Susceptibility weighted imaging (SWI) for stroke

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Susceptibility weighted imaging (SWI) for stroke. This results from thrombi. It predicts cardioembolic stroke. Fully referenced neurology checklist.

Susceptibility vessel sign

  • This results from thrombi
  • It predicts cardioembolic stroke
  • It is associated with large infarct volumes and stroke severity

Prominent hypointense vessel sign (PHVS)

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Cortical vessel sign (CVS)

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References

  1. Kang DW, Jeong HG, Kim DY, Yang W, Lee SH. Prediction of stroke subtype and recanalization using susceptibility vessel sign on susceptibility-weighted magnetic resonance imaging. Stroke 2017; 48:1554-1559. 
  2. Zhang R, Zhou Y, Liu C, et al. Overestimation of susceptibility vessel sign: a predictive marker of stroke cause. Stroke 2017; 48:1993-1996. 
  3. Yamamoto N, Satomi J, Tada Y, et al. Two-layered susceptibility vessel sign on 3-tesla T2*weighted imaging is a predictive biomarker of stroke subtype. Stroke 2015; 46:269-271. 
  4. Payabvash S, Benson JC, Taleb S, et al. Susceptible vessel sign: identification of arterial occlusion and clinical implications in acute ischaemic stroke. Clin Radiol 2017; 72:116-122.
  5. Wang Y, Shi T, Chen B, Lin G, Xu Y, Geng Y. Prominent hypointense vessel sign on susceptibility-weighted imaging is associated with clinical outcome in acute ischaemic stroke. Eur Neurol 2018; 79:231-239.
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