Use of Imaging to Guide Eligibility for Reperfusion Therapies in Acute Ischemic Stroke

Imaging is pivotal across all stages of stroke care, particularly acutely where it is central to diagnosis, prognostication, and selecting patients with a favorable benefit-to-risk profile for thrombolysis and endovascular therapy. With new therapies emerging and treatment eligibility expanding to broader patient populations, imaging strategies have evolved. This review will highlight the evolution in acute stroke imaging, examine emerging and ongoing clinical trials in which imaging is integral to patient selection, and identify priority areas for future research and development.

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Publication Details

Journal
Stroke
Published
2026-04-16
DOI
https://doi.org/10.1161/strokeaha.125.052748
Primary Topic
Acute Ischemic Stroke Management
Type
article
Field-Weighted Citation Impact
0.00
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article

Use of Imaging to Guide Eligibility for Reperfusion Therapies in Acute Ischemic Stroke

Vignan Yogendrakumar, Shelagh B. Coutts, Yunyun Xiong, Mohamad K. Abdalkader et al.
Stroke
Acute Ischemic Stroke Management
article

Use of Imaging to Guide Eligibility for Reperfusion Therapies in Acute Ischemic Stroke

Vignan Yogendrakumar, Shelagh B. Coutts, Yunyun Xiong, Mohamad K. Abdalkader, Bruce C.V. Campbell, Mark William Parsons, Götz Thomalla, Thanh N. Nguyen
article en

Abstract

Imaging is pivotal across all stages of stroke care, particularly acutely where it is central to diagnosis, prognostication, and selecting patients with a favorable benefit-to-risk profile for thrombolysis and endovascular therapy. With new therapies emerging and treatment eligibility expanding to broader patient populations, imaging strategies have evolved. This review will highlight the evolution in acute stroke imaging, examine emerging and ongoing clinical trials in which imaging is integral to patient selection, and identify priority areas for future research and development.

Stroke
Boston Medical Center (US), Allen Institute for Brain Science (US), The Royal Melbourne Hospital (AU), Universität Hamburg (DE), Ottawa Hospital (CA), Beijing Tian Tan Hospital (CN), National Clinical Research Center for Digestive Diseases (CN), University Medical Center Hamburg-Eppendorf (DE), Klinik und Poliklinik für Neurologie (DE), Ontario Brain Institute (CA), University of Newcastle Australia (AU)
Openalex Percentile: Top 14%
Acute Ischemic Stroke Management
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