Diffusion‐weighted MRI in patients with acute stroke | ||
Mustansiriya Medical Journal | ||
Article 1, Volume 13, Issue 2, December 2014, Pages 7-11 | ||
Authors | ||
Sahar Basim Ahmed; Nuha A. Muhsin; Najeeb S. Jabbo; Mohamed A. Al-Tamimi; Arshad Fuad; Faiz Al- Shakarchi; Haqqi I. Razzouki; Abdul Hameed Al-Qaseer; Hasanein H. Ghali; Noor Thair Tahir; Saad Mubarak Rasheed; Abdul Sahib Hussein Al-Timimi; Adnan F. Al-najjar; Abdul Hameed Al- Qaseer | ||
Abstract | ||
Background: Acute stroke is an abrupt non‐traumatic brain insult, caused by either brain infarction (75%) or hemorrhage (25%). Aim of the Study: To compare the sensitivity of Diffusion ‐ weighted imaging (DWI) and apparent diffusion coefficient (ADC) map in detection of acute stroke with sensitivity of conventional MRI study. Patients &methods: Thirty ‐ eight patients (24 male and 14 female with age range between 43‐90 years) with a clinically suggestive stroke and negative CT‐scan, all patients referred for MRI study within 4‐40 hours [mean of 17 hrs] of acute attack. brain MRI was performed for these patients. Starting with conventional MRI sequences done followed by diffusion weighted in the same study and follow up clinically afterwards. The study was conducted in a general hospital in Baghdad from January 2012 to January 2013 .Ratios were calculated between the apparent diffusion coefficient value of normal appearing brain in the right & left hemispheres & between apparent diffusion coefficient value of the ischemic area & the corresponding contralateral region . Results: With diffusion ‐ weighted images , 100% of the ischemic lesions were detected, and with fluid‐attenuated inversion recovery, 73.7% were detected, whereas with early T2‐weighted or T1‐weighted, only 52.6 % and 21% of lesions were detected , respectively , using McNemar test we found statistically significant differences in sensitivity between Diffusion weighted images and T1W (p Keywords Diffusion‐weighted MRI --- acute stroke | ||
Keywords | ||
diffusion; acute stroke; Male infertility; azoospermia; Testicular biopsy; Histopathology; Necrotizing fasciitis; debridement; colostomy; Hydrocephalus; shunt revision; Resynchronization; Therapy Heart Failure; wide QRS complex; Retinal detachment; vitrectomy; intra; Acute cholecystitis; Laparoscopic cholecystectomy; Emphysema; P wave axis; pulmonary function test; acute lymphoblastic leukemia; Childhood; outcome; UKALL protocols; Growth hormone deficiency; IGF; leptin; recurrent heel pain syndrome; planter fasciitis; calcaneal spur excision; trigeminal neuralgia; Radiofrequency; Alcohol ablation therapy | ||
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