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CT Imaging of acute strokeArun JagannathanVascular and Interventional Radiology
Hemorrhagic Stroke www.radclinic.com
Thromboembolic Stroke CT Perfusion Rapid qualitative/quantitative evaluation of cerebral perfusion CBF = Cerebral Blood Flow CBV = Cerebral Blood Volume MTT = Mean Transit Time CBF = CBV/MTT www.radclinic.com
Thromboembolic Stroke www.radclinic.com
CT Perfusion (CTP) Obtained by monitoring first pass of contrast agent bolus through cerebral vasculature Linear relationship between contrast agent concentration and attenuation (density) ROI = Region of Interest www.radclinic.com
CTP www.radclinic.com
CTP Ischemic Thresholds CBF 0-10 ml/100 g/min CBV 0-1.5 ml/100 g MTT > 6 seconds Penumbra Threshold 2.5 ml/ 100 g www.radclinic.com
Large Infarcted Core www.radclinic.com CBF CBV
Penumbra of Salvageable Tissue www.radclinic.com
www.radclinic.com
CTA www.radclinic.com
www.radclinic.com

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C T Imaging Of Acute Stroke