Shape and volume of lacunar infarcts: a 3D MRI study in cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy.

Abstract:

BACKGROUND AND PURPOSE:The shape and exact size of lacunar infarcts have been investigated only postmortem. Recent imaging techniques based on triangulation and connectivity can now be used for 3D segmentation of cerebral lesions. The shape and size of lacunar infarcts was investigated using these techniques in 10 cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) patients. METHODS:We segmented 102 lacunar infarcts on T1-weighted images. The surface of the corresponding set of voxels was computed as a mesh of triangles. Thereafter, the shape of each lesion in 3D was visually analyzed by 2 investigators. RESULTS:The volume of lesions ranged from 10.5 to 1146 mm, with 93% of them having a volume <500 mm; 83% lacunar infarcts had a spheroid or ovoid shape, but 17% presented as sticks, slabs, or with a complex shape. Lesions with multiple components appeared larger than the others, and a tail extension was noticed in 13 of 102 lesions. CONCLUSIONS:These results suggest the following: (1) most lacunar infarcts in CADASIL have a volume far below one third of that of a sphere of 15 mm in diameter, the upper limit currently used for their identification on 2D imaging; (2) a significant proportion of lacunar infarcts have a shape distinct from the spheroid-ovoid morphology; and (3) lesions with a complex shape may result from the involvement of the largest small arteries, confluence of ischemic lesions, or secondary tissue degeneration. The segmentation of lacunar infarcts appears promising to better understand the pathophysiology of tissue lesions secondary to small vessel diseases.

journal_name

Stroke

journal_title

Stroke

authors

Hervé D,Mangin JF,Molko N,Bousser MG,Chabriat H

doi

10.1161/01.STR.0000185678.26296.38

subject

Has Abstract

pub_date

2005-11-01 00:00:00

pages

2384-8

issue

11

eissn

0039-2499

issn

1524-4628

pii

01.STR.0000185678.26296.38

journal_volume

36

pub_type

杂志文章

相关文献

STROKE文献大全
  • Sulcal effacement with preserved gray-white junction: a sign of reversible ischemia.

    abstract:BACKGROUND AND PURPOSE:Sulcal effacement with preserved underlying gray-white matter junction (isolated sulcal effacement [ISE]) in acute ischemic stroke may not represent irreversible parenchymal injury. We aimed to evaluate the frequency and significance of ISE in patients with large vessel occlusion acute ischemic s...

    journal_title:Stroke

    pub_type: 临床试验,杂志文章

    doi:10.1161/STROKEAHA.115.009304

    authors: Haussen DC,Lima A,Frankel M,Anderson A,Belagaje S,Nahab F,Rangaraju S,Nogueira RG

    更新日期:2015-06-01 00:00:00

  • Impact of fever on outcome in patients with stroke and neurologic injury: a comprehensive meta-analysis.

    abstract:BACKGROUND AND PURPOSE:Many studies associate fever with poor outcome in patients with neurological injury, but this relationship is blurred by divergence in populations and outcome measures. We sought to incorporate all recent scholarship addressing fever in brain-injured patients into a comprehensive meta-analysis to...

    journal_title:Stroke

    pub_type: 杂志文章,meta分析

    doi:10.1161/STROKEAHA.108.521583

    authors: Greer DM,Funk SE,Reaven NL,Ouzounelli M,Uman GC

    更新日期:2008-11-01 00:00:00

  • Diffusion- and perfusion-weighted MRI patterns in borderzone infarcts.

    abstract:BACKGROUND AND PURPOSE:The pathophysiology of borderzone infarcts is not well understood. We investigated whether combined diffusion-weighted imaging (DWI) and perfusion-weighted imaging (PWI) could identify pathophysiologically meaningful categories of borderzone infarcts. METHODS:Seventeen patients with borderzone i...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.31.5.1090

    authors: Chaves CJ,Silver B,Schlaug G,Dashe J,Caplan LR,Warach S

    更新日期:2000-05-01 00:00:00

  • Low-grade inflammation is a risk factor for clinical stroke events in addition to silent cerebral infarcts in Japanese older hypertensives: the Jichi Medical School ABPM Study, wave 1.

    abstract:BACKGROUND AND PURPOSE:High-sensitivity C-reactive protein (hsCRP), a marker of inflammation, is associated with atherosclerosis, hypertensive target organ damage, and cardiovascular events. In the general Japanese population, the level of hsCRP is reported to be lower than that in Western countries, and the relationsh...

    journal_title:Stroke

    pub_type: 杂志文章,随机对照试验

    doi:10.1161/01.STR.0000258115.46765.f1

    authors: Ishikawa J,Tamura Y,Hoshide S,Eguchi K,Ishikawa S,Shimada K,Kario K

    更新日期:2007-03-01 00:00:00

  • Computerized detection of cerebral emboli and discrimination from artifact using Doppler ultrasound.

    abstract:BACKGROUND AND PURPOSE:Transcranial Doppler ultrasound can detect circulating cerebral emboli. Monitoring of patients with potential embolic sources may allow identification of high-risk patients who can then be selected for prophylactic treatment. However, practical patient monitoring will require automated programs t...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.24.11.1667

    authors: Markus H,Loh A,Brown MM

    更新日期:1993-11-01 00:00:00

  • Silencing of Long Noncoding RNA Nespas Aggravates Microglial Cell Death and Neuroinflammation in Ischemic Stroke.

    abstract::Background and Purpose- Ischemic stroke is one of the leading causes of morbidity and mortality worldwide and a major cause of long-term disability. Recently, long noncoding RNAs have been revealed, which are tightly associated with several human diseases. However, the functions of long noncoding RNAs in ischemic stro...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.118.023376

    authors: Deng Y,Chen D,Wang L,Gao F,Jin B,Lv H,Zhang G,Sun X,Liu L,Mo D,Ma N,Song L,Huo X,Yan T,Miao Z

    更新日期:2019-07-01 00:00:00

  • Strictly Lobar Cerebral Microbleeds Are Associated With Cognitive Impairment.

    abstract:BACKGROUND AND PURPOSE:Different distributions of cerebral microbleeds (CMBs) are associated with distinct pathological mechanisms. Lobar CMBs are thought to be related to cerebral amyloid angiopathy, whereas deep or infratentorial CMBs are related to hypertensive vasculopathy. The present study aimed to evaluate the e...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.116.014166

    authors: Chung CP,Chou KH,Chen WT,Liu LK,Lee WJ,Chen LK,Lin CP,Wang PN

    更新日期:2016-10-01 00:00:00

  • Functional MRI of delayed chronic lithium treatment in rat focal cerebral ischemia.

    abstract:BACKGROUND AND PURPOSE:The use of lithium as a neuroprotective agent has been demonstrated using various models in which improvements in infarct size, DNA damage, and neurological function were reported. We further investigated neurohemodynamic aspects of the treatment-associated recovery by assessing the therapeutic e...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.107.492215

    authors: Kim YR,van Meer MP,Tejima E,Murata Y,Mandeville JB,Dai G,Chuang DM,Rosen BR,Lo EH

    更新日期:2008-02-01 00:00:00

  • Adeno-associated viral-vector-mediated hypoxia-inducible vascular endothelial growth factor gene expression attenuates ischemic brain injury after focal cerebral ischemia in mice.

    abstract:BACKGROUND AND PURPOSE:Exogenous delivery of vascular endothelial growth factor gene (VEGF) may provide a useful approach to the treatment of brain ischemia. We investigated the use of a hypoxia-responsive element to control VEGF expression given for neuroprotection. METHODS:Three groups (n=36) of mice received AAVH9-...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.STR.0000240407.14765.e8

    authors: Shen F,Su H,Fan Y,Chen Y,Zhu Y,Liu W,Young WL,Yang GY

    更新日期:2006-10-01 00:00:00

  • Problems and benefits reported by stroke family caregivers: results from a prospective epidemiological study.

    abstract:BACKGROUND AND PURPOSE:Stroke symptoms can be very stressful for family caregivers, but most knowledge about the prevalence and stressfulness of stroke-related patient problems is derived from convenience samples. In addition, little is known about perceived benefits of the stroke caregiving experience. The purpose of ...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.108.545269

    authors: Haley WE,Allen JY,Grant JS,Clay OJ,Perkins M,Roth DL

    更新日期:2009-06-01 00:00:00

  • The incidence of cerebral venous thrombosis: a cross-sectional study.

    abstract:BACKGROUND AND PURPOSE:The purpose of this study was to determine the incidence of adult cerebral venous thrombosis. METHODS:A retrospective cross-sectional study was conducted among all 19 hospitals located in 2 Dutch provinces serving 3.1 million people. Adult cerebral venous thrombosis cases diagnosed between Janua...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.112.671453

    authors: Coutinho JM,Zuurbier SM,Aramideh M,Stam J

    更新日期:2012-12-01 00:00:00

  • Leukoaraiosis correlates with cerebral hypoperfusion in vascular dementia.

    abstract::Leukoaraiosis quantified by computerized densitometric measurements of reduced Hounsfield numbers was correlated with local cerebral blood flow on the same computed tomographic images of 35 patients with multi-infarct dementia and 16 age-matched elderly normal volunteers. The ratio for area of frontal leukoaraiosis to...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.22.5.609

    authors: Kawamura J,Meyer JS,Terayama Y,Weathers S

    更新日期:1991-05-01 00:00:00

  • The prognostic value of capillary glucose levels in acute stroke: the GLycemia in Acute Stroke (GLIAS) study.

    abstract:BACKGROUND AND PURPOSE:Evidence is accumulating regarding the prognostic influence of hyperglycemia in patients with acute ischemic stroke. However, the level associated with poor outcome is unknown. Our objectives were to establish the capillary glucose threshold with the highest predictive accuracy of poor outcome an...

    journal_title:Stroke

    pub_type: 杂志文章,多中心研究

    doi:10.1161/STROKEAHA.108.519926

    authors: Fuentes B,Castillo J,San José B,Leira R,Serena J,Vivancos J,Dávalos A,Nuñez AG,Egido J,Díez-Tejedor E,Stroke Project of the Cerebrovascular Diseases Study Group, Spanish Society of Neurology.

    更新日期:2009-02-01 00:00:00

  • Increases in cerebral blood flow in rat hippocampus after medial septal injection of naloxone.

    abstract:BACKGROUND AND PURPOSE:In a previous study, we occasionally found that the rat given naloxone in the preoptic region develops behavioral seizures. In view of knowledge that the forebrain including the medial septal nucleus provides cholinergic projections to the hippocampal formation, the present study examined the eff...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.23.9.1325

    authors: Nishimura J,Endo Y,Kimura F

    更新日期:1992-09-01 00:00:00

  • Diffusion-weighted magnetic resonance imaging in a case of cerebral venous thrombosis.

    abstract:BACKGROUND:Diffusion-weighted imaging (DWI) is the most sensitive MR sequence in acute arterial ischemic stroke but has not yet been evaluated in venous cerebral ischemia. We describe a patient with DWI performed at the acute phase of a venous ischemic stroke. CASE DESCRIPTION:A rapid cerebral MRI including DWI and fa...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.29.12.2649

    authors: Corvol JC,Oppenheim C,Manaï R,Logak M,Dormont D,Samson Y,Marsault C,Rancurel G

    更新日期:1998-12-01 00:00:00

  • Survival and recurrence following stroke. The Framingham study.

    abstract::Survival and recurrences after stroke were assessed prospectively in a general population sample of 5184 subjects followed biennially for 26 years. Initial strokes occurred in 198 men and 196 women. There were 84 second and 27 third strokes and 223 deaths reported. Thirty day case-fatality rates for initial strokes we...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.13.3.290

    authors: Sacco RL,Wolf PA,Kannel WB,McNamara PM

    更新日期:1982-05-01 00:00:00

  • Effects of stroke localization on cardiac autonomic balance and sudden death.

    abstract:BACKGROUND AND PURPOSE:Stroke has been shown to alter autonomic function. The purpose of this study was to show the differential effects of stroke localization on autonomic function parameters assessed by heart rate variability (HRV). METHODS:To determine the differential effect of ischemic stroke localization on auto...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.30.7.1307

    authors: Tokgözoglu SL,Batur MK,Topçuoglu MA,Saribas O,Kes S,Oto A

    更新日期:1999-07-01 00:00:00

  • Multilingual Validation of the Questionnaire for Verifying Stroke-Free Status in West Africa.

    abstract:BACKGROUND AND PURPOSE:The Questionnaire for Verifying Stroke-Free Status (QVSFS), a method for verifying stroke-free status in participants of clinical, epidemiological, and genetic studies, has not been validated in low-income settings where populations have limited knowledge of stroke symptoms. We aimed to validate ...

    journal_title:Stroke

    pub_type: 杂志文章,多中心研究

    doi:10.1161/STROKEAHA.115.010374

    authors: Sarfo F,Gebregziabher M,Ovbiagele B,Akinyemi R,Owolabi L,Obiako R,Akpa O,Armstrong K,Akpalu A,Adamu S,Obese V,Boa-Antwi N,Appiah L,Arulogun O,Mensah Y,Adeoye A,Tosin A,Adeleye O,Tabi-Ajayi E,Phillip I,Sani A,Isa

    更新日期:2016-01-01 00:00:00

  • The deleterious or beneficial effects of different agents in intracerebral hemorrhage: think big, think small, or is hematoma size important?

    abstract:BACKGROUND AND PURPOSE:Thrombin, heme oxygenase, complement, microglia activation, and leukocyte infiltration are all actively upregulated in intracerebral hemorrhage (ICH). Experimental evidence suggests that all these factors are involved in ICH-induced brain injury. This suggests a scenario whereby ICH actively (thr...

    journal_title:Stroke

    pub_type: 杂志文章,评审

    doi:10.1161/01.STR.0000170701.41507.e1

    authors: Keep RF,Xi G,Hua Y,Hoff JT

    更新日期:2005-07-01 00:00:00

  • Effects of the allosteric modification of hemoglobin on brain oxygen and infarct size in a feline model of stroke.

    abstract:BACKGROUND AND PURPOSE:Cerebral ischemia and stroke are leading causes of morbidity and mortality. An approach to protecting the brain during ischemia is to try to increase the delivery of oxygen via the residual blood flow through and around ischemic tissue. To test this hypothesis, we used a novel oxygen delivery age...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.28.8.1624

    authors: Watson JC,Doppenberg EM,Bullock MR,Zauner A,Rice MR,Abraham D,Young HF

    更新日期:1997-08-01 00:00:00

  • Increased cytochrome c-mediated DNA fragmentation and cell death in manganese-superoxide dismutase-deficient mice after exposure to subarachnoid hemolysate.

    abstract:BACKGROUND AND PURPOSE:We sought to investigate the mechanisms for oxidative injury caused by subarachnoid hemolysate, a pro-oxidant. METHODS:Injection of 50 microL of subarachnoid hemolysate or saline was performed in CD1 mice (n=75), mutant mice deficient in Mn-superoxide dismutase (Sod2+/-; n=23), and their wild-ty...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.32.2.506

    authors: Matz PG,Fujimura M,Lewen A,Morita-Fujimura Y,Chan PH

    更新日期:2001-02-01 00:00:00

  • Fibromuscular dysplasia and the brain. I. Observations on angiographic, clinical and genetic characteristics.

    abstract::The angiographic, clinical, and genetic characteristics of fibromuscular dysplasia (FMD) are reviewed in 37 patients (mean age 48 years) selected from a pool of 4000 angiograms of carotid or vertebral arteries. FMD was a neglected pathogenic factor in 28 patients with hemorrhagic or ischemic cerebral lesions. The aneu...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.13.1.46

    authors: Mettinger KL,Ericson K

    更新日期:1982-01-01 00:00:00

  • Recent advances of intervention to inhibit progression of carotid intima-media thickness in patients with type 2 diabetes mellitus.

    abstract:BACKGROUND AND PURPOSE:Type 2 diabetes is associated with a high cardiovascular morbidity and mortality. Recent advances of intervention studies in type 2 diabetes with use of carotid intima-media thickness (CIMT) measurement as a surrogate end point may allow for better understanding of the undetermined process of ath...

    journal_title:Stroke

    pub_type: 杂志文章,评审

    doi:10.1161/01.STR.0000236632.58323.cd

    authors: Yokoyama H,Katakami N,Yamasaki Y

    更新日期:2006-09-01 00:00:00

  • Blinded-reader comparison of magnetic resonance angiography and duplex ultrasonography for carotid artery bifurcation stenosis.

    abstract:BACKGROUND AND PURPOSE:We compared two-dimensional time-of-flight magnetic resonance angiography (MRA) and duplex ultrasonography with arteriography for the detection of 70% to 99% stenoses at the carotid artery bifurcation (ie, surgical disease according to findings of the North American Carotid Endarterectomy Trial)....

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.25.1.4

    authors: Mittl RL Jr,Broderick M,Carpenter JP,Goldberg HI,Listerud J,Mishkin MM,Berkowitz HD,Atlas SW

    更新日期:1994-01-01 00:00:00

  • Response of day-to-day home blood pressure variability by antihypertensive drug class after transient ischemic attack or nondisabling stroke.

    abstract:BACKGROUND AND PURPOSE:Visit-to-visit variability in systolic blood pressure (SBP) is associated with an increased risk of stroke and was reduced in randomized trials by calcium channel blockers and diuretics but not by renin-angiotensin system inhibitors. However, time of day effects could not be determined. Day-to-da...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.114.005982

    authors: Webb AJ,Wilson M,Lovett N,Paul N,Fischer U,Rothwell PM

    更新日期:2014-10-01 00:00:00

  • Apolipoprotein E, statins, and risk of intracerebral hemorrhage.

    abstract:BACKGROUND AND PURPOSE:Apolipoprotein E (ApoE) genotypes have been associated with lobar intracerebral hemorrhage (ICH). Although statins have been associated with an increased risk of ICH, meta-analyses have not consistently shown a statin-induced risk of ICH. Here, we test whether hypercholesterolemia (HC) and ApoE p...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.113.001304

    authors: Woo D,Deka R,Falcone GJ,Flaherty ML,Haverbusch M,Martini SR,Greenberg SM,Ayres AM,Sauerbeck L,Kissela BM,Kleindorfer DO,Moomaw CJ,Anderson CD,Broderick JP,Rosand J,Langefeld CD,Woo JG

    更新日期:2013-11-01 00:00:00

  • Anticoagulant-related hemorrhage in acute cerebral embolism.

    abstract::Five patients with nonseptic cerebral embolism of cardiac origin are reported in whom early anticoagulant therapy resulted in clinical deterioration or death from frank hemorrhage into the acute infarct. In each patient an initial CT scan excluded the presence of intracerebral hemorrhage and a second CT scan, after cl...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.15.3.426

    authors: Shields RW Jr,Laureno R,Lachman T,Victor M

    更新日期:1984-05-01 00:00:00

  • Sonic hedgehog regulates ischemia/hypoxia-induced neural progenitor proliferation.

    abstract:BACKGROUND AND PURPOSE:Sonic hedgehog (Shh) protein is required for the maintenance of neural progenitor cells (NPCs) in the embryonic and adult hippocampus. Brain ischemia causes increased proliferation of hippocampal NPCs. We therefore examined whether Shh regulates the increase in proliferation of NPCs after ischemi...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.109.561951

    authors: Sims JR,Lee SW,Topalkara K,Qiu J,Xu J,Zhou Z,Moskowitz MA

    更新日期:2009-11-01 00:00:00

  • Blood-Brain Barrier Leakage: A New Biomarker in Transient Ischemic Attacks.

    abstract::Background and Purpose- The diagnosis of transient ischemic attack is challenging. Evidence of acute ischemia on MRI diffusion-weighted imaging is highly variable and confirmed in only about one-third of patients. This study investigated the significance of blood-brain barrier dysfunction (BBBD) mapping in patients wi...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.119.025247

    authors: Serlin Y,Ofer J,Ben-Arie G,Veksler R,Ifergane G,Shelef I,Minuk J,Horev A,Friedman A

    更新日期:2019-05-01 00:00:00

  • Systemic inflammatory response syndrome in tissue-type plasminogen activator-treated patients is associated with worse short-term functional outcome.

    abstract:BACKGROUND AND PURPOSE:Systemic inflammatory response syndrome (SIRS) is a generalized inflammatory state. The primary goal of the study was to determine whether differences exist in outcomes in SIRS and non-SIRS intravenous tissue-type plasminogen activator-treated patients. METHODS:Consecutive patients were retrospe...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.113.001371

    authors: Boehme AK,Kapoor N,Albright KC,Lyerly MJ,Rawal PV,Bavarsad Shahripour R,Alvi M,Houston JT,Sisson A,Beasley TM,Alexandrov AW,Alexandrov AV,Miller DW

    更新日期:2013-08-01 00:00:00