Usefulness of multimodal CT pc-aspect calculation in infratentorial stroke

2021 ◽  
Vol 429 ◽  
pp. 118705
Author(s):  
Carlo Lugnan ◽  
Paola Caruso ◽  
Mariana Ridolfi ◽  
Miloš Ajčević ◽  
Giulia Bellavita ◽  
...  
Keyword(s):  
Multimodal Ct

scholarly journals Practicability and Diagnostic Yield of One-Stop Stroke CT with Delayed-Phase Cardiac CT in Detecting Major Cardioembolic Sources of Acute Ischemic Stroke

2021 ◽  
Author(s):  
Friederike Austein ◽  
Matthias Eden ◽  
Jakob Engel ◽  
Annett Lebenatus ◽  
Naomi Larsen ◽  
...  
Keyword(s):  
Diagnostic Yield ◽  
Early Stage ◽  
Recurrent Stroke ◽  
Cardiac Computed Tomography ◽  
Standard Of Care ◽  
Routine Work ◽  
One Stop ◽  
Work Up ◽  
Delayed Phase ◽  
Multimodal Ct

Abstract Purpose Recurrent stroke is considered to increase the incidence of severe disability and death. For correct risk assessment and patient management it is essential to identify the origin of stroke at an early stage. Transthoracic echocardiography (TTE) is the initial standard of care for evaluating patients in whom a cardioembolic source of stroke (CES) is suspected but its diagnostic capability is limited. Transesophageal echocardiography (TEE) is considered as gold standard; however, this approach is time consuming, semi-invasive and not always feasible. We hypothesized that adding a delayed-phase cardiac computed tomography (cCT) to initial multimodal CT might represent a valid alternative to routine clinical echocardiographic work-up. Material and Methods Patients with suspected acute cardioembolic stroke verified by initial multimodal CT and subsequently examined with cCT were included. The cCT was evaluated for presence of major CES and compared to routine clinical echocardiographic work-up. Results In all, 102 patients with suspected acute CES underwent cCT. Among them 60 patients underwent routine work-up with echocardiography (50 TTE and only 10 TEE). By cCT 10/60 (16.7%) major CES were detected but only 4 (6.7%) were identified by echocardiography. All CES observed by echocardiography were also detected by cCT. In 8 of 36 patients in whom echocardiography was not performed cCT also revealed a major CES. Conclusion These preliminary results show the potential diagnostic yield of delayed-phase cCT to detect major CES and therefore could accelerate decision-making to prevent recurrence stroke. To confirm these results larger studies with TEE as the reference standard and also compared to TTE would be necessary.

Multimodal CT pc-ASPECTS in infratentorial stroke: diagnostic and prognostic value

2021 ◽  
Author(s):  
Paola Caruso ◽  
Mariana Ridolfi ◽  
Carlo Lugnan ◽  
Milos Ajčević ◽  
Giovanni Furlanis ◽  
...  
Keyword(s):  
Prognostic Value ◽  
Diagnostic And Prognostic Value ◽  
Multimodal Ct

Tumor Progression/Recurrence: Multimodal CT/MR Follow-Up in Glioblastoma Multiforme

2019 ◽  
pp. 187-189
Author(s):  
Alessandro Stecco ◽  
Mariangela Lombardi ◽  
Francesco Fabbiano ◽  
Gerardo Di Nardo ◽  
Sara Zizzari ◽  
...  
Keyword(s):  
Glioblastoma Multiforme ◽  
Tumor Progression ◽  
Multimodal Ct

Tumor Progression/Recurrence: Multimodal CT/MR Follow-Up in Glioblastoma Multiforme

2019 ◽  
pp. 181-182
Author(s):  
Alessandro Stecco ◽  
Sara Zizzari ◽  
Francesco Fabbiano ◽  
Gerardo Di Nardo ◽  
Andrea Pietro Sponghini ◽  
...  
Keyword(s):  
Glioblastoma Multiforme ◽  
Tumor Progression ◽  
Multimodal Ct

Stable Disease: Multimodal CT/MR Follow-Up in Glioblastoma Multiforme

2019 ◽  
pp. 141-143
Author(s):  
Alessandro Stecco ◽  
Sara Zizzari ◽  
Mariangela Lombardi ◽  
Gerardo Di Nardo ◽  
Francesco Fabbiano ◽  
...  
Keyword(s):  
Glioblastoma Multiforme ◽  
Stable Disease ◽  
Multimodal Ct

Multimodal CT techniques for cerebrovascular and hemodynamic evaluation of ischemic stroke: occlusion, collaterals, and perfusion

2016 ◽  
Vol 16 (5) ◽  
pp. 515-525 ◽  
Author(s):  
Baixue Jia ◽  
Fabien Scalzo ◽  
Elijah Agbayani ◽  
Graham W. Woolf ◽  
Liping Liu ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Hemodynamic Evaluation ◽  
Multimodal Ct

Editors' Note: Multimodal CT or MRI for IV Thrombolysis in Ischemic Stroke With Unknown Time of Onset

Neurology ◽  
2021 ◽  
Vol 96 (21) ◽  
pp. 1011.2-1012
Author(s):  
James E. Siegler ◽  
Steven Galetta
Keyword(s):  
Ischemic Stroke ◽  
Multimodal Ct

Multimodal CT in Acute Stroke

2019 ◽  
Vol 19 (9) ◽  
Author(s):  
R. Wannamaker ◽  
B. Buck ◽  
K. Butcher
Keyword(s):  
Acute Stroke ◽  
Multimodal Ct

Neuroimaging of Acute Stroke

2017 ◽  
Author(s):  
Chelsea S. Kidwell ◽  
Kambiz Nael
Keyword(s):  
Acute Stroke ◽  
Resonance Imaging ◽  
Significant Progress ◽  
Stroke Patients ◽  
The Past ◽  
Stroke Imaging ◽  
Magnetic Resonance Imaging Mri ◽  
Noncontrast Computed Tomography ◽  
Acute Stroke Imaging ◽  
Multimodal Ct

The neuroimaging workup for patients with suspected acute ischemic stroke has advanced significantly over the past few decades. Evaluation is no longer limited to noncontrast computed tomography (CT), but now frequently also includes vascular and perfusion imaging. Although acute stroke imaging has made significant progress with the development of multimodal approaches, there are still many unanswered questions regarding their appropriate use in daily patient care. It is important for all physicians taking care of stroke patients to be familiar with current multimodal CT and magnetic resonance imaging (MRI) techniques, including their strengths, limitations, and their role in guiding therapy.

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