Rinsho Shinkeigaku (Clinical Neurology)

Review

Cerebrovascular imaging to facilitate stroke reperfusion therapy in Japan

Masatoshi Koga, M.D., Ph.D.1), Manabu Inoue, M.D., Ph.D.1)2), Kanta Tanaka, M.D., Ph.D.2), Tetsu Satow, M.D., Ph.D.3), Tetsuya Fukuda, M.D., Ph.D.4), Masafumi Ihara, M.D., Ph.D.5), Ryo Itabashi, M.D., Ph.D.6), Kohsuke Kudo, M.D., Ph.D.7), Hiroshi Yamagami, M.D., Ph.D.8) and Kazunori Toyoda, M.D., Ph.D.1)

1) Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center
2) Division of Stroke Care Unit, National Cerebral and Cardiovascular Center
3) Department of Neurosurgery, National Cerebral and Cardiovascular Center
4) Department of Radiology, National Cerebral and Cardiovascular Center
5) Department of Neurology, National Cerebral and Cardiovascular Center
6) Division of Neurology and Gerontology, Department of Internal Medicine, School of Medicine, Iwate Medical University
7) Department of Diagnostic Imaging, Hokkaido University Graduate School of Medicine
8) Department of Stroke Neurology, National Hospital Organization Osaka National Hospital

Imaging diagnosis is essential to perform appropriate reperfusion therapy for acute ischemic stroke. To equally perform reperfusion therapy all over in Japan, it is important to properly facilitate acute imaging evaluation for stroke suspected patients by medical staff not only in stroke-specialized hospitals but also in non-stroke-specialized hospitals. It is unique that CT and MRI are available in most of Japanese hospitals. Even in non-stroke-specialized hospitals, inpatients may suffer from in-hospital stroke. We review statements and recommendation items for a diagnostic imaging to appropriately perform reperfusion therapy based on major clinical trials, stroke guidelines and the current status of acute stroke imaging in Japan.
Full Text of this Article in Japanese PDF (384K) @@@@ Full Text of this Article in English HTML

(CLINICA NEUROL, 61: 517|521, 2021)
key words: CT, MRI, carotid ultrasonography, perfusion imaging, local medical cooperation

(Received: 10-Feb-21)