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Title:
Fast FLAIR sequence for detecting major vascular abnormalities during the hyperacute phase of stroke: a comparison with MR angiography | Neuroradiology
Description:
In the hyperacute phase of stroke, occluded vessels can be seen as high signal on fast-FLAIR images or as absence of flow-related enhancement in maximum-intensity projection (MIP) MR angiography (MRA). To compare these techniques, we examined 53 patients within 6 h of a stroke, using a standardised MRI protocol including fast-FLAIR and 3D time-of-flight TOF MR to detect vessel occlusion or reduced flow corresponding to the suspected ischaemic territory. Brain infarcts were confirmed on MRI after 1–5 days in 41 cases (77 %). The overall accuracy of 3D-TOF MRA was 68 % and sensitivity, specificity, positive and negative predictive values were 67 %, 71 %, 87 %, and 43 % respectively. Values for the fast-FLAIR sequence were: 65 %, 85 %, 93 % and 44 %, with an overall accuracy of 70 %. The fast-FLAIR sequence was thus able to show occluded vessels or reduced flow with about the same accuracy as 3D-TOF MRA and enabled better prediction of the ischaemic area.
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article, stroke, privacy, cookies, content, neuroradiology, angiography, access, magnetic, resonance, information, publish, search, sequence, fastflair, imaging, data, log, journal, research, flair, vascular, hyperacute, phase, cosnard, duprez, grandin, mra, occlusion, brain, accuracy, discover, springer, optional, personal, including, parties, area, policy, find, track, detecting, major, abnormalities, comparison, cite, smith, munier, peeters, explore,
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cliniques universitaires saint-luc month download article/chapter article neuroradiology aims detect vessel occlusion fast-flair sequence fast flair sequence brain infarcts fast-flair images privacy choices/manage cookies full article pdf flow-related enhancement related subjects flight tof mr scope submit manuscript maximum-intensity projection mr angiography conditions privacy policy european economic area suspected ischaemic territory check access instant access accepting optional cookies 3d-tof mra negative predictive values show occluded vessels main content log journal finder publish neuroradiology 41 article log article cite article cosnard privacy policy personal data books a information optional cookies manage preferences occluded vessels examined 53 patients ischaemic area data protection 3d time essential cookies cookies skip subscription content similar content institution subscribe journal publish reduced flow usage analysis
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headline:Fast FLAIR sequence for detecting major vascular abnormalities during the hyperacute phase of stroke: a comparison with MR angiography
description: In the hyperacute phase of stroke, occluded vessels can be seen as high signal on fast-FLAIR images or as absence of flow-related enhancement in maximum-intensity projection (MIP) MR angiography (MRA). To compare these techniques, we examined 53 patients within 6 h of a stroke, using a standardised MRI protocol including fast-FLAIR and 3D time-of-flight TOF MR to detect vessel occlusion or reduced flow corresponding to the suspected ischaemic territory. Brain infarcts were confirmed on MRI after 1–5 days in 41 cases (77 %). The overall accuracy of 3D-TOF MRA was 68 % and sensitivity, specificity, positive and negative predictive values were 67 %, 71 %, 87 %, and 43 % respectively. Values for the fast-FLAIR sequence were: 65 %, 85 %, 93 % and 44 %, with an overall accuracy of 70 %. The fast-FLAIR sequence was thus able to show occluded vessels or reduced flow with about the same accuracy as 3D-TOF MRA and enabled better prediction of the ischaemic area.
datePublished:
dateModified:
pageStart:342
pageEnd:346
sameAs:https://doi.org/10.1007/s002340050761
keywords:
Key words Brain ischaemia
Brain
infarct
Magnetic resonance imaging
Magnetic resonance angiography
Pulse sequences
Neuroradiology
Imaging / Radiology
Neurology
Neurosurgery
Neurosciences
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headline:Fast FLAIR sequence for detecting major vascular abnormalities during the hyperacute phase of stroke: a comparison with MR angiography
description: In the hyperacute phase of stroke, occluded vessels can be seen as high signal on fast-FLAIR images or as absence of flow-related enhancement in maximum-intensity projection (MIP) MR angiography (MRA). To compare these techniques, we examined 53 patients within 6 h of a stroke, using a standardised MRI protocol including fast-FLAIR and 3D time-of-flight TOF MR to detect vessel occlusion or reduced flow corresponding to the suspected ischaemic territory. Brain infarcts were confirmed on MRI after 1–5 days in 41 cases (77 %). The overall accuracy of 3D-TOF MRA was 68 % and sensitivity, specificity, positive and negative predictive values were 67 %, 71 %, 87 %, and 43 % respectively. Values for the fast-FLAIR sequence were: 65 %, 85 %, 93 % and 44 %, with an overall accuracy of 70 %. The fast-FLAIR sequence was thus able to show occluded vessels or reduced flow with about the same accuracy as 3D-TOF MRA and enabled better prediction of the ischaemic area.
datePublished:
dateModified:
pageStart:342
pageEnd:346
sameAs:https://doi.org/10.1007/s002340050761
keywords:
Key words Brain ischaemia
Brain
infarct
Magnetic resonance imaging
Magnetic resonance angiography
Pulse sequences
Neuroradiology
Imaging / Radiology
Neurology
Neurosurgery
Neurosciences
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