Comparative Analysis of CT and MRI in Emergency Assessment of Stroke: A Review

  • Digvijay Singh Chitkara School of Health Sciences,Chitkara University, Punjab-140401, India
  • Chanchal Kaushik Chitkara School of Health Sciences,Chitkara University, Punjab-140401, India
Keywords: Stroke, Ischemic stroke, Hemorrhagic stroke, Infarcts, Cerebrovascular accidents

Abstract

Objective: To compare the diagnostic accuracy of computed tomography (CT) and magnetic resonance imaging (MRI)in emergency assessment of stroke in brain imaging from the review of literature.
Method: Relevant databases (PubMed, google scholar etc.) were searched and literature were reviewed from 1995 to 2019. Literature from non-Scopus and unauthorized authorizations was excluded.
Result: It was observed that for MRI DWI (Diffusion-weighted imaging) is preferred and in CT, axial sections are opted. In earlier studies, it was seen that neither CT nor MRI came out to besuperior. This may be due to the previous technology used. Some studies also, suggested that Diffusion-weighted imaging is highly accurate in diagnosis of stroke and also superior to CT. Another study suggested that SWI is a new approach in visualizing the hemorrhage in acute stroke. On one hand, evidence revealed that MRI is as good as CT. While on the other hand, literature concluded that CT angiography is good for intracranial and extracranial vasculature. Some studies suggested that CT is more reliable and is readily available for stroke.
Conclusion: Present study concludes that both diagnostic imaging modalities i.e., CT and MRI have their advantages in diagnosis of ischemic and hemorrhagic stroke. Also chances of stroke increases with increase in age. Other factors influencing the stroke diagnosis and treatment are type of stroke, diagnostic imaging modality available, and cost-effectiveness of diagnostic exams performed.

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Published
2019-04-08
How to Cite
Digvijay Singh, & Chanchal Kaushik. (2019). Comparative Analysis of CT and MRI in Emergency Assessment of Stroke: A Review. Journal of Multidisciplinary Research in Healthcare, 5(2), 57-63. https://doi.org/10.15415/jmrh.2019.52007
Section
Articles