Skip to main content
Advertisement

Main menu

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • AJNR Awards
    • Low-Field MRI
    • Alzheimer Disease
    • ASNR Foundation Special Collection
    • Photon-Counting CT
    • View All
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home

User menu

  • Alerts
  • Log in

Search

  • Advanced search
American Journal of Neuroradiology
American Journal of Neuroradiology

American Journal of Neuroradiology

ASHNR American Society of Functional Neuroradiology ASHNR American Society of Pediatric Neuroradiology ASSR
  • Alerts
  • Log in

Advanced Search

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • AJNR Awards
    • Low-Field MRI
    • Alzheimer Disease
    • ASNR Foundation Special Collection
    • Photon-Counting CT
    • View All
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home
  • Follow AJNR on Twitter
  • Visit AJNR on Facebook
  • Follow AJNR on Instagram
  • Join AJNR on LinkedIn
  • RSS Feeds

AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleBrain

Do FLAIR Vascular Hyperintensities beyond the DWI Lesion Represent the Ischemic Penumbra?

L. Legrand, M. Tisserand, G. Turc, O. Naggara, M. Edjlali, C. Mellerio, J.-L. Mas, J.-F. Méder, J.-C. Baron and C. Oppenheim
American Journal of Neuroradiology February 2015, 36 (2) 269-274; DOI: https://doi.org/10.3174/ajnr.A4088
L. Legrand
aFrom the Departments of Radiology (L.L., M.T., O.N., M.E., C.M., J.-F.M., C.O.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
M. Tisserand
aFrom the Departments of Radiology (L.L., M.T., O.N., M.E., C.M., J.-F.M., C.O.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
G. Turc
bNeurology (G.T., J.-L.M, J.-C.B.), Université Paris Descartes Sorbonne Paris Cité, Centre de Psychiatrie et Neurosciences, Institut National de la Santé et de la Recherche Médicale S894, Centre Hospitalier Sainte-Anne, Paris, France.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
O. Naggara
aFrom the Departments of Radiology (L.L., M.T., O.N., M.E., C.M., J.-F.M., C.O.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
M. Edjlali
aFrom the Departments of Radiology (L.L., M.T., O.N., M.E., C.M., J.-F.M., C.O.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
C. Mellerio
aFrom the Departments of Radiology (L.L., M.T., O.N., M.E., C.M., J.-F.M., C.O.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
J.-L. Mas
bNeurology (G.T., J.-L.M, J.-C.B.), Université Paris Descartes Sorbonne Paris Cité, Centre de Psychiatrie et Neurosciences, Institut National de la Santé et de la Recherche Médicale S894, Centre Hospitalier Sainte-Anne, Paris, France.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
J.-F. Méder
aFrom the Departments of Radiology (L.L., M.T., O.N., M.E., C.M., J.-F.M., C.O.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
J.-C. Baron
bNeurology (G.T., J.-L.M, J.-C.B.), Université Paris Descartes Sorbonne Paris Cité, Centre de Psychiatrie et Neurosciences, Institut National de la Santé et de la Recherche Médicale S894, Centre Hospitalier Sainte-Anne, Paris, France.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
C. Oppenheim
aFrom the Departments of Radiology (L.L., M.T., O.N., M.E., C.M., J.-F.M., C.O.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Info & Metrics
  • Responses
  • References
  • PDF
Loading

REFERENCES

  1. 1.↵
    1. Azizyan A,
    2. Sanossian N,
    3. Mogensen MA, et al
    . Fluid-attenuated inversion recovery vascular hyperintensities: an important imaging marker for cerebrovascular disease. AJNR Am J Neuroradiol 2011;32:1771–75
    Abstract/FREE Full Text
  2. 2.↵
    1. Sanossian N,
    2. Saver JL,
    3. Alger JR, et al
    . Angiography reveals that fluid-attenuated inversion recovery vascular hyperintensities are due to slow flow, not thrombus. AJNR Am J Neuroradiol 2009;30:564–68
    Abstract/FREE Full Text
  3. 3.↵
    1. Lee KY,
    2. Latour LL,
    3. Luby M, et al
    . Distal hyperintense vessels on FLAIR: an MRI marker for collateral circulation in acute stroke? Neurology 2009;72:1134–39
    CrossRef
  4. 4.↵
    1. Huang X,
    2. Liu W,
    3. Zhu W, et al
    . Distal hyperintense vessels on FLAIR: a prognostic indicator of acute ischemic stroke. Eur Neurol 2012;68:214–20
    CrossRefPubMed
  5. 5.↵
    1. Olindo S,
    2. Chausson N,
    3. Joux J, et al
    . Fluid-attenuated inversion recovery vascular hyperintensity: an early predictor of clinical outcome in proximal middle cerebral artery occlusion. Arch Neurol 2012;69:1462–68
    CrossRefPubMed
  6. 6.↵
    1. Pérez de la Ossa N,
    2. Hernandez-Perez M,
    3. Domenech S, et al
    . Hyperintensity of distal vessels on FLAIR is associated with slow progression of the infarction in acute ischemic stroke. Cerebrovasc Dis 2012;34:376–84
    CrossRefPubMed
  7. 7.↵
    1. Girot M,
    2. Gauvrit JY,
    3. Cordonnier C, et al
    . Prognostic value of hyperintense vessel signals on fluid-attenuated inversion recovery sequences in acute cerebral ischemia. Eur Neurol 2007;57:75–79
    CrossRefPubMed
  8. 8.↵
    1. Ebinger M,
    2. Kufner A,
    3. Galinovic I, et al
    . Fluid-attenuated inversion recovery images and stroke outcome after thrombolysis. Stroke 2012;43:539–42
    Abstract/FREE Full Text
  9. 9.↵
    1. Cheng B,
    2. Ebinger M,
    3. Kufner A, et al
    . Hyperintense vessels on acute stroke fluid-attenuated inversion recovery imaging: associations with clinical and other MRI findings. Stroke 2012;43:2957–61
    Abstract/FREE Full Text
  10. 10.↵
    1. Hohenhaus M,
    2. Schmidt WU,
    3. Brunecker P, et al
    . FLAIR vascular hyperintensities in acute ICA and MCA infarction: a marker for mismatch and stroke severity? Cerebrovasc Dis 2012;34:63–69
    CrossRefPubMed
  11. 11.↵
    1. Schellinger PD,
    2. Chalela JA,
    3. Kang DW, et al
    . Diagnostic and prognostic value of early MR imaging vessel signs in hyperacute stroke patients imaged <3 hours and treated with recombinant tissue plasminogen activator. AJNR Am J Neuroradiol 2005;26:618–24
    Abstract/FREE Full Text
  12. 12.↵
    1. Kamran S,
    2. Bates V,
    3. Bakshi R, et al
    . Significance of hyperintense vessels on FLAIR MRI in acute stroke. Neurology 2000;55:265–69
    CrossRef
  13. 13.↵
    1. Haussen DC,
    2. Koch S,
    3. Saraf-Lavi E, et al
    . FLAIR distal hyperintense vessels as a marker of perfusion-diffusion mismatch in acute stroke. J Neuroimaging 2013;23:397–400
    CrossRefPubMed
  14. 14.↵
    1. Toyoda K,
    2. Ida M,
    3. Fukuda K
    . Fluid-attenuated inversion recovery intraarterial signal: an early sign of hyperacute cerebral ischemia. AJNR Am J Neuroradiol 2001;22:1021–29
    Abstract/FREE Full Text
  15. 15.↵
    1. Cosnard G,
    2. Duprez T,
    3. Grandin C, et al
    . Fast FLAIR sequence for detecting major vascular abnormalities during the hyperacute phase of stroke: a comparison with MR angiography. Neuroradiology 1999;41:342–46
    CrossRefPubMedWeb of Science
  16. 16.↵
    1. Bang OY,
    2. Saver JL,
    3. Kim SJ, et al
    . Collateral flow predicts response to endovascular therapy for acute ischemic stroke. Stroke 2011;42:693–99
    Abstract/FREE Full Text
  17. 17.↵
    1. Maeda M,
    2. Koshimoto Y,
    3. Uematsu H, et al
    . Time course of arterial hyperintensity with fast fluid-attenuated inversion-recovery imaging in acute and subacute middle cerebral arterial infarction. J Magn Reson Imaging 2001;13:987–90
    CrossRefPubMed
  18. 18.↵
    1. Labeyrie MA,
    2. Turc G,
    3. Hess A, et al
    . Diffusion lesion reversal after thrombolysis: a MR correlate of early neurological improvement. Stroke 2012;43:2986–91
    Abstract/FREE Full Text
  19. 19.↵
    1. Lansberg MG,
    2. Straka M,
    3. Kemp S, et al
    . MRI profile and response to endovascular reperfusion after stroke (DEFUSE 2): a prospective cohort study. Lancet Neurol 2012;11:860–67
    CrossRefPubMedWeb of Science
  20. 20.↵
    1. Kono T,
    2. Naka H,
    3. Nomura E, et al
    . The association between hyperintense vessel sign and final ischemic lesion differ in its location. J Stroke Cerebrovasc Dis 2014;23:1337–43
    CrossRefPubMed
  21. 21.↵
    1. Gawlitza M,
    2. Gragert J,
    3. Quaschling U, et al
    . FLAIR-hyperintense vessel sign, diffusion-perfusion mismatch and infarct growth in acute ischemic stroke without vascular recanalisation therapy. J Neuroradiol 2014;41:227–33
    CrossRefPubMed
  22. 22.↵
    1. Liu W,
    2. Xu G,
    3. Yue X, et al
    . Hyperintense vessels on FLAIR: a useful non-invasive method for assessing intracerebral collaterals. Eur J Radiol 2011;80:786–91
    CrossRefPubMed
  23. 23.↵
    1. Muir KW,
    2. Buchan A,
    3. von Kummer R, et al
    . Imaging of acute stroke. Lancet Neurol 2006;5:755–68
    CrossRefPubMedWeb of Science
  24. 24.↵
    1. Donnan GA,
    2. Baron JC,
    3. Ma H, et al
    . Penumbral selection of patients for trials of acute stroke therapy. Lancet Neurol 2009;8:261–69
    CrossRefPubMedWeb of Science
PreviousNext
Back to top

In this issue

American Journal of Neuroradiology: 36 (2)
American Journal of Neuroradiology
Vol. 36, Issue 2
1 Feb 2015
  • Table of Contents
  • Index by author
  • Complete Issue (PDF)
Advertisement
Print
Download PDF
Email Article

Thank you for your interest in spreading the word on American Journal of Neuroradiology.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Do FLAIR Vascular Hyperintensities beyond the DWI Lesion Represent the Ischemic Penumbra?
(Your Name) has sent you a message from American Journal of Neuroradiology
(Your Name) thought you would like to see the American Journal of Neuroradiology web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Cite this article
L. Legrand, M. Tisserand, G. Turc, O. Naggara, M. Edjlali, C. Mellerio, J.-L. Mas, J.-F. Méder, J.-C. Baron, C. Oppenheim
Do FLAIR Vascular Hyperintensities beyond the DWI Lesion Represent the Ischemic Penumbra?
American Journal of Neuroradiology Feb 2015, 36 (2) 269-274; DOI: 10.3174/ajnr.A4088

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
0 Responses
Respond to this article
Share
Bookmark this article
Do FLAIR Vascular Hyperintensities beyond the DWI Lesion Represent the Ischemic Penumbra?
L. Legrand, M. Tisserand, G. Turc, O. Naggara, M. Edjlali, C. Mellerio, J.-L. Mas, J.-F. Méder, J.-C. Baron, C. Oppenheim
American Journal of Neuroradiology Feb 2015, 36 (2) 269-274; DOI: 10.3174/ajnr.A4088
del.icio.us logo Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Purchase

Jump to section

  • Article
    • Abstract
    • ABBREVIATIONS:
    • Materials and Methods
    • Results
    • Discussion
    • Conclusions
    • Footnotes
    • REFERENCES
  • Figures & Data
  • Info & Metrics
  • Responses
  • References
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • FLAIR Vascular Hyperintensities as a Surrogate of Collaterals in Acute Stroke: DWI Matters
  • Postprocedural Antiplatelet Treatment after Emergent Carotid Stenting in Tandem Lesions Stroke: Impact on Stent Patency beyond Day 1
  • Clot Burden Score and Collateral Status and Their Impact on Functional Outcome in Acute Ischemic Stroke
  • Clinical prognosis of FLAIR hyperintense arteries in ischaemic stroke patients: a systematic review and meta-analysis
  • Assessment of a Bayesian Vitrea CT Perfusion Analysis to Predict Final Infarct and Penumbra Volumes in Patients with Acute Ischemic Stroke: A Comparison with RAPID
  • The Association between FLAIR Vascular Hyperintensity and Stroke Outcome Varies with Time from Onset
  • Predictors and Clinical Impact of Delayed Stent Thrombosis after Thrombectomy for Acute Stroke with Tandem Lesions
  • FLAIR vascular hyperintensities predict early ischemic recurrence in TIA
  • Do Fluid-Attenuated Inversion Recovery Vascular Hyperintensities Represent Good Collaterals before Reperfusion Therapy?
  • Fluid-Attenuated Inversion Recovery Vascular Hyperintensity Topography, Novel Imaging Marker for Revascularization in Middle Cerebral Artery Occlusion
  • Fluid-Attenuated Inversion Recovery Vascular Hyperintensities-Diffusion-Weighted Imaging Mismatch Identifies Acute Stroke Patients Most Likely to Benefit From Recanalization
  • MRI of Acute Stroke: What Went Wrong?
  • Crossref
  • Google Scholar

This article has not yet been cited by articles in journals that are participating in Crossref Cited-by Linking.

More in this TOC Section

  • Fast Contrast-Enhanced 4D MRA and 4D Flow MRI Using Constrained Reconstruction (HYPRFlow): Potential Applications for Brain Arteriovenous Malformations
  • Multimodal CT Provides Improved Performance for Lacunar Infarct Detection
  • Optimal MRI Sequence for Identifying Occlusion Location in Acute Stroke: Which Value of Time-Resolved Contrast-Enhanced MRA?
Show more Brain

Similar Articles

Advertisement

Indexed Content

  • Current Issue
  • Accepted Manuscripts
  • Article Preview
  • Past Issues
  • Editorials
  • Editor's Choice
  • Fellows' Journal Club
  • Letters to the Editor
  • Video Articles

Cases

  • Case Collection
  • Archive - Case of the Week
  • Archive - Case of the Month
  • Archive - Classic Case

More from AJNR

  • Trainee Corner
  • Imaging Protocols
  • MRI Safety Corner
  • Book Reviews

Multimedia

  • AJNR Podcasts
  • AJNR Scantastics

Resources

  • Turnaround Time
  • Submit a Manuscript
  • Submit a Video Article
  • Submit an eLetter to the Editor/Response
  • Manuscript Submission Guidelines
  • Statistical Tips
  • Fast Publishing of Accepted Manuscripts
  • Graphical Abstract Preparation
  • Imaging Protocol Submission
  • Evidence-Based Medicine Level Guide
  • Publishing Checklists
  • Author Policies
  • Become a Reviewer/Academy of Reviewers
  • News and Updates

About Us

  • About AJNR
  • Editorial Board
  • Editorial Board Alumni
  • Alerts
  • Permissions
  • Not an AJNR Subscriber? Join Now
  • Advertise with Us
  • Librarian Resources
  • Feedback
  • Terms and Conditions
  • AJNR Editorial Board Alumni

American Society of Neuroradiology

  • Not an ASNR Member? Join Now

© 2025 by the American Society of Neuroradiology All rights, including for text and data mining, AI training, and similar technologies, are reserved.
Print ISSN: 0195-6108 Online ISSN: 1936-959X

Powered by HighWire