Perfusion weighted imaging and its application in stroke

To study the technique and application of perfusion weighted imaging(PWI) in the diagnosis and medical treatment of acute stroke, 25 patients were examined by 1.5 T or 1.0 T MRI scanner. The Data analysis was done with "3D Med System" developed by our Lab to process the data and obtain apparent diffusion coefficient(ADC) map, cerebral blood volume(CBV) map, cerebral blood flow(CBF) map as well as mean transit time(MTT) map. In acute stage of stroke, normal or slightly hypointensity in T1-, hyperintensity in T2- and diffusion-weighted images were seen in the cerebral infarction areas. There were hypointensity in CBV map, CBF map and ADC map; and hyperintensity in MTT map that means this infarct area could be saved. If the hyperintensity area in MTT map was larger than the area in diffusion weighted imaging(DWI), the larger part was called penumbra and could be cured by an appropriate thrombolytic or other therapy. The CBV, CBF and MTT maps are very important in the diagnosis and medical treatment of acute especially hyperacute stroke. Comparing with DWI, we can easily know the situation of penumbra and the effect of curative therapy. Besides, we can also make a differential diagnosis with this method.