Magnetic resonance imaging for diagnostic workup of embolic stroke of undetermined source : A systematic review
BACKGROUND: Embolic stroke of undetermined source (ESUS) refers to ischemic stroke where the underlying cause of thromboembolism cannot be found despite the recommended diagnostic workup. Unidentified source of emboli hinders clinical decision-making and patient management with detrimental consequences on long-term prognosis. The rapid development and versatility of magnetic resonance imaging (MRI) make it an appealing addition to the diagnostic routine of patients with ESUS for the assessment of potential vascular and cardiac embolic sources.
AIMS: To review the use of MRI in the identification of cardiac and vascular embolic sources in ESUS and to assess the reclassification value of MRI examinations added to the conventional workup of ESUS.
SUMMARY OF REVIEW: We reviewed the use of cardiac and vascular MRI for the identification of a variety of embolic sources associated with ESUS, including atrial cardiomyopathy, left ventricular pathologies, and supracervical atherosclerosis in carotid and intracranial arteries and in distal thoracic aorta. The additional reclassification after MRI examinations added to the workup of patients with ESUS ranged from 6.1% to 82.3% and varied depending on the combination of imaging modalities.
CONCLUSION: MRI techniques allow us to identify additional cardiac and vascular embolic sources and may further decrease the prevalence of patients with the diagnosis of ESUS.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:19 |
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| Enthalten in: |
International journal of stroke : official journal of the International Stroke Society - 19(2024), 3 vom: 05. März, Seite 293-304 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Khenkina, Natallia [VerfasserIn] |
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| Links: |
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| Themen: |
CMR |
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| Anmerkungen: |
Date Completed 01.03.2024 Date Revised 01.03.2024 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1177/17474930231189946 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM359365949 |
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| 100 | 1 | |a Khenkina, Natallia |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Magnetic resonance imaging for diagnostic workup of embolic stroke of undetermined source |b A systematic review |
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| 500 | |a Date Revised 01.03.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a BACKGROUND: Embolic stroke of undetermined source (ESUS) refers to ischemic stroke where the underlying cause of thromboembolism cannot be found despite the recommended diagnostic workup. Unidentified source of emboli hinders clinical decision-making and patient management with detrimental consequences on long-term prognosis. The rapid development and versatility of magnetic resonance imaging (MRI) make it an appealing addition to the diagnostic routine of patients with ESUS for the assessment of potential vascular and cardiac embolic sources | ||
| 520 | |a AIMS: To review the use of MRI in the identification of cardiac and vascular embolic sources in ESUS and to assess the reclassification value of MRI examinations added to the conventional workup of ESUS | ||
| 520 | |a SUMMARY OF REVIEW: We reviewed the use of cardiac and vascular MRI for the identification of a variety of embolic sources associated with ESUS, including atrial cardiomyopathy, left ventricular pathologies, and supracervical atherosclerosis in carotid and intracranial arteries and in distal thoracic aorta. The additional reclassification after MRI examinations added to the workup of patients with ESUS ranged from 6.1% to 82.3% and varied depending on the combination of imaging modalities | ||
| 520 | |a CONCLUSION: MRI techniques allow us to identify additional cardiac and vascular embolic sources and may further decrease the prevalence of patients with the diagnosis of ESUS | ||
| 650 | 4 | |a Systematic Review | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Review | |
| 650 | 4 | |a CMR | |
| 650 | 4 | |a ESUS | |
| 650 | 4 | |a MRI | |
| 650 | 4 | |a reclassification value | |
| 700 | 1 | |a Aimo, Alberto |e verfasserin |4 aut | |
| 700 | 1 | |a Fabiani, Iacopo |e verfasserin |4 aut | |
| 700 | 1 | |a Masci, Pier Giorgio |e verfasserin |4 aut | |
| 700 | 1 | |a Sagris, Dimitrios |e verfasserin |4 aut | |
| 700 | 1 | |a Williams, Steven E |e verfasserin |4 aut | |
| 700 | 1 | |a Mavraganis, George |e verfasserin |4 aut | |
| 700 | 1 | |a Chen, Hui-Sheng |e verfasserin |4 aut | |
| 700 | 1 | |a Wintermark, Max |e verfasserin |4 aut | |
| 700 | 1 | |a Michel, Patrik |e verfasserin |4 aut | |
| 700 | 1 | |a Ntaios, George |e verfasserin |4 aut | |
| 700 | 1 | |a Georgiopoulos, Georgios |e verfasserin |4 aut | |
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