transmedТрансляционная медицинаTranslational Medicine2311-44952410-5155Almazov National Medical Research Centre, Saint Petersburg, Russia10.18705/2311-4495-2019-6-2-12-17transmed-460Research ArticleРАДИОЛОГИЯRADIOLOGYНейровизуализация острого ишемического инсульта: современное состояниеNeuroimaging of Acute Ischemic Stroke: Current StateАлдатовР. Х.AldatovR. Kh.

Алдатов Руслан Хаджимуссаевич - аспирант кафедры лучевой диагностики и медицинской визуализации.

Ул. Аккуратова, д. 2, Санкт-Петербург, 197341

Aldatov Ruslan Kh. - Postgraduate Student of the Department of Radiology and Medical Imaging.

Akkuratova str. 2, Saint Petersburg, 197341

ru-ald@mail.ruТруфановГ. Е.TrufanovG. E.

Труфанов Геннадий Евгеньевич - доктор медицинских наук, профессор, заведующий научно-исследовательским отделом лучевой диагностики, заведующий кафедрой лучевой диагностики и медицинской визуализации.

Санкт-Петербург

Trufanov Gennady E. - MD, PhD, Dr. Sc., Professor, Head of the Research Department of Radiology, Head of the Department of Radiology and Medical Imaging.

ФокинВ. А.FokinV. A.

Фокин Владимир Александрович - доктор медицинских наук, профессор, заведующий отделом лучевой диагностики.

Санкт-Петербург

Fokin Vladimir A. - MD, PhD, Dr. Sc., Professor, Head of Radiology Department.

Федеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр имени В.А. Алмазова» Министерства здравоохранения Российской Федерации.РоссияAlmazov National Medical Research CentreRussian FederationФедеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр им. В.А. Алмазова» Министерства здравоохранения Российской ФедерацииРоссияAlmazov National Medical Research CentreRussian Federation201912052019621217Copyright © Алдатов Р.Х., Труфанов Г.Е., Фокин В.А., 20192019Алдатов Р.Х., Труфанов Г.Е., Фокин В.А.Aldatov R.K., Trufanov G.E., Fokin V.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://transmed.almazovcentre.ru/jour/article/view/460

За последнее десятилетие отмечается значительное усовершенствование методов нейровизуализации для улучшения ранней диагностики острого инсульта. Компьютерная и магнитно-резонансная томография часто используются при внутримозговом кровоизлиянии или для оценки противопоказаний к тромболизису, чтобы обнаружить локализацию зоны ишемии и оценить время начала инсульта. С наличием быстрых и передовых методов визуализации отмечается растущий интерес к их применению для прогнозирования успеха и исключения рисков специфической терапии.

В данном обзоре рассматриваются существующие методы нейровизуализации при острых инсультах. Чтобы интерпретировать результаты нейровизуализации, важно знать клиническую картину. Кроме того, фактор времени, от момента начала инсульта до коллатерального кровоснабжения, должен быть включен в существующие терапевтические стратегии на основе визуализации.

Over the past decade, there has been a significant improvement in neuroimaging techniques to improve the early diagnosis of acute stroke. Computed tomography and magnetic resonance imaging are often used in intracerebral hemorrhage or to evaluate contraindications to thrombolysis, to detect the localization of the ischemic area and to estimate the time of stroke. With the availability of fast and advanced imaging techniques, there is a growing interest in their application to predict success and eliminate the risks of specific therapy.

This review examines the existing methods of neuroimaging in acute strokes. To interpret the results of neuroimaging, it is important to know the clinical picture. In addition, the time factor, from the onset of stroke to collateral blood supply, should be incorporated into existing imaging-based therapeutic strategies.

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The authors declare that there are no conflicts of interest present.