| Literature DB >> 28424015 |
Charlie Chia-Tsong Hsu1,2, Gigi Nga Chi Kwan1, Sachintha Hapugoda1, Michelle Craigie1, Trevor William Watkins1, E Mark Haacke3.
Abstract
Susceptibility weighted imaging (SWI) is an essential magnetic resonance imaging sequence in the assessment of acute ischemic stroke. In this article, we discuss the physics principals and clinical application of conventional SWI and multi-echo SWI sequences. We review the research evidence and practical approach of SWI in acute ischemic stroke by focusing on the detection and characterization of thromboembolism in the cerebral circulation. In addition, we discuss the role of SWI in the assessment of neuroparenchyma by depiction of asymmetric hypointense cortical veins in the ischemic territory (surrogate tissue perfusion), detection of existing microbleeds before stroke treatment and monitoring for hemorrhagic transformation post-treatment. In conclusion, the SWI sequence complements other parameters in the stroke magnetic resonance imaging protocol and understanding of the research evidence is vital for practising stroke neurologists and neuroradiologists.Entities:
Keywords: Magnetic resonance imaging; acute stroke; susceptibility weighted imaging
Mesh:
Year: 2017 PMID: 28424015 PMCID: PMC5433592 DOI: 10.1177/1971400917690166
Source DB: PubMed Journal: Neuroradiol J ISSN: 1971-4009