A Comparative Analysis of Diagnostic Imaging in Acute Ischaemic Stroke

Abstract

Introduction: Acute ischaemic stroke (AIS) is responsible for almost 90% of all strokes. Large vessel occlusion is mainly responsible for AIS. Earlier treatment of AIS is associated with improved outcomes. Multimodal imaging methods such as MRI and CT provide information that can help in diagnosing it. These methods are helpful in the prognosis of AIS and in the selection of patients who can be subjected to thrombolytic therapy. Objectives of the Study: The present comparative study has been conducted to understand whether MRI images are better for the diagnosis of AIS than CT, to assess the efficacy of tPA in the recovery of patients, and to explore the role of advanced imaging in acute stroke. Methods: The present study was conducted with 40 patients, aged 18 years and above who presented to the Emergency Department of Uppal Neuro Hospital, Amritsar, Punjab with a history of acute ischaemic stroke or hyperacute stroke between September 2017 and March 2018. All patients were examined using 32 slices CT and 1.5T MRI scanner. Among all cases, 17 patients had suffered a hyperacute stroke and 23 had suffered an acute ischaemic stroke. Conclusion: Sophisticated techniques such as perfusion imaging and non-invasive vascular imaging are becoming more effective tools for guiding prospective endovascular treatment or extending therapy windows in the case of patients with acute ischaemic stroke. How to cite this article: Kaur D, Bansal RP, Uppal A. A Comparative Analysis of Diagnostic Imaging in Acute Ischaemic Stroke. Chettinad Health City Med J. 2023;12(2):3-8. DOI: https://doi.org/10.24321/2278.2044.202320