Seredenko O. The role of perfusion spiral computed tomography in complex diagnosis of ischemic stroke

The object of the study is ischemic stroke of the brain in the severe form. The aim is the enhancing of the early diagnosis efficacy of brain ischemic stroke employing the perfusion spiral computer tomography in complex radiologic diagnostics. Methods spiral computer tomography, magneto-resonance tomography, perfusion spiral computer tomography (PSCT); spiral computer-tomographic angiography, magneto-resonance angiography and ultrasound investigation, a statistic method. Innovation. For the first time an optimal method of making a quantitative and qualitative analysis of PSCT was developed. For the first time, utilizing the clinical material verified by clinic-laboratory, instrumental methods, the finding of the neurologic study and biopsy the indices of cerebral hemodynamics in practically healthy subjects and patients with ischemic stroke in a severe period according to the finding of PSCT were developed. Criteria of diagnostics and science-based algorithm of employing the complex were also developed. Results. The employment of the proposed diagnostic algorithm involves the use of PSCT as a method of choice at the first stage of early diagnostics of ischemic stroke and other methods of radiation diagnostics at the following stages taking into consideration specific tasks. The method has been put in practice at V.K. Gousak Institute of Urgent and Restorative Surgery, AMN of Ukraine, the Diagnostic centre of the Donetsk regional clinical territorial medical association and is used in the educational process at the Department of Internal Medicine of medical faculty at Karazine Kharkov national university. Branch of medicine: radiation diagnostics.