Imaging recommendations for acute stroke and transient ischemic attack patients

A joint statement by the American Society of Neuroradiology, the American College of Radiology, and the Society of Neurointerventional Surgery

Max Wintermark, P. C. Sanelli, G. W. Albers, Jacqueline A. Bello, C. Derdeyn, S. W. Hetts, M. H. Johnson, C. Kidwell, M. H. Lev, D. S. Liebeskind, H. Rowley, P. W. Schaefer, J. L. Sunshine, G. Zaharchuk, C. C. Meltzer

Research output: Contribution to journalArticle

57 Citations (Scopus)

Abstract

Stroke is a leading cause of death and disability worldwide. Imaging plays a critical role in evaluating patients suspected of acute stroke and transient ischemic attack, especially before initiating treatment. Over the past few decades, major advances have occurred in stroke imaging and treatment, including Food and Drug Administration approval of recanalization therapies for the treatment of acute ischemic stroke. A wide variety of imaging techniques has become available to assess vascular lesions and brain tissue status in acute stroke patients. However, the practical challenge for physicians is to understand the multiple facets of these imaging techniques, including which imaging techniques to implement and how to optimally use them, given available resources at their local institution. Important considerations include constraints of time, cost, access to imaging modalities, preferences of treating physicians, availability of expertise, and availability of endovascular therapy. The choice of which imaging techniques to employ is impacted by both the time urgency for evaluation of patients and the complexity of the literature on acute stroke imaging. Ideally, imaging algorithms should incorporate techniques that provide optimal benefit for improved patient outcomes without delaying treatment.

Original languageEnglish (US)
JournalAmerican Journal of Neuroradiology
Volume34
Issue number11
DOIs
StatePublished - Nov 2013

Fingerprint

Transient Ischemic Attack
Radiology
Stroke
Therapeutics
Physicians
Drug Approval
United States Food and Drug Administration
Blood Vessels
Cause of Death
Costs and Cost Analysis
Brain

ASJC Scopus subject areas

  • Clinical Neurology
  • Radiology Nuclear Medicine and imaging

Cite this

Imaging recommendations for acute stroke and transient ischemic attack patients : A joint statement by the American Society of Neuroradiology, the American College of Radiology, and the Society of Neurointerventional Surgery. / Wintermark, Max; Sanelli, P. C.; Albers, G. W.; Bello, Jacqueline A.; Derdeyn, C.; Hetts, S. W.; Johnson, M. H.; Kidwell, C.; Lev, M. H.; Liebeskind, D. S.; Rowley, H.; Schaefer, P. W.; Sunshine, J. L.; Zaharchuk, G.; Meltzer, C. C.

In: American Journal of Neuroradiology, Vol. 34, No. 11, 11.2013.

Research output: Contribution to journalArticle

Wintermark, M, Sanelli, PC, Albers, GW, Bello, JA, Derdeyn, C, Hetts, SW, Johnson, MH, Kidwell, C, Lev, MH, Liebeskind, DS, Rowley, H, Schaefer, PW, Sunshine, JL, Zaharchuk, G & Meltzer, CC 2013, 'Imaging recommendations for acute stroke and transient ischemic attack patients: A joint statement by the American Society of Neuroradiology, the American College of Radiology, and the Society of Neurointerventional Surgery', American Journal of Neuroradiology, vol. 34, no. 11. https://doi.org/10.3174/ajnr.A3690
Wintermark, Max ; Sanelli, P. C. ; Albers, G. W. ; Bello, Jacqueline A. ; Derdeyn, C. ; Hetts, S. W. ; Johnson, M. H. ; Kidwell, C. ; Lev, M. H. ; Liebeskind, D. S. ; Rowley, H. ; Schaefer, P. W. ; Sunshine, J. L. ; Zaharchuk, G. ; Meltzer, C. C. / Imaging recommendations for acute stroke and transient ischemic attack patients : A joint statement by the American Society of Neuroradiology, the American College of Radiology, and the Society of Neurointerventional Surgery. In: American Journal of Neuroradiology. 2013 ; Vol. 34, No. 11.
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