 24 hours after symptom onset. All of 25 cases underwent routine MR examination, including T2WI, T1WI, FLAIR, DWI, SWI, PWI. The scores of DWI, SWI and PWI was compared by alberta stroke program early CT score. Results: Asymmetric prominent vessels and prolonged mean transit time(MTT) map were found in 88%(22/25) of patients. SWI-ASPECTS and MTT-ASPECTS were associated with the best(r=0.796, P=0.000<0.001). Conclusions: SWI has the similar ability to prolonged MTT, which can provide information about brain perfusion. But SWI needs further prospective studies in the guidance of thrombolytic therapy.

Key words

Cerebrovascular accident / Magnetic resonance imaging

Cite this article

Download Citations
WEI Jiang-man, PAN Jing-jing, FAN Wei, CHEN Xin. Application value of magnetic susceptibility-weighted imaging in the evaluation of cerebral stroke[J]. Journal of China Clinic Medical Imaging. 2016, 27(4): 232-235

References

[1]Park MG, Yoon CH, Baik SK, et al. Susceptibility vessel sign for intra-arterial thrombus in acute posterior cerebral artery infarction[J]. J Stroke Cerebrovasc Dis, 2015, 24(6): 1229-1234.
[2]Hermier M, Nighoghossian N. Contribution of susceptibility-weighted imaging to acute stroke assessment[J]. Stroke, 2004, 35(8): 1989-1994.
[3]Weisstanner C, Gratz PP, Schroth G, et al. Thrombus imaging in acute stroke: correlation of thrombus length on susceptibility-weighted imaging with endovascular reperfusion success[J]. Eur Radiol, 2014, 24(8): 1735-1741.
[4]Zhang Z, Liao W, Bernhardt B, et al. Brain iron redistribution in mesial temporal lobe epilepsy: a susceptibility-weighted magnetic resonance imaging study[J]. BMC Neurosci, 2014, 15: 117.
[5]Wu SF, Zhu ZF, Kong Y, et al. Assessment of cerebral iron content in patients with Parkinson’s disease by the susceptibility-weighted MRI[J]. Eur Rev Med Pharmacol Sci, 2014, 18(18): 2605-2608.
[6]Derdeyn CP, Yundt KD, Videen TO, et al. Increased oxygen extraction fraction is associated with prior ischemic events in patients with carotid occlusion[J]. Stroke, 1998, 29(4): 754-758.
[7]Kesavadas C, Santhosh K, Thomas B. Susceptibility weighted imaging in cerebral hypoperfusion-can we predict increased oxygen extraction fraction[J]. Neuroradiology, 2010, 52(11): 1047-1054.
[8]Park MJ, Kim HS, Jahng GH, et al. Semiquantitative assessment of intratumoral susceptibility signals using non-contrast-enhanced high-field high-resolution susceptibility-weighted imaging in patients with gliomas: comparison with MR perfusion imaging[J]. AJNR, 2009, 30(7): 1402-1408.
[9]Huang P, Chen CH, Lin WC, et al. Clinical applications of susceptibility weighted imaging in patients with major stroke[J]. J Neurol, 2012, 259(7): 1426-1432.
[10]Verma RK, Hsieh K, Gratz PP, et al. Leptomeningeal collateralization in acute ischemic stroke: impact on prominent cortical veins in susceptibility-weighted imaging[J]. Eur J Radiol, 2014, 83(8): 1448-1454.
[11]Yata K, Suzuki A, Hatazawa J, et al. Relationship between cerebral circulatory reserve and oxygen extraction fraction in patients with major cerebral artery occlusive disease: a positron emission tomography study[J]. Stroke, 2006, 37(2): 534-536.
[12]Kamath A, Smith WS, Powers WJ, et al. Perfusion CT compared to H(2) (15)O/O (15)O PET in patients with chronic cervical carotid artery occlusion[J]. Neuroradiology, 2008, 50(9): 745-751.
[13]卢洁,李坤成. 颈内和大脑中动脉狭窄与闭塞的MR灌注成像研究[J]. 中国医学影像技术,2004,20(11):1797-1799.
[14]Kao HW, Tsai FY, Hasso AN. Predicting stroke evolution: comparison of susceptibility-weighted MR imaging with MR perfusion[J]. Eur Radiol, 2012, 22(7): 1397-1403.
[15]Mucke J, Mohlenbruch M, Kickingereder P, et al. Asymmetry of deep medullary veins on susceptibility weighted MRI in patients with acute MCA stroke is associated with poor outcome[J]. PLoS One, 2015, 10(4): e0120801.

Accesses

Citation

Detail

Sections
Recommended

/