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Neuroimaging in Stroke: What and When? Harsh Mahajan, M.D. Mahajan Imaging Centres, New Delhi
Motivations For Stroke Imaging ,[object Object],[object Object],[object Object]
Motivations For Stroke Imaging ,[object Object],[object Object]
Goals for Stroke Imaging ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Goals for Stroke Imaging ,[object Object],[object Object],[object Object]
Radiology Triage of the Stroke Patient ,[object Object],[object Object],[object Object],[object Object],[object Object]
FIRST SCAN ,[object Object],[object Object],[object Object]
Scenario Classification ,[object Object],[object Object],[object Object],[object Object],[object Object]
Hyperacute – Acute Stroke ,[object Object],[object Object],[object Object],[object Object]
Hyperacute – Acute Stroke ,[object Object],[object Object],[object Object]
Subacute Stroke ,[object Object],[object Object],[object Object]
Chronic Stroke ,[object Object],[object Object],[object Object],[object Object],[object Object]
NCCT ,[object Object],[object Object],[object Object],[object Object],[object Object]
Stroke Follow-Up Imaging ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What Imaging Exam is Really the Best? ,[object Object],[object Object],[object Object],[object Object],[object Object]
What Imaging Exam is Really the Best? ,[object Object],[object Object],[object Object],[object Object],[object Object]
What Imaging Exam is Really the Best? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Carotid Evaluation   Scan Technique: 64 x 0.625 mm 338 mm in 4.2 seconds Mahajan Imaging Centre
 
RT F M R I
RT F M R I
Spectroscopy
Spectroscopy
SAH
 
 
Propeller
Hyperacute infarction 35 minutes
Hyperacute infarction 35 minutes
 
CBV / NEI ICA occlusion
Mean transit time / MTE ICA  occlusion
ICA  occlusion
 
 
 
* SUSCEPTIBILITY WEIGHTED ANGIOGRAPHY(SWAN)
Microbleed
 

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Neuroimaging in Stroke: What, When and Which Exam is Best

Editor's Notes

  1. An example of that, then, is this carotid study. This was a 90 year old patient, who had a failed Doppler TIA, and if you look at the study, you will see that they covered 338mm in 4.2 seconds. So a 90 year old patient, it was a comfortable breath hold, 4.2 seconds as opposed to what would have been probably about a 16 second scan on a 16 slice scanner. Clearly, you can see the area of infarc on the right carotid as depicted also in the rotating movie for the clinician. So they’re starting to interrogate this data much differently, getting it more in a pure arterial phase with very little venous contamination, something that they’ve been wanting to do for quite some time, and the LightSpeed VCT is now able to deliver that capability.
  2. AVM