Cheripelli, Bharath kumar (2020) Acute ischaemic stroke-multimodal imaging and stroke outcomes. MD thesis. http://theses.gla.ac.uk/81736/ Copyright and moral rights for this work are retained by the author A copy can be downloaded for personal non-commercial research or study, without prior permission or charge This work cannot be reproduced or quoted extensively from without first obtaining permission in writing from the author The content must not be changed in any way or sold commercially in any format or medium without the formal permission of the author When referring to this work, full bibliographic details including the author, title, awarding institution and date of the thesis must be given Enlighten: Theses https://theses.gla.ac.uk/
[email protected] 1 Acute Ischaemic Stroke- Multi modal Imaging and Stroke outcomes Dr Bharathkumar Cheripelli MBBS, MRCP, CCT (Neurology) A thesis which fulfils the requirements of the University of Glasgow for the degree of Doctorate of Medicine Institute of Neuroscience and Psychology University of Glasgow October 2019 2 Abstract Introduction Acute stroke Imaging plays a crucial role in understanding the cerebral tissue states and multimodal imaging with perfusion, collaterals and vessel occlusion provides more information on tissue dynamics in individual patient which can be useful for tailored treatments and prognosis. Perfusion parameters and their validation are important in achieving clinical practicality. A novel tissue parameter, Capillary transit time heterogeneity has been suggested to identify micro vascular flow patterns. The clinical utility of this is not yet established. Stroke outcome is dependant not only on the imaging parameters but also on patient demographics, co morbidities and probably on complex socio-economic and other unidentified patient factors.