Current practice and future directions in the diagnosis and acute treatment of ischaemic stroke

C Zerna, G Thomalla, BCV Campbell, JH Rha, MD Hill - The Lancet, 2018 - thelancet.com
Even though stroke presents as a variety of clinical syndromes, neuroimaging is the most
important biomarker to help differentiate between stroke subtypes and assess treatment …

Automated CT perfusion imaging for acute ischemic stroke: pearls and pitfalls for real-world use

A Vagal, M Wintermark, K Nael, A Bivard, M Parsons… - Neurology, 2019 - neurology.org
Recent positive trials have thrust acute cerebral perfusion imaging into the routine
evaluation of acute ischemic stroke. Updated guidelines state that in patients with anterior …

The ischemic penumbra: From concept to reality

CM Ermine, A Bivard, MW Parsons… - International journal of …, 2021 - journals.sagepub.com
The discovery that brain tissue could potentially be salvaged from ischaemia due to stroke,
has led to major advances in the development of therapies for ischemic stroke. In this …

The initiator of neuroexcitotoxicity and ferroptosis in ischemic stroke: glutamate accumulation

G Fan, M Liu, J Liu, Y Huang - Frontiers in molecular neuroscience, 2023 - frontiersin.org
Glutamate plays an important role in excitotoxicity and ferroptosis. Excitotoxicity occurs
through over-stimulation of glutamate receptors, specifically NMDAR, while in the non …

Artificial intelligence for decision support in acute stroke—current roles and potential

A Bivard, L Churilov, M Parsons - Nature Reviews Neurology, 2020 - nature.com
The identification and treatment of patients with stroke is becoming increasingly complex as
more treatment options become available and new relationships between disease features …

Ischemic core overestimation on computed tomography perfusion

Á García-Tornel, D Campos, M Rubiera, S Boned… - Stroke, 2021 - ahajournals.org
Background and Purpose: Different studies have pointed that CT perfusion (CTP) could
overestimate ischemic core in early time window. We aim to evaluate the influence of time …

Current state of evidence for neuroimaging paradigms in management of acute ischemic stroke

A Sarraj, DK Pujara, BCV Campbell - Annals of Neurology, 2024 - Wiley Online Library
Stroke is the chief differential diagnosis in patient presenting to the emergency room with
abrupt onset focal neurological deficits. Neuroimaging, including non‐contrast computed …

Accuracy of CT perfusion–based core estimation of follow-up infarction: effects of time since last known well

A Sarraj, BCV Campbell, S Christensen, CW Sitton… - Neurology, 2022 - neurology.org
Background and Objectives To assess the accuracy of baseline CT perfusion (CTP)
ischemic core estimates. Methods From SELECT (Optimizing Patient Selection for …

Perfusion imaging and clinical outcome in acute ischemic stroke with large core

P Seners, C Oppenheim, G Turc… - Annals of …, 2021 - Wiley Online Library
Objective Mechanical thrombectomy (MT) is not recommended for acute stroke with large
vessel occlusion (LVO) and a large volume of irreversibly injured tissue (“core”). Perfusion …

The core/penumbra model: implications for acute stroke treatment and patient selection in 2021

JC Baron - European Journal of Neurology, 2021 - Wiley Online Library
Despite major advances in prevention, ischaemic stroke remains one of the leading causes
of death and disability worldwide. After centuries of nihilism and decades of failed …