vProgress of Automated Computed Tomography Perfusion in Endovascular Treatment for Acute Large Vessel Occlusion

doi:10.3969/j.issn.1673-5765.2021.11.002

Abstract

Abstract: Automated CTP imaging is an kind of perfusion image method using automated perfusion processing software to interpret perfusion raw data. It can quickly, accurately and quantitatively evaluate the volume of core infarction and ischemic penumbra, evaluate collateral circulation and identify the type of occlusion vessels, and help doctors to select eligible patients with acute large vessel occlusion who can benefit from endovascular treatment. This article reviewed the specific significance of CTP parameters, and the progress of clinical application, the limitations and future development directions of automated CTP.

Key words: Computed tomography perfusion imaging; Acute large vessel occlusion; Endovascular treatment; Core infarction; Ischemic penumbra; Ischemic stroke

摘要： 自动化CTP是通过自动化灌注处理软件处理CTP原始数据的一种灌注成像方式，能快速、精准地定量预测急性缺血性卒中核心梗死和缺血半暗带体积，评估侧支循环代偿情况及识别闭塞血管类型，帮助临床医师更精准地选择能从血管内治疗中获益的急性脑大血管闭塞患者。本文就自动化CTP参数的具体意义和临床应用的最新进展进行综述，并评价自动化CTP的局限性及未来发展方向。

关键词: 计算机断层扫描灌注成像; 急性大血管闭塞; 血管内治疗; 核心梗死; 缺血半暗带; 缺血性卒中

SUN Da-Peng, HUO Xiao-Chuan, MA Gao-Ting, TONG Xu, ZHANG Xue-Lei, MIAO Zhong-Rong. vProgress of Automated Computed Tomography Perfusion in Endovascular Treatment for Acute Large Vessel Occlusion[J]. Chinese Journal of Stroke, 2021, 16(11): 1092-1098.

孙大鹏, 霍晓川, 马高亭, 佟旭, 张雪蕾, 缪中荣. 自动化头颅计算机断层扫描灌注成像在脑急性大血管闭塞血管内治疗中的应用研究进展[J]. 中国卒中杂志, 2021, 16(11): 1092-1098.

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