Ischemic stroke MRI: Difference between revisions

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: specificity= 100%
: specificity= 100%


For detecting chronic hemorrhages, MRI scan is more sensitive.<ref name="pmid15494579">{{cite journal | last=Kidwell | first=C | coauthors=Chalela J, Saver J et al. | title=Comparison of MRI and CT for detection of acute intracerebral hemorrhage | journal=JAMA | volume=292 | issue=15 | pages=1823–30 | year=2004 | url=http://jama.ama-assn.org/cgi/content/full/292/15/1823 | pmid=15494579 | accessdate=2008-01-22 }}</ref>
For detecting chronic hemorrhages, an MRI scan is more sensitive.<ref name="pmid15494579">{{cite journal | last=Kidwell | first=C | coauthors=Chalela J, Saver J et al. | title=Comparison of MRI and CT for detection of acute intracerebral hemorrhage | journal=JAMA | volume=292 | issue=15 | pages=1823–30 | year=2004 | url=http://jama.ama-assn.org/cgi/content/full/292/15/1823 | pmid=15494579 | accessdate=2008-01-22 }}</ref>


For the assessment of stable stroke, nuclear medicine scans SPECT and PET/CT may be helpful.  SPECT documents cerebral blood flow and PET with FDG isotope the metabolic activity of the neurons.
For the assessment of stable stroke, nuclear medicine scans SPECT and PET/CT may be helpful.  SPECT documents cerebral blood flow and PET with FDG isotope the metabolic activity of the neurons.
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==References==
==References==
{{reflist|2}}
{{reflist|2}}

Revision as of 15:45, 13 February 2013

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

MRI

For diagnosing ischemic stroke in the emergency setting:[1]

MRI scan

sensitivity= 83%
specificity= 98%

MRI scan

sensitivity= 81%
specificity= 100%

For detecting chronic hemorrhages, an MRI scan is more sensitive.[2]

For the assessment of stable stroke, nuclear medicine scans SPECT and PET/CT may be helpful. SPECT documents cerebral blood flow and PET with FDG isotope the metabolic activity of the neurons.

Patient No 1: Change in Mental Status

(Images courtesy of RadsWiki)

Patient No 2: Left ACA Infarction




References

  1. Chalela, J (2007). "Magnetic resonance imaging and computed tomography in emergency assessment of patients with suspected acute stroke: a prospective comparison". Lancet. 369 (9558): 293–8. PMID 17258669. Retrieved 2008-01-22. Unknown parameter |coauthors= ignored (help)
  2. Kidwell, C (2004). "Comparison of MRI and CT for detection of acute intracerebral hemorrhage". JAMA. 292 (15): 1823–30. PMID 15494579. Retrieved 2008-01-22. Unknown parameter |coauthors= ignored (help)

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