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OtherBrain

Higher Prevalence of Cortical Lesions Observed in Patients with Acute Stroke Using High-Resolution Diffusion-Weighted Imaging

K. Benameur, J.L. Bykowski, M. Luby, S. Warach and L.L. Latour
American Journal of Neuroradiology October 2006, 27 (9) 1987-1989;
K. Benameur
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J.L. Bykowski
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M. Luby
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S. Warach
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L.L. Latour
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    Fig 1.

    Cortical ischemic lesions identified by high resolution diffusion-weighted imaging (bottom), missed by conventional DWI (top). Note in the magnifications, the location of the lesions mainly along the cortical gray ribbon.

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    Fig 2.

    Thresholded binary images resulting from source diffusion-weighted images (DWI) in 2 gradient directions at the top left and center, and from source high-resolution diffusion-weighted images (DWI-HR) at the bottom left and center. Note the greater anteroposterior shift on the image resulting from the DWI source images subtraction at the top right compared with the one resulting from the dual-echo corrected DWI-HR source images at the bottom left.

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  • Discrete lesions identified on diffusion-weighted MR imaging (DWI) and high-resolution DWI (DWI-HR)

    DWIDWI-HRP Value
    Signal-to-noise ratio, mean (range)29.7 (23.9–37)35.6 (27.7–43.2)<.01
    Contrast-to-noise ratio, mean (range)10.7 (8–17)14.8 (12.6–20.6)<.01
    Total no. of lesions129253<.001
    Average no. of lesions3.076.04<.001
    No. of unique lesions7123<.001
    Total lesion volume (mm3)7040 ± 20107052 ± 1950.95
    Average volume per lesion (mm3)3600 ± 13002800 ± 1200<.001
    Average volume per lesion of unique lesions (mm3)134.41 ± 88.2370.50 ± 16.90.65
    No. of patients with a single lesions, n (%)16 (37%)12 (28%)n/a
    Number of patients with greater than 5 lesions, n (%)8 (19%)19 (42%)n/a
    • Note:—DWI-HR was acquired following a tetrahedronal encoding scheme with the following gradient directions: (0, 1, 1), (−1, 0, 1), (0, 1, 1), (1, 1, 0), (0, 1, −1), (−1, 1, 0). 100% gradient strength was applied simultaneously along 2 axes affecting a factor of 2 gain in ‖b‖, and allowing for a shorter echo time.

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American Journal of Neuroradiology: 27 (9)
American Journal of Neuroradiology
Vol. 27, Issue 9
October 2006
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K. Benameur, J.L. Bykowski, M. Luby, S. Warach, L.L. Latour
Higher Prevalence of Cortical Lesions Observed in Patients with Acute Stroke Using High-Resolution Diffusion-Weighted Imaging
American Journal of Neuroradiology Oct 2006, 27 (9) 1987-1989;

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Higher Prevalence of Cortical Lesions Observed in Patients with Acute Stroke Using High-Resolution Diffusion-Weighted Imaging
K. Benameur, J.L. Bykowski, M. Luby, S. Warach, L.L. Latour
American Journal of Neuroradiology Oct 2006, 27 (9) 1987-1989;
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