Skip to main content Accessibility help
×
Hostname: page-component-8448b6f56d-c47g7 Total loading time: 0 Render date: 2024-04-25T01:54:09.761Z Has data issue: false hasContentIssue false

4 - When the diagnostic image is not diagnostic

Published online by Cambridge University Press:  05 August 2015

José Biller
Affiliation:
Loyola University Stricht School of Medicine
José M. Ferro
Affiliation:
Universidade de Lisboa
Get access
Type
Chapter
Information
Common Pitfalls in Cerebrovascular Disease
Case-Based Learning
, pp. 39 - 52
Publisher: Cambridge University Press
Print publication year: 2015

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

References

1.Edlow, JA, Wyer, PC. Evidence-based emergency medicine/clinical question. How good is a negative cranial computed tomographic scan result in excluding subarachnoid hemorrhage? Ann Emerg Med 2000;36:507–16.CrossRefGoogle ScholarPubMed
2.Bambakidis, N, Selman, W. Subarachnoid hemorrhage. In: Suarez, JI, ed. Critical Care Neurology and Neurosurgery. Totowa, NJ: Humana Press; 2004:365–77.Google Scholar
3.Vermeulen, M, van Gijn, J. The diagnosis of subarachnoid haemorrhage. J Neurol Neurosurg Psychiatry 1990;53:365–72.CrossRefGoogle ScholarPubMed
4.Woodfield, J, Rane, N, Cudlip, S, Byrne, JV. Value of delayed MRI in angiogram-negative subarachnoid haemorrhage. Clin Radiol 2014; 69:350–6.CrossRefGoogle ScholarPubMed
5.Lui, YW, Tang, ER, Allmendinger, AM, Spektor, V. Evaluation of CT perfusion in the setting of cerebral ischemia: patterns and pitfalls. AJNR Am J Neuroradiol 2010;31:1552–63.CrossRefGoogle ScholarPubMed
6.Kim, JJ, Wintermark, M. Intracranial vascular imaging: pearls and pitfalls. Appl Radiol 2010;April:2834.CrossRefGoogle Scholar
7.Kidwell, CS, Jahan, R, Gornbein, J, Alger, JR, et al. A trial of imaging selection and endovascular treatment for ischemic stroke. N Engl J Med 2013;368:914–23.CrossRefGoogle ScholarPubMed
8.Srinivasan, A, Goyal, M, Azri, FA, Lum, C. State of the art imaging of acute stroke. Radiographics 2006;26:S75S95.CrossRefGoogle ScholarPubMed
9.González, RG. Low signal, high noise and large uncertainty make CT perfusion unsuitable for acute ischemic stroke patient selection for endovascular therapy. J NeuroInterv Surg 2012;4:242–5.CrossRefGoogle ScholarPubMed
10.Meckel, S, Maier, M, Ruiz, DS, et al. MR angiography of dural arteriovenous fistulas: diagnosis and follow-up after treatment using a time-resolved 3D contrast-enhanced technique. AJNR Am J Neuroradiol 2007;28:877–84.Google ScholarPubMed
11.Saposnik, G, Barinagarrementeria, F, Brown, RD, et al. Diagnosis and management of cerebral venous thrombosis: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2011;42:1158–92.CrossRefGoogle ScholarPubMed
12.Derdeyn, CP, Powers, WJ, Grubb, RL. Hemodynamic effects of middle cerebral artery stenosis and occlusion. AJNR Am J Neuroradiol 1998;19:1463–9.Google ScholarPubMed
13.Grüner, JM, Paamand, R, Højgaard, L, Law, I. Brain perfusion CT compared with 15O-H2O-PET in healthy subjects. EJNMMI Res 2011;1:28.CrossRefGoogle Scholar
14.Vagal, AS, Leach, JL, Fernandez-Ulloa, M, Zuccarello, M. The acetazolamide challenge: techniques and applications in the evaluation of chronic cerebral ischemia. AJNR Am J Neuroradiol 2009;30:876–84.CrossRefGoogle Scholar

Further reading

Albers, GW, Thijs, VN, Wechsler, L, et al. Magnetic resonance imaging profiles predict clinical response to early reperfusion: the diffusion and perfusion imaging evaluation for understanding stroke evolution (DEFUSE) study. Ann Neurology. 2006;60:508517.CrossRefGoogle ScholarPubMed
Davis, SM, Donnan, GA, Parsons, MW, et al. Effects of alteplase beyond 3 h after stroke in the Echoplanar Imaging Thrombolytic Evaluation Trial (EPITHET): a placebo-controlled randomized trial. Lancet Neurol. 2008;7:299309.CrossRefGoogle Scholar
Essig, M, Shiroishi, MS, Nguyen, TB, et al. Perfusion MRI: the five most frequently asked technical questions. AJR Am J Roentgenol 2013;200:2434.CrossRefGoogle ScholarPubMed
Heasley, DC, Mohamed, MA, Yousem, DM. Clearing of red blood cells in lumbar puncture does not rule out ruptured aneurysm in patients with suspected subarachnoid hemorrhage but negative head CT findings. AJNR Am J Neuroradiol 2005;26:820–4.Google Scholar
Latchaw, RE, Yonas, H, Hunter, GJ, et al. Guidelines and recommendations for perfusion imaging in cerebral ischemia: a scientific statement for healthcare professionals by the writing group on perfusion imaging, from the Council on Cardiovascular Radiology of the American Heart Association. Stroke 2003;34:1084–104.CrossRefGoogle Scholar
Mohamed, M, Heasely, DC, Yagmurlu, B, Yousem, DM. Fluid-attenuated inversion recovery MR imaging and subarachnoid hemorrhage: not a panacea. AJNR Am J Neuroradiol. 2004;25:545550.Google Scholar
Schellinger, PD, Bryan, RN, Caplan, LR, et al. Evidence-based guideline: the role of diffusion and perfusion MRI for the diagnosis of acute ischemic stroke: report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology. Neurology 2010;75:177–85.CrossRefGoogle Scholar
Takasawa, M, Jones, PS, Guadagno, JV, et al. How reliable is perfusion MR in acute stroke?: validation and determination of the penumbra threshold against quantitative PET. Stroke 2008:39:8707.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×