DWI-FLAIR Mismatch in Stroke: “P.S.” (Partial Strategic Concept) for Clinical Practice

M. Nedunchelian, S. Varadharajan, Parvathy G, R. Iyer, M. Cherian, P. Mehta, Santosh Poyyamoli, Karthikeyan Ma, H. R. Nikhil
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Abstract

Recent studies have shown that diffusion-weighted imaging (DWI) and fluid-attenuated inversion recovery (FLAIR) MRI (DWI-FLAIR) mismatch is useful for thrombolytic treatment decisions in acute ischemic stroke. However, the role of partial mismatch in strategic locations among patients with evolving stroke has not been described before. Partial imaging mismatch involving strategic locations might indicate reversible ischemia, enabling thrombolysis even in those patients presenting in the extended time windows. In this report, we describe the partial strategic concept of DWI-FLAIR mismatch with case examples.
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笔画中的DWI-FLAIR不匹配:“P.S.(部分战略概念)临床实践
最近的研究表明,弥散加权成像(DWI)和液体衰减反转恢复(FLAIR) MRI (DWI-FLAIR)不匹配对急性缺血性卒中的溶栓治疗决策是有用的。然而,在发展中的脑卒中患者中,策略位置部分失配的作用以前没有被描述过。涉及策略部位的部分成像不匹配可能表明可逆性缺血,即使在延长时间窗口的患者中也能实现溶栓。在本报告中,我们用案例描述了DWI-FLAIR不匹配的部分策略概念。
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