Purpose This overview summarises the diffusion magnetic resonance imaging (
MRI) results both from the experimental animal model studies and clinical i
nvestigations in acute cerebral ischemic stroke.
Data Sources An English literature searched using MEDLINE (1990-1997).
Study Selection Over. 80 papers and reviews published in the last eight yea
rs and our partial results were selected.
Results and Conclusions magnetic resonance imaging (DWI) nas been extensive
ly used to study acute cerebral ischemia both in experimental animal models
and in patients. DWI yields signal intensity contrast modulated by water m
olecular self-diffusion. By recording a series of DWI with different amplit
udes of the displacement encoding gradient, the apparent diffusion coeffici
ent (ADO) can be quantitatively mapped. DWI combined with quantitative ADC:
mapping can provide earlier and more precise evaluation of the ischemic zo
nes. However, the biophysical mechanisms behind the decreased ADC in acute
cerebral ischemia are still not fully understood.