ldtЛучевая диагностика и терапияDiagnostic radiology and radiotherapy2079-5343Baltic Medical Education Centerldt-96Research ArticleНАБЛЮДЕНИЕ ИЗ ПРАКТИКИPRACTICAL CASESСТАНДАРТЫ ОКАЗАНИЯ МЕДИЦИНСКОЙ ПОМОЩИ ПЕРФУЗИОННОЕ ИССЛЕДОВАНИЕ ГОЛОВНОГО МОЗГА ПРИ ИШЕМИЧЕСКОМ ИНСУЛЬТЕ: АЛГОРИТМЫ ПОЛУЧЕНИЯ И ИНТЕРПРЕТАЦИИ ДАННЫХSTANDARTS OF MEDICAL CARE CEREBRAL PERFUSION IMAGING IN ISCHEMIC STROKE: ALGORITHMS FOR DATA ACQUISITION AND INTERPRETATIONКалининМихаил НиколаевичKalininM. N.ninilak@gmail.comИбатуллинМурат МасгутовичIbatullinM. M.murat.ibatullin@mail.ruКурадоАделя ТафкилевнаCuradoA. T.noemail@neicon.ruХасановаДина РустемовнаKhasanovaD. R.dhasanova@mail.ruЯушеваЛилия МаратовнаIaushevaL. M.liliya.yausheva@kazansmu.comРахимовИльнур ШавкатовичRakhimovI. Sh.ilnur.rakhimov@gmail.comКазанский ГМУ Минздрава РоссииРоссияKazan State Medical University, Department of Neurology and Neurosurgery for Postgraduate Training; Inter-regional Clinical Diagnostic CentreRussian FederationМежрегиональный клинико-диагностический центрРоссияInter-regional Clinical Diagnostic CentreRussian FederationЕлабужский институт (филиал) ФГАОУ ВПО КФУРоссияYelabuga College of Kazan Federal UniversityRussian Federation201530122015047590Copyright © Калинин М.Н., Ибатуллин М.М., Курадо А.Т., Хасанова Д.Р., Яушева Л.М., Рахимов И.Ш., 20152015Калинин М.Н., Ибатуллин М.М., Курадо А.Т., Хасанова Д.Р., Яушева Л.М., Рахимов И.Ш.Kalinin M.N., Ibatullin M.M., Curado A.T., Khasanova D.R., Iausheva L.M., Rakhimov I.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://radiag.bmoc-spb.ru/jour/article/view/96

На основе данных литературы и нашего собственного опыта пошагово описываются алгоритмы получения и интерпретации перфузионных данных при ишемическом инсульте, обсуждаются показания и противопоказания к проведению исследования, показана роль мультимодальных протоколов визуализации в дифференциальной диагностике масок инсульта (воспаление, опухоль, демиелинизация). При анализе перфузионных данных выделены стадии перфузионных нарушений (компенсация, субкомпенсация, декомпенсация) в контексте их локализации (ядро, пенумбра), сделан акцент на феномене люксорной перфузии, представлены прогностические критерии роста ядра инфаркта и возникновения геморрагической трансформации.

Based on the literature review and our own experience, algorithms for cerebral perfusion data acquisition and interpretation are outlined in ischemic stroke using a step-by-step approach. Indications and contraindications to the study are also discussed. The role of multimodal brain imaging protocols in distinguishing stroke mimics (inflammation, tumors, demyelination) is emphasized. By analyzing the data, stages of the perfusion disorders (compensation, subcompensation, and decompensation) have been highlighted in the context of their localization (the infarct core, the penumbra). The luxury perfusion phenomenon is stressed, and prognostic criteria for infarct core growth and development of hemorrhagic transformation are given.

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The authors declare that there are no conflicts of interest present.