Template:MR studies CVA/TIA: Difference between revisions

 
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===MR Imaging (for Rule-Out [[CVA]] or [[TIA]])===
===MR Imaging (for Rule-Out [[CVA]] or [[TIA]])===
*[[MRI Brain]] with DWI (without contrast) '''AND'''  
*[[MRI Brain]] with DWI, ADC (without contrast) '''AND'''  
*Cervical vascular imaging (ACEP Level B in patients with high short-term risk for stroke):<ref name="ACEP">ACEP Clinical Policy: Suspected Transient Ischemic Attack[https://www.acep.org/Physician-Resources/Policies/Clinical-policies/Clinical-Policy-Suspected-Transient-Ischemic-Attack/ full text]</ref>
*Cervical vascular imaging (ACEP Level B in patients with high short-term risk for stroke):<ref name="ACEP">ACEP Clinical Policy: Suspected Transient Ischemic Attack [https://www.acep.org/patient-care/clinical-policies/suspected-transient-ischemic-attack/ full text]</ref>
**MRA brain (without contrast) '''AND'''  
**MRA brain (without contrast) '''AND'''  
**MRA neck (without contrast)  
**MRA neck (without contrast)  
***May instead use Carotid CTA or US (Carotid US slightly less sensitive than MRA)<ref>Nederkoorn PJ, Mali WP, Eikelboom BC, et al. Preoperative diagnosis of carotid artery stenosis. Accuracy of noninvasive testing. Stroke. 2002;33:2003-2008.</ref> (ACEP Level C)
***May instead use Carotid CTA or US (Carotid US slightly less sensitive than MRA)<ref>Nederkoorn PJ, Mali WP, Eikelboom BC, et al. Preoperative diagnosis of carotid artery stenosis. Accuracy of noninvasive testing. Stroke. 2002;33:2003-2008.</ref> (ACEP Level C)

Latest revision as of 20:14, 17 May 2022

MR Imaging (for Rule-Out CVA or TIA)

  • MRI Brain with DWI, ADC (without contrast) AND
  • Cervical vascular imaging (ACEP Level B in patients with high short-term risk for stroke):[1]
    • MRA brain (without contrast) AND
    • MRA neck (without contrast)
      • May instead use Carotid CTA or US (Carotid US slightly less sensitive than MRA)[2] (ACEP Level C)
  1. ACEP Clinical Policy: Suspected Transient Ischemic Attack full text
  2. Nederkoorn PJ, Mali WP, Eikelboom BC, et al. Preoperative diagnosis of carotid artery stenosis. Accuracy of noninvasive testing. Stroke. 2002;33:2003-2008.