Volume 13, Issue 2 (6-2025)
jmsthums 2025, 13(2): 87-103 |
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Bastanipour Y, Deghati M, Kheyrandish P, Khorakian M, Aboozary S, Kooshki M et al . Stroke: general and clinical symptoms and diagnostic methods using medical imaging. jmsthums 2025; 13 (2) :87-103
URL: http://jms.thums.ac.ir/article-1-1357-en.html
URL: http://jms.thums.ac.ir/article-1-1357-en.html
Yasaman Bastanipour1 
, Mohadese Deghati1 , Pouriya Kheyrandish1 , Mobin Khorakian1 , Saba Aboozary1 , Mobina Kooshki1 , Hamid-Reza Sadoughi1
, Mohadese Deghati1 , Pouriya Kheyrandish1 , Mobin Khorakian1 , Saba Aboozary1 , Mobina Kooshki1 , Hamid-Reza Sadoughi1
1- Department of Medical Physics and Radiology, School of Allied Medical Sciences, North Khorasan University of Medical Sciences, Bojnurd, Iran
Abstract: (6 Views)
Background & Aim: Stroke has significant complications and high mortality; therefore, early diagnosis and prompt management are crucial to minimize long-term disability and improve outcomes. This study reviews the general and clinical symptoms of stroke and discusses the various manifestations that occur in different types of stroke, both clinically and in corresponding medical imaging modalities.
Methods: In this review study, searches were conducted in PubMed, Scopus, ScienceDirect, and Google Scholar using keywords related to various types of stroke and their diagnostic imaging modalities, without time restrictions up to August 2024. Published articles that directly addressed the general and clinical symptoms of stroke, diagnostic medical imaging methods, and stroke management were included. Articles unrelated to the research topic, duplicates, and abstracts only were excluded.
Results: The results from 52 reviewed articles indicated that CT scans are superior for the rapid diagnosis of hemorrhagic stroke, while MRI (particularly DWI) excels in the early detection of ischemic stroke. For optimal diagnosis, combining initial CT with perfusion or angiography is recommended in acute ischemic cases, as these methods more accurately identify vascular occlusions and salvageable tissue. Clinically, hemiparesis and aphasia were identified as the most common diagnostic symptoms, and their correlation with imaging findings—especially on CT or MRI—enhances diagnostic accuracy.
Conclusion: CT scanning is preferred for the rapid diagnosis of hemorrhagic stroke, whereas MRI (DWI) is more effective for the early detection of ischemic stroke. Combining CT with perfusion or angiography in acute ischemic cases improves diagnostic precision. The use of multimodal imaging protocols, particularly in well-equipped centers, represents the best approach for timely diagnosis and improved patient outcomes.
Methods: In this review study, searches were conducted in PubMed, Scopus, ScienceDirect, and Google Scholar using keywords related to various types of stroke and their diagnostic imaging modalities, without time restrictions up to August 2024. Published articles that directly addressed the general and clinical symptoms of stroke, diagnostic medical imaging methods, and stroke management were included. Articles unrelated to the research topic, duplicates, and abstracts only were excluded.
Results: The results from 52 reviewed articles indicated that CT scans are superior for the rapid diagnosis of hemorrhagic stroke, while MRI (particularly DWI) excels in the early detection of ischemic stroke. For optimal diagnosis, combining initial CT with perfusion or angiography is recommended in acute ischemic cases, as these methods more accurately identify vascular occlusions and salvageable tissue. Clinically, hemiparesis and aphasia were identified as the most common diagnostic symptoms, and their correlation with imaging findings—especially on CT or MRI—enhances diagnostic accuracy.
Conclusion: CT scanning is preferred for the rapid diagnosis of hemorrhagic stroke, whereas MRI (DWI) is more effective for the early detection of ischemic stroke. Combining CT with perfusion or angiography in acute ischemic cases improves diagnostic precision. The use of multimodal imaging protocols, particularly in well-equipped centers, represents the best approach for timely diagnosis and improved patient outcomes.
Type of Study: Research |
Subject:
Special
Received: 2024/11/6 | Accepted: 2025/04/23 | Published: 2025/11/16
Received: 2024/11/6 | Accepted: 2025/04/23 | Published: 2025/11/16
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