Combined diffusion- and perfusion-weighted imaging: a new way for the assessment of hemispheric transient ischemic attack patients |
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Authors: | Tong Tong Zhenwei YaoXiaoyuan Feng |
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Affiliation: | a Department of Radiology, Cancer Hospital, Fudan University,Shanghai 200032, China b Department of Radiology, Huashan Hospital, Fudan University, Shanghai 200040, China |
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Abstract: | Abnormalities in diffusion-weighted and perfusion-weighted magnetic resonance images not only occur in stroke patients but also in transient ischemic attack patients. We found magnetic resonance images were abnormal in 28 patients (68%): 15 had diffusion-weighted imaging abnormalities, 7 had both diffusion-weighted imaging and perfusion-weighted imaging defects and 6 had an isolated perfusion-weighted imaging abnormality. Patients with shorter onset to magnetic resonance imaging, large artery atherothrombosis, coronary artery disease, hyperlipidemia and hemiparesis were more likely to show perfusion-weighted imaging abnormalities. Compared with patients who had a good prognosis, in poor prognosis patients, the relative cerebral blood flow and relative cerebral blood volume was significantly higher. The data suggest that transient ischemic attack patients are more likely to have a poor prognosis when white matter of the symptomatic side shows hyperperfusion within 24 h of symptom onset; however, patients are more likely to have a good prognosis when white matter of the symptomatic side shows hypoperfusion. |
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Keywords: | TIA, transient ischemic attack DWI, diffusion-weighted imaging PWI, perfusion weighted imaging CBF, cerebral blood flow MRI, magnetic resonance imaging MRA, magnetic resonance angiography FLAIR, fluid-attenuated inversion-recovery T2WI, T2 weighted imaging CBV, cerebral blood volume MTT, mean transit time OR, odds ratios ROC, receiver operating characteristic NIHSS, National Institutes of Health stroke scale mRS, modified Rankin Scale |
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