https://ogma.newcastle.edu.au/vital/access/ /manager/Index ${session.getAttribute("locale")} 5 Delay of late-venous phase cortical vein filling in acute ischemic stroke patients: associations with collateral status https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:30085 Wed 24 Nov 2021 15:50:06 AEDT ]]> Quantifying reperfusion of the ischemic region on whole-brain computed tomography perfusion https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:33190 6 s region resulted in higher prognostic value than recanalization at predicting good clinical outcome (area under the curve = 0.88 and 0.74, respectively, p = 0.002). Successful reperfusion of the Tmax>6 s region (≥60%) had 89% sensitivity and 78% specificity in predicting good clinical outcome. A reperfusion index defined by Tmax>2 s or by mean transit time>145% had much lower area under the curve in comparison to Tmax>6 s measurement (p < 0.001 and p = 0.003, respectively), and had no significant difference to recanalization at predicting clinical outcome (p = 0.58 and 0.63, respectively). In conclusion, reperfusion index calculated by Tmax>6 s is a stronger predictor of clinical outcome than recanalization or other reperfusion measures.]]> Wed 23 Feb 2022 16:03:42 AEDT ]]> Prediction of final infarct volume on subacute MRI by quantifying cerebral edema in ischemic stroke https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:31334 Wed 23 Feb 2022 16:02:54 AEDT ]]> Chronic stress induced disruption of the peri-infarct neurovascular unit following experimentally induced photothrombotic stroke https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:32497 Wed 17 Nov 2021 16:32:12 AEDT ]]> Intracranial pressure elevation after ischemic stroke in rats: cerebral edema is not the only cause, and short-duration mild hypothermia is a highly effective preventive therapy https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:16985 Wed 11 Apr 2018 15:07:10 AEST ]]> Ischemic penumbra as a trigger for intracranial pressure rise: a potential cause for collateral failure and infarct progression? https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:22101 Wed 11 Apr 2018 10:59:34 AEST ]]> Intracranial pressure elevation reduces flow through collateral vessels and the penetrating arterioles they supply. A possible explanation for 'collateral failure' and infarct expansion after ischemic stroke https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:16993 450% immediately after MCAo. Collateral diameter changed minimally. Second, we determined the effect of ICP elevation on collateral and watershed penetrating arteriole flow. Intracranial pressure was artificially raised in stepwise increments during MCAo. The ICP increase was strongly correlated with collateral and penetrating arteriole flow reductions. Changes in collateral flow post-stroke appear to be primarily driven by the pressure drop across the collateral vessel, not vessel diameter. The ICP elevation reduces cerebral perfusion pressure and collateral flow, and is the possible explanation for 'collateral failure' in stroke-in-progression.]]> Wed 11 Apr 2018 09:23:28 AEST ]]> Baseline collateral status and infarct topography in post-ischaemic perilesional hyperperfusion: an arterial spin labelling study https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:32689 Wed 10 Nov 2021 15:04:19 AEDT ]]> Spatiotemporal analysis of impaired microglia process movement at sites of secondary neurodegeneration post-stroke https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:48308 2Y12 was present on non-responsive microglia in the first two weeks after stroke but not at later time points. Finally, both classical microglia activation and loss of process extension are highly correlated with neuronal damage. Our findings highlight the importance of microglia, specifically microglia dynamic functions, to the progression of SND post-stroke, and their potential relevance as modulators or therapeutic targets during stroke recovery.]]> Tue 14 Mar 2023 14:41:54 AEDT ]]> Thresholds for infarction vary between gray matter and white matter in acute ischemic stroke: a CT perfusion study https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:44277 5 s (AUC: 0.80) in GM and T max > 7 s (AUC: 0.75) in WM. With sSVD, a delay time (DT) > 3 s from ddSVD was the optimal for both GM (AUC: 0.78) and WM (AUC: 0.75). Using tissue-specific thresholds for GM/WM provides more accurate estimation of acute ischemic core.]]> Tue 11 Oct 2022 14:27:33 AEDT ]]> Lesional and perilesional tissue characterization by automated image processing in a novel gyrencephalic animal model of peracute intracerebral hemorrhage https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:48143 Tue 07 Mar 2023 11:18:54 AEDT ]]> More than motor impairment: A spatiotemporal analysis of cognitive impairment and associated neuropathological changes following cortical photothrombotic stroke https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:43876 Tue 04 Oct 2022 12:35:43 AEDT ]]> A benchmarking tool to evaluate computer tomography perfusion infarct core predictions against a DWI standard https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:24301 Thu 28 Oct 2021 12:36:50 AEDT ]]> The rise of pericytes in neurovascular research https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:42682 Thu 01 Sep 2022 08:45:21 AEST ]]> Pretreatment diffusion - and perfusion - MR lesion volumes have a crucial influence on clinical response to stroke thrombolysis https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:10901 190 mL). Excellent outcome from tPA treatment was substantially increased in patients with DWI lesions < 18mL (77% versus 18% placebo, OR= 15.0, P < 0.001). Benefit from tPA was also seen with DWI lesions up to 25mL (69% versus 29% placebo, OR= 5.5, P= 0.03), but not for DWI lesions > 25 mL. In contrast, increasing mismatch ratios did not influence the odds of excellent outcome with tPA. Clinical responsiveness to IV-tPA, and stroke outcome, depends more on baseline DWI and PWI lesion volumes than the extent of perfusion–diffusion mismatch.]]> Sat 24 Mar 2018 08:09:03 AEDT ]]> 'Salvaged' stroke ischaemic penumbra shows significant injury: studies with the hypoxia tracer FMISO https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:18166 50% of neurons within the sample. To determine whether FMISO retention occurred after the tissue was already committed to infarction, FMISO was administered 4 to 6 hours after the onset of permanent vessel occlusion. Intense FMISO retention was consistently seen throughout the infarct core. In conclusion, FMISO retention occurs both within the ischaemic penumbra and within the early infarct core. Most penumbral tissues show evidence of selective cellular injury.]]> Sat 24 Mar 2018 08:04:38 AEDT ]]> The infarct core is well represented by the acute diffusion lesion: sustained reversal is infrequent https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:20340 6 seconds, ratio>1.2) in 3/119 (2.5%) patients. Diffusion lesion reversal between baseline and 3 to 6 hours DWI was also uncommon (7/65, 11%) and often transient. Clinically relevant DLR is uncommon and rarely alters perfusion-diffusion mismatch. The acute diffusion lesion is generally a reliable signature of the infarct core.]]> Sat 24 Mar 2018 08:02:57 AEDT ]]> Stress as necessary component of realistic recovery in animal models of experimental stroke https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:20536 Sat 24 Mar 2018 08:02:43 AEDT ]]> Spectroscopy of reperfused tissue after stroke reveals heightened metabolism in patients with good clinical outcomes https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:20363 Sat 24 Mar 2018 07:58:13 AEDT ]]> Assessment of leptomeningeal collaterals using dynamic CT angiography in patients with acute ischemic stroke https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:21296 Sat 24 Mar 2018 07:54:39 AEDT ]]> Failure of collateral blood flow is associated with infarct growth in ischemic stroke https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:19728 P<0.001) and smaller baseline diffusion lesion volume (Rho −0.70, P<0.001). In 30 patients without reperfusion at day 3 to 5, deterioration in collateral quality between baseline and subacute imaging was strongly associated with absolute (P=0.02) and relative (P<0.001) infarct growth. The deterioration in collateral grade correlated with increased mean Tmax hypoperfusion severity (Rho −0.68, P<0.001). Deterioration in Tmax hypoperfusion severity was also significantly associated with absolute (P=0.003) and relative (P=0.002) infarct growth. Collateral flow is dynamic and failure is associated with infarct growth.]]> Sat 24 Mar 2018 07:53:45 AEDT ]]> Profiling cerebrovascular function in migraine: A systematic review and meta-analysis https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:49555 Mon 22 May 2023 09:13:41 AEST ]]> Benefits of exercise training on cerebrovascular and cognitive function in ageing https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:46183 Mon 14 Nov 2022 10:13:02 AEDT ]]>