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Abstract #0886

Relationship between MRA-Derived Pattern of Artery Occlusion & MRI-Based Tissue Diffusion & Perfusion Lesion in a Rat Embolic Stroke Model

Mark J. Bouts1, Ivo A. Tiebosch1, Annette van der Toorn1, Jeroen Hendrikse2, Rick M. Dijkhuizen1

1Biomedical MR Imaging and Spectroscopy Group, Image Sciences Institute, University Medical Center Utrecht, Utrecht, Netherlands; 2Radiology, University Medical Center Utrecht, Utrecht, Netherlands

In cerebral ischemic stroke, characterization of the extent and location of vessel occlusion in relation to the spatiotemporal development of ischemic lesions may lead to improved diagnosis. Therefore, we aimed to distinguish different patterns of occlusion of segments of the Circle of Willis, measured with MRA, and correlate these with acute ischemic lesions, measured with diffusion- and perfusion-weighted MRI, in a rat embolic stroke model. We found that occlusion of the proximal segment of the middle cerebral artery (MCA.M1), was most strongly associated with development of a large acute ischemic lesion in cortical and subcortical tissue, whereas occlusion of the internal carotid artery in conjuction with incomplete occlusion of the MCA reduced acute lesion growth.

Keywords

abnormal abnormalities abnormality absent according acute aimed analyzed angiography animal animals apparent arrowheads arteries artery assessment biomedical blood bouts brain care carotid categorical categories categorized cerebral circulation clear closed collateral combination committee compensation consecutive considered consisted correlate correspondence cortex crucial delay detection determined development diagnosis differed diffusion discovery distal early enhanced evident executed experimental extent false favorable findings flight flow gradient horizontal hours identified identifying impairment incidence incomplete index indicates induction institute intension investigated involvement largely larger largest lesion lesions made major maps mark matrix measured medical middle mismatch model occlusion occlusions ongoing open outcome overlaid parametric part parts patients pattern patterns perfusion planning post prediction predominantly procedures profiles projection proximal quantitative radiology rank rats reduction relationship reliable resultant segment segments seven shot significantly site sites slice smallest spatially statistical status stroke strongly subjected supplied susceptibility table template territory tissue transit transversal treatment types unclear vessel visual volume volumes welfare whereas