Efficient Organization of a  Stroke Center
(Source: Clinical Neuroradiology)
Source: Clinical Neuroradiology - February 7, 2024 Category: Neurology Source Type: research

Unsuccessful Recanalization versus Medical Management of Patients with Large Ischemic Core
ConclusionIn a  randomized trial of patients with large ischemic core undergoing EVT with unsuccessful recanalization, there was no difference in very poor outcomes, sICH or death versus medically managed patients. In the unsuccessful EVT group, there were higher rates of any ICH, volume of infarct core growth, a nd decompressive craniectomy. (Source: Clinical Neuroradiology)
Source: Clinical Neuroradiology - February 6, 2024 Category: Neurology Source Type: research

Artificial Intelligence Imaging for Predicting High-risk Molecular Markers of Gliomas
AbstractGliomas, the most prevalent primary malignant tumors of the central nervous system, present significant challenges in diagnosis and prognosis. The fifth edition of the World Health Organization Classification of Tumors of the Central Nervous System (WHO CNS5) published in 2021, has emphasized the role of high-risk molecular markers in gliomas. These markers are crucial for enhancing glioma grading and influencing survival and prognosis. Noninvasive prediction of these high-risk molecular markers is vital. Genetic testing after biopsy, the current standard for determining molecular type, is invasive and time-consumi...
Source: Clinical Neuroradiology - January 26, 2024 Category: Neurology Source Type: research

Interrelation Between Cerebrospinal Fluid Pressure, Intracranial Morphology and Venous Hemodynamics Studied by 4D Flow MRI
ConclusionWe were able to demonstrate the interaction of CSF pressure, venous volumetry, venous hemodynamics and ONSD using multiparametric brain MRI. Closure of CSF leaks in SIH patients resulted in symptoms suggestive of increased intracranial pressure and caused a  subsequent decrease of intracranial venous volume and of blood flow within the superior sagittal sinus while ONSD increased. In contrast, blood flow parameters from 4D flow MRI did not discriminate IIH, SIH and controls as hemodynamics at baseline overlapped at most vessel cross-sections. (Source: Clinical Neuroradiology)
Source: Clinical Neuroradiology - January 26, 2024 Category: Neurology Source Type: research

Age-stratified Assessment of Brain Volumetric Segmentation on the Indian Population Using Quantitative Magnetic Resonance Imaging
ConclusionThe findings provide normative data for the Indian population and can be used for comparative analysis of brain structure values. Furthermore, our data indicate that the use of fractions rather than absolute volumes in normative curves, such as BPF, GMF, and WMF, can mitigate sex and population differences as they account for individual differences in head size or brain volume. (Source: Clinical Neuroradiology)
Source: Clinical Neuroradiology - January 22, 2024 Category: Neurology Source Type: research

Societies ’ Communications
(Source: Clinical Neuroradiology)
Source: Clinical Neuroradiology - January 18, 2024 Category: Neurology Source Type: research

Establishing Optic Nerve Diameter Threshold Sensitive and Specific for Optic Atrophy Diagnosis
ConclusionONDs are significantly reduced in patients with OA compared with healthy nerves. A  threshold OND of ≤2.3 mm is highly sensitive and specific for a diagnosis of OA. OND was not significantly correlated with RNFL thickness, VA, or VFMD. (Source: Clinical Neuroradiology)
Source: Clinical Neuroradiology - January 3, 2024 Category: Neurology Source Type: research

Comparing the Impact of Stenting vs. Medical Therapy for Intracranial Arterial Stenosis
Conclusions and Relevance: There is an increased risk of peri- and post-procedural stroke and death over best medical therapy in patients with symptomatic ICAS who undergo PTAS. Further work is required to refine patient selection and mitigate peri-procedural risks. (Source: Clinical Neuroradiology)
Source: Clinical Neuroradiology - January 3, 2024 Category: Neurology Source Type: research

Establishing Optic Nerve Diameter Threshold Sensitive and Specific for Optic Atrophy Diagnosis
ConclusionONDs are significantly reduced in patients with OA compared with healthy nerves. A  threshold OND of ≤2.3 mm is highly sensitive and specific for a diagnosis of OA. OND was not significantly correlated with RNFL thickness, VA, or VFMD. (Source: Clinical Neuroradiology)
Source: Clinical Neuroradiology - January 3, 2024 Category: Neurology Source Type: research

Comparing the Impact of Stenting vs. Medical Therapy for Intracranial Arterial Stenosis
Conclusions and Relevance: There is an increased risk of peri- and post-procedural stroke and death over best medical therapy in patients with symptomatic ICAS who undergo PTAS. Further work is required to refine patient selection and mitigate peri-procedural risks. (Source: Clinical Neuroradiology)
Source: Clinical Neuroradiology - January 3, 2024 Category: Neurology Source Type: research

How Topographic Diffusion-Weighted Imaging Patterns can Predict the  Potential Embolic Source
ConclusionThe associations of DWI with different PES have their distinctive characteristics and DWI along with clinical variables may help predict PES in patients with ESUS. (Source: Clinical Neuroradiology)
Source: Clinical Neuroradiology - January 2, 2024 Category: Neurology Source Type: research

Multiparametric Analysis Combining DSC-MR Perfusion and [18F]FET-PET is Superior to a  Single Parameter Approach for Differentiation of Progressive Glioma from Radiation Necrosis
ConclusionA  multiparametric MRI-PWI and [18F]FET-PET model consisting of TBRmean, rCBVmean and PWI rTTP significantly outperformed the use of rTBRmean alone, which was the best single parameter approach. Secondarily, we firstly report the potential usefulness of PWI rTTP for discrimination of PD from RN in patients with glioma; however, for validation of our findings the prospective studies with larger patient samples are necessary. (Source: Clinical Neuroradiology)
Source: Clinical Neuroradiology - December 29, 2023 Category: Neurology Source Type: research