The DOI matches its Crossref record; 14 of the 14 references it cites were found in a registry or an index.
Correlation of perfusion- and diffusion-weighted MRI with NIHSS score in acute (<6.5 hour) ischemic stroke
Abstract
BACKGROUND: Diffusion-weighted (DWI) and perfusion-weighted (PWI) MRI are powerful new techniques for the assessment of acute cerebral ischemia. However, quantitative data comparing the severity of clinical neurologic deficit with the results of DWI or PWI in the earliest phases of stroke are scarce. Such information is vital if MRI is potentially to be used as an objective adjunctive measure of stroke severity and outcome. OBJECTIVE: The authors compared initial DWI and PWI lesion volumes with subsequent 24-hour neurologic deficit as determined by National Institutes of Health Stroke Scale (NIHSS) score in acute stroke patients. Initial DWI and PWI volumes were also compared with T2W MRI lesion volume at 1 week to assess the accuracy of these MRI techniques for the detection of acute cerebral ischemia. METHODS: Patients with stroke underwent MRI scanning within 6.5 hours of symptom onset. Lesion volumes on DWI and PWI were measured and compared with 24-hour NIHSS score. Initial DWI and PWI volumes were also compared with T2W lesion size at 1 week. RESULTS: There was a high correlation between 24-hour NIHSS score and lesion volume as determined by PWI (r = 0.96, p < 0.001) or DWI (r = 0.67, p = 0.03). A similar high correlation was seen between T2W stroke size at 7 days and initial DWI and PWI lesion size (r = 0.99, p < 0.00001). CONCLUSIONS: Both DWI and PWI are highly correlated with severity of neurologic deficit by 24-hour NIHSS score. These findings may have substantial implications for the use of MRI scanning in the assessment and management of acute stroke patients.
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Cites
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Self-citationWarach, S., Dashe, J. F., & Edelman, R. R. (1996) · Journal of Cerebral Blood Flow & Metabolism · doi:10.1097/00004647-199601000-00006 · Cited by 490
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High Temporal Resolution Diffusion MRI of Global Cerebral Ischemia and Reperfusion
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Cited by
Recommendations for Standards Regarding Preclinical Neuroprotective and Restorative Drug Development
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Diffusion-weighted MR Imaging of the Brain
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An Overview of Acute Stroke Therapy: Past, Present, and Future
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Metadata
- Authors
- Tong, D. C., Yenari, M. A., Albers, G. W., O'Brien, M., Marks, M. P., & Moseley, M. E.
- Venue
- Neurology
- Published
- 1998-04
- Volume
- 50
- Issue
- 4
- Pages
- 864-869
- ISSN
- 0028-3878 (ISSN-L)
- 1526-632X
- OpenAlex
- W2020484901
- Cited by
- 444
- References
- 14
- FWCI
- 33.26
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Correlation of perfusion- and diffusion-weighted MRI with NIHSS score in acute (<6.5 hour) ischemic stroke. https://app.cochat.ai/papers/10.1212/wnl.50.4.864
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- Tong, D. C., Yenari, M. A., Albers, G. W., O'Brien, M., Marks, M. P., & Moseley, M. E. (1998). Correlation of perfusion- and diffusion-weighted MRI with NIHSS score in acute (<6.5 hour) ischemic stroke. Neurology. https://doi.org/10.1212/wnl.50.4.864
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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