CT Perfusion In Acute Ischemic Stroke скачать в хорошем качестве

CT Perfusion In Acute Ischemic Stroke

00:00 - Intro 01:14 - Objectives 01:38​ - Why CT perfusion? 04:23 - ASPECT scoring on non-contrast head CT 08:02 - Fundamental hemodynamic properties: CBF, CBV, MTT, Tmax 13:35 - Clinical uses: DEFUSE 3, DAWN, EXTEND 18:26 - Clinical examples 22:03 - Hypoperfusion index and multi-threshold Tmax maps 23:37 - Caveats and pitfalls: Caveats in estimating core 30:15 - Caveats and pitfalls: Caveats in estimating penumbra 35:37 - Summary 36:11 - Quality of study: Vessel selection, contrast opacification, patient motion 38:27 - Additional uses of CTP: Medium vessel occlusion 40:28 - Additional uses of CTP: Posterior circulation stroke 44:59 - Additional uses of CTP: Stroke mimics 46:52 - Can we use CTP like cardiologists use troponin? 47:58 - Summary and algorithm Algorithm PDF may be found here: https://drive.google.com/file/d/1QLYj... This video is intended for residents and fellows to understand the interpretation and clinical applications of CT perfusion imaging for the treatment of patients with acute ischemic stroke. Created, produced, and narrated by: Igor Rybinnik MD Neurology Clerkship Director Rutgers Robert Wood Johnson Medical School Content experts: Raymond Mirasol MD, Roger Cheng MD Division of Stroke and Neurocritical Care Department of Neurology Rutgers Robert Wood Johnson Medical School Sudipta Roychowdhury, MD FACR Clinical Professor of Radiology, Neurosurgery, and Neurology Rutgers Robert Wood Johnson Medical School Director of Interventional Neuroradiology Director of Magnetic Resonance Imaging Robert Wood Johnson University Hospital References: 1. Saver JL, et al. JAMA 2016, 316(12):1279 2. Nomani AZ, et al. Neurology 2021, 97:e2079-87 3. Sarraj A, et al. Stroke 2021, 52(1):57-69 4. Barber PA, et al. Lancet 2000;355(9216):1670-4 5. Almallouhi AZ, et al. JAMA Network Open. 2021;4(12):e2137708 6. Adapted from Sotoudeh H, et al. Acad Radiol 2019;26(11):1565-79 7. Albers GW, et al. NEJM 2018;378:708-718 8. Nogueira R, et al. NEJM 2018(1);378:11-21. 9. Ma H, et al. NEJM 2019;380(19):1795-1803 10. MacLellan A, et al. JSCVD 2022;31(1):106-208 11. Normani AZ, et al. Neurology 2021;97(21):e2079-87 12. Albers GW, Stroke 2018;49:1-5 13. Martins N, et al. Intervent Neurol 2018;7:513-521 14. Campbell BC, et al. Int J Stroke 2015;10:51–54 15. Amukotuwa SA, et al. Stroke 2021;52:3308-3317 16. Katyal A, et al. Eur J Neurol 2021;28:2657-2668 17. Tao WD, et al. Stroke 2012;43(8):2060-2065 18. Capasso R, et al. Neuroradiology 2021;63:317–330 19. Novakovic-White R, et al. Neurology 2021;97:S158-S169 20. Vagal A, et al. Neurology 2019;93(20):888-898. 21. Benson JC, et al. AJNR 2016;37:2239-44 Images adapted from: Articles referenced above Adobe Creative Cloud Blumenfeld H. Neuroanatomy Through Clinical Cases, 2nd ed. Sinauer, 2010. Music: The Itch (Instrumental) - NEFFEX Icelandic Arpeggios - DivKid Under Cover - Wayne Jones Disclaimer: Please note that this material was simplified for educational purposes. For patient management, please review your clinical society's guidelines and engage expert consultation where appropriate. Also, the opinions of the presenters do not necessarily reflect those of Rutgers Robert Wood Johnson Medical School, Robert Wood Johnson University Hospital, RWJBarnabus Health, or Rutgers University as a whole.