2002
CT or MRI for Imaging Patients with Acute Stroke: Visualization of “Tissue at Risk”?
Lev M, Koroshetz W, Schwamm L, Gonzalez R. CT or MRI for Imaging Patients with Acute Stroke: Visualization of “Tissue at Risk”? Stroke 2002, 33: 2736-2737. PMID: 12468762, DOI: 10.1161/01.str.0000041999.64363.b2.Peer-Reviewed Original Research
2001
Diagnostic Value of Apparent Diffusion Coefficient Hyperintensity in Selected Patients With Acute Neurologic Deficits
Schaefer P, Gonzalez R, Hunter G, Wang B, Koroshetz W, Schwamm L. Diagnostic Value of Apparent Diffusion Coefficient Hyperintensity in Selected Patients With Acute Neurologic Deficits. Journal Of Neuroimaging 2001, 11: 369-380. PMID: 11677876, DOI: 10.1111/j.1552-6569.2001.tb00065.x.Peer-Reviewed Original ResearchConceptsAcute neurologic deficitsMagnetic resonance imagingDiffusion-weighted imagingNeurologic deficitsMRI abnormalitiesClinical syndromeMRI T2 hyperintensityVenous sinus thrombosisIschemic brain injuryEvaluation of patientsSubset of patientsConventional magnetic resonance imagingApparent diffusion coefficient (ADC) mapsDiffusion coefficient mapsHIV encephalopathyHypertensive encephalopathyNonischemic etiologyPosterior leukoencephalopathySinus thrombosisCarotid endarterectomyT2 hyperintensityNeurologic conditionsVasogenic edemaBrain injuryDiffusion magnetic resonance imagingIschemic Stroke: Effects of Etiology and Patient Age on the Time Course of the Core Apparent Diffusion Coefficient
Copen W, Schwamm L, González R, Wu O, Harmath C, Schaefer P, Koroshetz W, Sorensen A. Ischemic Stroke: Effects of Etiology and Patient Age on the Time Course of the Core Apparent Diffusion Coefficient. Radiology 2001, 221: 27-34. PMID: 11568317, DOI: 10.1148/radiol.2211001397.Peer-Reviewed Original ResearchConceptsPatient ageApparent diffusion coefficientInfarct etiologyYounger patientsTime courseMagnetic resonance imaging examinationsRelative ADCEffect of etiologyRelative apparent diffusion coefficientLesion apparent diffusion coefficientNormal-appearing brainSignificant age-related differencesEtiology of lesionsStroke onsetIschemic strokeMedian ageOlder patientsSubgroup analysisAge-related differencesImaging examinationsPatientsADC progressionEtiologyLacunesAgeFrequency and Clinical Context of Decreased Apparent Diffusion Coefficient Reversal in the Human Brain
Grant P, He J, Halpern E, Wu O, Schaefer P, Schwamm L, Budzik R, Sorensen A, Koroshetz W, Gonzalez R. Frequency and Clinical Context of Decreased Apparent Diffusion Coefficient Reversal in the Human Brain. Radiology 2001, 221: 43-50. PMID: 11568319, DOI: 10.1148/radiol.2211001523.Peer-Reviewed Original ResearchConceptsImaging studiesClinical settingVenous sinus thrombosisMagnetic resonance imaging studyOnset of symptomsMR imaging findingsComplicated clinical settingsMR imaging studiesMR imaging examinationsResonance imaging studyGray matter regionsADC lesionsArterial infarctionPersistent symptomsSinus thrombosisClinical outcomesImaging findingsClinical historyImaging examinationsADC decreaseSame periodWhite matterGray matterMatter regionsT2 changes
1999
Diffusion- and Perfusion-Weighted Imaging in Vasospasm After Subarachnoid Hemorrhage
Rordorf G, Koroshetz W, Copen W, Gonzalez G, Yamada K, Schaefer P, Schwamm L, Ogilvy C, Sorensen A. Diffusion- and Perfusion-Weighted Imaging in Vasospasm After Subarachnoid Hemorrhage. Stroke 1999, 30: 599-605. PMID: 10066858, DOI: 10.1161/01.str.30.3.599.Peer-Reviewed Original ResearchConceptsRelative cerebral blood flowRelative cerebral blood volumeAngiographic vasospasmIschemic injurySymptomatic vasospasmNeurological deficitsClinical signsSevere angiographic vasospasmCerebral tissue perfusionEarly ischemic injurySubarachnoid hemorrhage patientsCerebral blood flowIntravenous contrast bolusPerfusion-Weighted ImagingCerebral blood volumeDWI abnormalitiesAsymptomatic patientsHemodynamic abnormalitiesNormal angiogramsAngiographic spasmImaging abnormalitiesIschemic lesionsHemorrhage patientsSubarachnoid hemorrhageClinical management
1998
Regional Ischemia and Ischemic Injury in Patients With Acute Middle Cerebral Artery Stroke as Defined by Early Diffusion-Weighted and Perfusion-Weighted MRI
Rordorf G, Koroshetz W, Copen W, Cramer S, Schaefer P, Budzik R, Schwamm L, Buonanno F, Sorensen A, Gonzalez G. Regional Ischemia and Ischemic Injury in Patients With Acute Middle Cerebral Artery Stroke as Defined by Early Diffusion-Weighted and Perfusion-Weighted MRI. Stroke 1998, 29: 939-943. PMID: 9596239, DOI: 10.1161/01.str.29.5.939.Peer-Reviewed Original ResearchMeSH KeywordsAcute DiseaseAdultAgedAged, 80 and overArterial Occlusive DiseasesBrain IschemiaCerebral ArteriesCerebral InfarctionCerebrovascular CirculationCerebrovascular DisordersDiffusionFemaleHumansMagnetic Resonance AngiographyMagnetic Resonance ImagingMaleMiddle AgedPerfusionReperfusion InjuryConceptsPerfusion-weighted imagingMiddle cerebral artery strokeDiffusion-weighted imagingCerebral blood volumeMCA strokeArtery strokeMR angiographyCBV abnormalityRegional ischemiaAcute middle cerebral artery strokeInitial diffusion-weighted imagingAcute stroke syndromeDistal branch occlusionDWI lesion volumeInitial DWI lesionMCA stem occlusionGroup 2 patientsMRI techniquesFinal infarct sizeFinal infarct volumeHours of onsetIntravenous contrast bolusAbnormal tissue perfusionProgression of infarctionPerfusion-Weighted MRI
1997
Diffusion-weighted imaging discriminates between cytotoxic and vasogenic edema in a patient with eclampsia.
Schaefer P, Buonanno F, Gonzalez R, Schwamm L. Diffusion-weighted imaging discriminates between cytotoxic and vasogenic edema in a patient with eclampsia. Stroke 1997, 28: 1082-5. PMID: 9158653, DOI: 10.1161/01.str.28.5.1082.Peer-Reviewed Original ResearchConceptsT2 hyperintense signal abnormalityDiffusion-weighted imagingHyperintense signal abnormalitiesVasogenic edemaSignal abnormalitiesRoutine MRIMajority of patientsPermanent neurological impairmentReversible neurological deficitsSubcortical white matterAdjacent gray matterDifferent treatment protocolsPathophysiology of eclampsiaEcho-planar diffusion-weighted imagingEclamptic patientsIschemic encephalopathyNeurological deficitsPosterior predominancePatient groupDiffusion-weighted imagesCytotoxic edemaNeurological impairmentPremature twinsTreatment protocolEdema