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Semin Neurol 2005; 25(4): 345-361
DOI: 10.1055/s-2005-923529
Copyright © 2005 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Neuroimaging Advances and the Transformation of Acute Stroke Care

Doojin Kim1 , David S. Liebeskind1
  • 1UCLA Stroke Center, Department of Neurology, University of California, Los Angeles, California
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Publication History

Publication Date:
08 December 2005 (online)

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ABSTRACT

Neuroimaging techniques have transformed the delivery of stroke care. Multimodal computed tomography and magnetic resonance imaging rapidly illustrate the vascular and parenchymal correlates in acute ischemic and hemorrhagic stroke. Optimal selection of thrombolytic candidates and the characterization of ischemic sequelae may be achieved with imaging. The nature and topography of intracerebral hemorrhage may also be defined. Increasing use of multimodal imaging in acute stroke has expanded our current understanding of stroke pathophysiology and streamlined the care of stroke patients from the hyperacute to chronic phases. The integration of neuroimaging techniques in research studies has elucidated pitfalls in the translation of novel therapy into clinical practice. This review explores the impact of neuroimaging advances in stroke and emphasizes the critical role of these modalities in the care of patients with ischemic and hemorrhagic events.

KEYWORDS

Stroke - imaging - acute - therapy - collateral

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David S LiebeskindM.D. 

UCLA Stroke Center, 710 Westwood Plaza

Los Angeles, CA 90095