Tissue window, not the time window, will guide acute stroke treatment
第一作者:Wang David
通讯作者:Wang David
2019-02-11
Recently two published clinical trials have used MRI mismatch rather than CT perfu- sion mismatch to guide the use of IV tPA up to patients with AIS between 6 and 12 hours of onset and the outcome was positive.
In the near future, artificial intelligence may help assess the presence of a penumbra faster and with more precision. Furthermore, a perfu- sion scan or MRI/T2WI should be done regard- less of the time of onset, be it within 3 hours or great than 24 hours onset, so that every patient with a stroke will have an accurate assessment of the tissue window, regardless of the time window.