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Predicting final infarct size using acute and subacute multiparametric MRI measurements in patients with ischemic stroke

Purpose To identify early MRI characteristics of ischemic stroke that predict final infarct size three months poststroke. Materials and Methods Multiparametric MRI (multispin echo T2‐weighted [T2W] imaging, T1‐weighted [T1W] imaging, and diffusion‐weighted imaging [DWI]) was performed acutely ( acut...

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Bibliographic Details
Published in:Journal of magnetic resonance imaging 2005-05, Vol.21 (5), p.495-502
Main Authors: Lu, Mei, Mitsias, Panayiotis D., Ewing, James R., Soltanian-Zadeh, Hamid, Bagher-Ebadian, Hassan, Zhao, Qingming, Oja-Tebbe, Nancy, Patel, Suresh C., Chopp, Michael
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Language:English
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Summary:Purpose To identify early MRI characteristics of ischemic stroke that predict final infarct size three months poststroke. Materials and Methods Multiparametric MRI (multispin echo T2‐weighted [T2W] imaging, T1‐weighted [T1W] imaging, and diffusion‐weighted imaging [DWI]) was performed acutely ( acute DWI lesion size predicted an increased final infarct size (P < 0.01). Conclusion Acute‐phase DWI and DWI‐ISODATA mismatch strongly predict the final infarct size. An acute‐to‐subacute DWI lesion size change further increases the predictive ability of the model. J. Magn. Reson. Imaging 2005;21:495–502. © 2005 Wiley‐Liss, Inc.
ISSN:1053-1807
1522-2586
DOI:10.1002/jmri.20313