https://ogma.newcastle.edu.au/vital/access/ /manager/Index ${session.getAttribute("locale")} 5 Stroke and cerebral ischemia https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:18338 Wed 24 Jun 2015 11:36:33 AEST ]]> Acute stroke thrombolysis: time to dispense with the clock and move to tissue-based decision making? https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:15325 Sat 24 Mar 2018 08:26:35 AEDT ]]> Perfusion computer tomography: imaging and clinical validation in acute ischaemic stroke https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:17430 2 s was the most accurate computed tomography perfusion threshold in predicting the extent of critically hypoperfused tissue with both receiver operating curve analysis (area under curve 0.86), and the volumetric validation (mean difference between computed tomography perfusion and 24-h diffusion-weighted imaging lesions = 2 cm2, 95% confidence interval 0.5–3.2 cm2). Cerebral blood flow <40% (of contralateral) within the relative delay time >2 s perfusion lesion was the most accurate computed tomography perfusion threshold at defining infarct core with both receiver operating characteristic analysis (area under curve = 0.85) and the volumetric validation. Using these thresholds, the extent of computed tomography perfusion mismatch tissue (the volume of ‘at-risk’ tissue between the critically hypoperfused and core thresholds) salvaged from infarction correlated with clinical improvement at 24 h (R2 = 0.59, P = 0.04) and 90 days (R2 = 0.42, P = 0.02). Patients with larger baseline computed tomography perfusion infarct core volume (>25 ml) also had poorer recovery at Day 90 (P = 0.039). Computed tomography perfusion can accurately identify critically hypoperfused tissue that progresses to infarction without early reperfusion, and the computed tomography perfusion cerebral blood flow infarct core closely predicts the final volume of infarcted tissue in patients who do reperfuse. The computed tomography perfusion infarct core and at-risk measures identified are also strong predictors of clinical outcome.]]> Sat 24 Mar 2018 08:01:40 AEDT ]]> Defining the extent of irreversible brain ischemia using perfusion computed tomography https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:17731 Sat 24 Mar 2018 07:57:44 AEDT ]]> Perfusion computed tomography thresholds defining ischemic penumbra and infarct core: studies in a rat stroke model https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:21852 Sat 24 Mar 2018 07:55:30 AEDT ]]>