Patient "candidate" for thrombolysis: MRI is essential.

Authors :: Tisserand M
Naggara O
Legrand L
Mellerio C
Edjlali M
Lion S
Rodriguez-Régent C
Souillard-Scemama R
Jbanca CF
Trystram D
Méder JF
Oppenheim C
Source :: Diagnostic and interventional imaging [Diagn Interv Imaging] 2014 Dec; Vol. 95 (12), pp. 1135-44. Date of Electronic Publication: 2014 Aug 02.
Publication Year :: 2014
Abstract: Because of its excellent sensitivity and specificity to diagnose arterial ischemic stroke (AIS) in the acute phase, MRI answers the main questions to guide treatment in "candidates" for thrombolysis. It lasts less than ten minutes, can confirm the diagnosis of AIS and distinguish it from hematomas and other "stroke mimics". It can identify the ischemic penumbra (perfusion-diffusion mismatch), determine the site of occlusion and provide prognostic information to adapt treatment in some cases in which the indications are poorly defined. In light of the most recent scientific findings, MRI can guide the treatment turning it into the investigation of choice in "candidates" for thrombolysis.<br /> (Copyright © 2014 Éditions françaises de radiologie. Published by Elsevier Masson SAS. All rights reserved.)