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. 2017 Mar 27;38(9):1500–1516. doi: 10.1177/0271678X17700913

Table 1.

The three major imaging methods for acute stroke and parameters they can detect*,**.

Physiologic Parameter PET CT MRI
Hemorrhage Hyperdense T2 * hypo-intensity, 130 SWI, 130 APT 131
Site of occlusion CTA MRA
destined for infarction (Neuronal death) 11C-FMZ 18F-BCPP-EF Hypodense T2 hyper-intensity
CBV 15O2 CTP DSC, VASO (mainly GM) 132
CBVa iVASO (mainly GM) 133
CBF 15O2 XeCT/CTP DSC, ASL (mainly GM) 134
MTT 15O2 CTP DSC
CMRO2 15O2 QSM, indirectly by 13C MRS, MRI
OEF increase 15O2 QSM, T2 and T2 * mild hypo-intensity
CMRGlc 18FDG 13C MRS
Hypoxia 18F-MISO BOLD (T2, T2 * )
 Lactate 1H MRS, 13C MRS
 pH 11CO2, 11C-DMO 31P MRS, CEST/APT MRI
PCr/Cr 31P MRS, CEST MRI128
ATP 31P MRS
Na 23Na MRI
ADC DWI, DTI
*

MRI methods possible on standard clinical scanners are in BOLD.

**

Most citations are in the text; only references for clinically accessible methods not mentioned in the text are added to the table.

FMZ: flumazenil; 18F-BCPP-EF: 2-tert-butyl-4-chloro-5-{6-[2-(2-(18)F-fluoroethoxy)-ethoxy]-pyridin-3-ylmethoxy}-2H-pyridazin-3-one; FDG: Fluorodeoxyglucose; MISO: misonidazole; DMO: dimethyloxazolidinedione; CTA: CT angiography; CTP: CT perfusion; SWI: Susceptibility-weighted imaging; CEST: Chemical exchange saturation transfer; APT: Amide proton transfer; MRA: Magnetic resonance angiography; DSC: Dynamic susceptibility contrast; VASO: Vascular space occupancy; iVASO: inflow VASO; ASL: Arterial spin labeling; QSM: Quantitative susceptibility mapping; MRS: MR spectroscopy; DWI: Diffusion weighted imaging; DTI: Diffusion tensor imaging.