Standardization of Stroke Perfusion CT for Reperfusion Therapy

Guangming Zhu; Patrik Michel; Weiwei Zhang; Max Wintermark

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Standardization of Stroke Perfusion CT for Reperfusion Therapy

机译：脑卒中灌注CT灌注治疗的标准化

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摘要

With the advances in terms of perfusion imaging, the “time is brain” approach used for acute reperfusion therapy in ischemic stroke patients is slowly being replaced by a “penumbra is brain” or “imaging is brain” approach. But the concept of penumbra-guided reperfusion therapy has not been validated. The lack of standardization in penumbral imaging is one of the main contributing factors for this absence of validation. This article reviews the issues underlying the lack of standardization of perfusion-CT for penumbra imaging, and offers avenues to remedy this situation.

机译：随着灌注成像技术的进步，用于缺血性中风患者的急性再灌注治疗的“时间就是大脑”方法正逐渐被“半影即脑”或“成像即脑”方法所代替。但是半影引导的再灌注治疗的概念尚未得到证实。半影成像缺乏标准化是缺乏验证的主要原因之一。本文回顾了缺乏用于半影成像的灌注CT标准化的问题，并提供了解决这种情况的途径。

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来源
《Translational Stroke Research》 |2012年第2期|221-227|共7页
作者
Guangming Zhu; Patrik Michel; Weiwei Zhang; Max Wintermark;
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作者单位

Department of Radiology Neuroradiology Division University of Virginia Box 800170 Charlottesville VA 22908 USA;

Department of Neurology Centre Hospitalier Universitaire Vaudois Lausanne Switzerland;

Department of Neurology Military General Hospital of Beijing PLA Beijing China;

Department of Radiology Neuroradiology Division University of Virginia Box 800170 Charlottesville VA 22908 USA;

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原文格式 PDF
正文语种 eng
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关键词
Stroke perfusion CT; Reperfusion therapy; Standardization;

机译：脑卒中CT;再灌注治疗;标准化;

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1. Wake-up stroke and CT perfusion: effectiveness and safety of reperfusion therapy [J] . Caruso Paola, Naccarato Marcello, Furlanis Giovanni, Neurological sciences . 2018,第10期

机译：唤醒中风和CT灌注：再灌注治疗的有效性和安全性
2. Perfusion-based selection for endovascular reperfusion therapy in anterior circulation acute ischemic stroke [J] . PrabhakaranS., SoltanolkotabiM., HonarmandA.R., AJNR. American journal of neuroradiology . 2014,第7期

机译：基于灌注的前循环急性缺血性卒中血管内再灌注治疗选择
3. RAPID automated patient selection for reperfusion therapy: a pooled analysis of the Echoplanar Imaging Thrombolytic Evaluation Trial (EPITHET) and the Diffusion and Perfusion Imaging Evaluation for Understanding Stroke Evolution (DEFUSE) Study. [J] . Lansberg MG, Lee J, Christensen S, Stroke: A Journal of Cerebral Circulation . 2011,第6期

机译：RAPID自动选择患者进行再灌注治疗：超声平面成像溶栓评估试验（EPITHET）和扩散与灌注成像评估的综合分析，以了解中风演变（DEFUSE）研究。
4. Using multiclass machine learning model to improve outcome prediction of acute ischemic stroke patients after reperfusion therapy [C] . I-Min Chiu, Wun-Huei Zeng, Chun-Hung Richard Lin International Computer Symposium . 2020

机译：采用多标配机学习模型改善再灌注治疗后急性缺血性卒中患者的结果预测
5. Normothermic ex-situ Liver Perfusion and PPAR-γ Activation as Strategies to Reduce Liver Ischemia Reperfusion Injury [D] . Linares Cervantes, Iván de Jesús. 2019

机译：常温前肝灌注和PPAR-γ活化作为降低肝脏缺血再灌注损伤的策略
6. Brain hemorrhage after endovascular reperfusion therapy of ischemic stroke: a threshold-finding whole-brain perfusion CT study [O] . Arturo Renú, Carlos Laredo, Raúl Tudela, 2017

机译：缺血性脑卒中的血管内再灌注治疗后的脑出血：寻找阈值的全脑灌注CT研究
7. RAPID automated patient selection for reperfusion therapy: a pooled analysis of the Echoplanar Imaging Thrombolytic Evaluation Trial (EPITHET) and the Diffusion and Perfusion Imaging Evaluation for Understanding Stroke Evolution (DEFUSE) Study. [O] . Lansberg, Maarten G, Lee, Jun, Christensen, Soren, 2011

机译：RAPID自动选择患者进行再灌注治疗：超声平面成像溶栓评估试验（EPITHET）和扩散与灌注成像评估的综合分析，以了解中风演变（DEFUSE）研究。

Standardization of Stroke Perfusion CT for Reperfusion Therapy

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