Journal of the neurological sciences
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In the last two decades functional magnetic resonance imaging (fMRI) has dominated research in neuroscience. However, only recently has it taken the first steps in translation to the clinical field. In this paper we describe the advantages of fMRI and DTI and the possible benefits of implementing these methods in clinical practice. ⋯ These advanced imaging methods can be used for pre-symptomatic diagnosis, as a differentiating biomarker in the absence of anatomical measurements, and for identification of mental response in the absence of motor-sensory abilities. These methods can aid and direct rehabilitation by predicting the success of possible interventions and rehabilitation options and by supplying a measure for biofeedback. This review opens a window to the state of the art neuroimaging methods being implemented these days into the clinical practice and provides a glance to the future clinical possibilities of fMRI and DTI.
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Clinical Trial
Evaluation of early dynamic changes of intracranial arterial occlusion is useful for stroke etiology diagnosis.
The etiologic diagnosis of intracranial arterial occlusion is sometimes challenging because of the dynamic nature of acute stroke. We investigated whether short-term follow-up vascular imaging adds additional information to the differential diagnosis between intracranial atherosclerotic and embolic occlusion. ⋯ In the absence of follow-up vascular imaging, a substantial proportion of patients with intracranial middle cerebral arterial occlusion may be misdiagnosed as ICLAA. Evaluation of early dynamic changes in intracranial middle cerebral arterial occlusion may provide useful information for the differential diagnosis of intrinsic atherosclerosis and embolic occlusion.