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Blood-brain barrier permeability: Quantification with computed tomography and application in acute ischemic stroke

  • M. Wintermark
  • , J. Hom
  • , J. W. Dankbaar
  • , J. Bredno
  • , M. E. Olszewski

Research output: Contribution to journalArticlepeer-review

Abstract

Given the high costs - human and financial - associated with stroke and its aftermath, improvements to stroke treatment are of paramount importance. Recombinant tissue plasminogen activator (rt-TPA) has been shown to be effective in treating acute ischemic stroke; however, rt-TPA is currently only approved for use within a fixed time window, and it is associated with a non-negligible risk of hemorrhagic transformation. This article describes quantitative CT imaging of blood-brain barrier permeability that may enable a more widespread administration of rt-TPA in acute stroke by allowing risk-balanced, individualized treatment decisions that are based on physiology rather than time.

Original languageEnglish (US)
Pages (from-to)3-8+63+65+67+69
JournalMedicaMundi
Volume53
Issue number2
StatePublished - 2009
Externally publishedYes

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging

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