Early Blood Brain Barrier Changes in Acute Ischemic Stroke: A Sequential MRI Study
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Early Blood Brain Barrier Changes in Acute Ischemic Stroke: A Sequential MRI Study. / Giraud, Marc; Cho, Tae-Hee; Nighoghossian, Norbert; Maucort-Boulch, Delphine; Deiana, Gianluca; Østergaard, Leif; Baron, Jean-Claude; Fiehler, Jens; Pedraza, Salvador; Derex, Laurent; Berthezène, Yves.
in: J NEUROIMAGING, Jahrgang 25, Nr. 6, 11.2015, S. 959-63.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Early Blood Brain Barrier Changes in Acute Ischemic Stroke: A Sequential MRI Study
AU - Giraud, Marc
AU - Cho, Tae-Hee
AU - Nighoghossian, Norbert
AU - Maucort-Boulch, Delphine
AU - Deiana, Gianluca
AU - Østergaard, Leif
AU - Baron, Jean-Claude
AU - Fiehler, Jens
AU - Pedraza, Salvador
AU - Derex, Laurent
AU - Berthezène, Yves
N1 - Copyright © 2015 by the American Society of Neuroimaging.
PY - 2015/11
Y1 - 2015/11
N2 - BACKGROUND AND PURPOSE: We sought to identify MRI factors associated with BBB changes at the acute stage of ischemic stroke.METHODS: We analyzed BBB changes on admission and within 3 hours after the first scan. BBB changes was defined as the presence of leptomeningeal and parenchymal contrast enhancement on T1-weighted imaging. Tmax , CBV, and DWI lesion volume were assessed on baseline MRI. Clinical and MRI factors associated with BBB changes were assessed by univariate and multivariate logistic regressions analyses.RESULTS: Forty-four patients were included. BBB changes on baseline MRI was observed in 2 of 44 patients (3%). BBB disruption on H3-MRI was present in 19 of 44 patients (43%). Hemodynamic status and baseline ischemic core size were not different between patients with or without BBB changes. BBB alteration on H3 MRI was strongly associated with FLAIR MRI sequence positivity, 16/19 patients (83%) P = .001.CONCLUSION: BBB changes are exceptional during the first 3 hours after stroke onset. Delayed BBB alteration was associated with FLAIR positivity mainly reflecting vasogenic edema.
AB - BACKGROUND AND PURPOSE: We sought to identify MRI factors associated with BBB changes at the acute stage of ischemic stroke.METHODS: We analyzed BBB changes on admission and within 3 hours after the first scan. BBB changes was defined as the presence of leptomeningeal and parenchymal contrast enhancement on T1-weighted imaging. Tmax , CBV, and DWI lesion volume were assessed on baseline MRI. Clinical and MRI factors associated with BBB changes were assessed by univariate and multivariate logistic regressions analyses.RESULTS: Forty-four patients were included. BBB changes on baseline MRI was observed in 2 of 44 patients (3%). BBB disruption on H3-MRI was present in 19 of 44 patients (43%). Hemodynamic status and baseline ischemic core size were not different between patients with or without BBB changes. BBB alteration on H3 MRI was strongly associated with FLAIR MRI sequence positivity, 16/19 patients (83%) P = .001.CONCLUSION: BBB changes are exceptional during the first 3 hours after stroke onset. Delayed BBB alteration was associated with FLAIR positivity mainly reflecting vasogenic edema.
U2 - 10.1111/jon.12225
DO - 10.1111/jon.12225
M3 - SCORING: Journal article
C2 - 25702824
VL - 25
SP - 959
EP - 963
JO - J NEUROIMAGING
JF - J NEUROIMAGING
SN - 1051-2284
IS - 6
ER -