It is now common practice to use neuroimaging tools, particularly magnetic resonance imaging (MRI), to identify the affected vascular area of a stroke patient's brain and to inform clinical treatment choices. These tools have significantly improved our ability to visualize brain structures. MRI also was known to demonstrate the size and accurate location of the bleeding. The principle of 'time is brain' guides the care of stroke victims. This notion emphasizes the significance of delivering immediate medical attention to stroke victims, which is mostly guided by MRI. We searched PubMed, Web of Science, Science Direct, EBSCO, and the Cochrane library. Rayyan QCRI was used to screen study articles by title and abstract before implementing a full-text assessment. A total of 7 studies with the main topic of MRI's role in stroke diagnosis and management were included in this review. According to the included studies, MRI is the most accurate scanning way in stroke cases. Recent developments in MRI technology have increased its use as an imaging platform in normal clinical stroke treatment.
1. Catalan Society of Neurology. Official Guidelines for diagnosis and treatment. In: Cerebrovascular Diseases., editor. 2nd ed. Barcelona: Societat Catalana de Neurologia; 2011. pp. 159-240.
2. Kalaria RN. Cerebrovascular disease and mechanisms of cognitive impairment: evidence from clinicopathological studies in humans. Stroke. 2012;43(9):2526-34.
3. Gutiérrez‑Vargas JA, Castro‑Álvarez JF, Zapata‑Berruecos JF, Abdul‑Rahim K, Arteaga‑Noriega A. Neurodegeneration and convergent factors contributing to the deterioration of the cytoskeleton in Alzheimer's disease, cerebral ischemia and multiple sclerosis. Biomed Rep. 2022;16(4):1-9. doi:10.3892/br.2022.1510
4. Geisler F, Ali SF, Ebinger M, Kunz A, Rozanski M, Waldschmidt C, et al. Evaluation of a score for the prehospital distinction between cerebrovascular disease and stroke mimic patients. Int J Stroke. 2019;14(4):400-8.
5. Chiaramonte R, Pavone P, Vecchio M. Speech rehabilitation in dysarthria after stroke: a systematic review of the studies. Eur J Phys Rehabil Med. 2020;56(5):547-62.
6. Campbell BC, De Silva DA, Macleod MR, Coutts SB, Schwamm LH, Davis SM, et al. Ischaemic stroke. Nat Rev Dis Primers. 2019;5(1):1-22.
7. Feigin VL, Norrving B, Mensah GA. Global burden of stroke. Circ Res. 2017;120(3):439-48.
8. Yang Q, Tong X, Schieb L, Vaughan A, Gillespie C, Wiltz JL, et al. Vital signs: recent trends in stroke death rates—United States, 2000–2015. Morb Mort Wkly Rep. 2017;66(35):933.
9. Cui Y, Wang XH, Zhao Y, Chen SY, Sheng BY, Wang LH, et al. Association of serum biomarkers with early neurologic improvement after intravenous thrombolysis in ischemic stroke. Plos One. 2022;17(10):e0277020. doi:10.1371/journal.pone.0277020
10. González RG. Clinical MRI of acute ischemic stroke. J Magn Reson Imaging. 2012;36(2):259-71. doi:10.1002/jmri.23595
11. Campbell BC, Tu HT, Christensen S, Desmond PM, Levi CR, Bladin CF, et al. Assessing response to stroke thrombolysis: validation of 24-hour multimodal magnetic resonance imaging. Arch Neurol. 2012;69(1):46-50.
12. Okano Y, Ishimatsu K, Kato Y, Yamaga J, Kuwahara K, Okumoto K, et al. Clinical features of stroke mimics in the emergency department. Acute Med Surg. 2018;5(3):241-8. doi:10.1002/ams2.338
13. Tedyanto EH, Tini K, Pramana NA. Magnetic Resonance Imaging in Acute Ischemic Stroke. Cureus. 2022;14(7):e27224. doi:10.7759/cureus.27224
14. Frade HC, Wilson SE, Beckwith A, Powers WJ. Comparison of outcomes of ischemic stroke initially imaged with cranial computed tomography alone vs computed tomography plus magnetic resonance imaging. JAMA Netw Open. 2022;5(7):e2219416. doi:10.1001/jamanetworkopen.2022.19416
15. Akbarzadeh MA, Sanaie S, Kuchaki Rafsanjani M, Hosseini MS. Role of imaging in early diagnosis of acute ischemic stroke: a literature review. Egypt J Neurol Psychiatr Neurosurg. 2021;57(1):1-8. doi:10.1186/s41983-021-00432-y
16. Kakkar P, Kakkar T, Patankar T, Saha S. Current approaches and advances in the imaging of stroke. Dis Model Mech. 2021;14(12):dmm048785. doi:10.1242/dmm.048785
17. Imura T, Mitsutake T, Iwamoto Y, Tanaka R. A systematic review of the usefulness of magnetic resonance imaging in predicting the gait ability of stroke patients. Sci Rep. 2021;11(1):14338. doi:10.1038/s41598-021-93717-4
18. Lee H, Yang Y, Liu B, Castro SA, Shi T. Patients with Acute Ischemic Stroke Who Receive Brain Magnetic Resonance Imaging Demonstrate Favorable In‐Hospital Outcomes. J Am Heart Assoc. 2020;9(20):e016987. doi:10.1161/JAHA.120.016987
19. Debette S, Schilling S, Duperron MG, Larsson SC, Markus HS. Clinical significance of magnetic resonance imaging markers of vascular brain injury: a systematic review and meta-analysis. JAMA Neurol. 2019;76(1):81-94. doi:10.1001/jamaneurol.2018.3122
20. Zhang XH, Liang HM. Systematic review with network meta-analysis: Diagnostic values of ultrasonography, computed tomography, and magnetic resonance imaging in patients with ischemic stroke. Medicine. 2019;98(30):e16360. doi:10.1097/MD.0000000000016360
21. Heit JJ, Iv M, Wintermark M. Imaging of intracranial hemorrhage. J Stroke. 2017;19(1):11. doi:10.5853/jos.2016.00563
22. Haller S, Vernooij MW, Kuijer JP, Larsson EM, Jäger HR, Barkhof F. Cerebral microbleeds: imaging and clinical significance. Radiology. 2018;287(1):11-28. 10.1148/radiol.2018170803
23. Vermeer SE, Longstreth Jr WT, Koudstaal PJ. Silent brain infarcts: a systematic review. Lancet Neurol. 2007;6(7):611-9.
24. Debette S, Markus HS. The clinical importance of white matter hyperintensities on brain magnetic resonance imaging: systematic review and meta-analysis. BMJ. 2010;341:c3666.
25. Lau KK, Li L, Lovelock CE, Zamboni G, Chan TT, Chiang MF, et al. Clinical correlates, ethnic differences, and prognostic implications of perivascular spaces in transient ischemic attack and ischemic stroke. Stroke. 2017;48(6):1470-7.
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