Gcjraceifrjts f ehw sgfoo frthry dcshfsh ai tbh `rfce1 MG \frdofw Jbfcr ai Fppochd Ehuracgflcel Bhfd ai Ehuracgflcel Zjchejhs Xecvhrscty ai Hdce`urlb
7/22/2019 Joanna Wardlaw - Micro infarctus, a new SADB MRI marker ?
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Gcjraceifrjts
f ehw sgfoo frthry dcshfsh ai tbh `rfce1
MG \frdofw
Jbfcr ai Fppochd Ehuracgflcel
Bhfd ai Ehuracgflcel Zjchejhs
Xecvhrscty ai Hdce`urlb
7/22/2019 Joanna Wardlaw - Micro infarctus, a new SADB MRI marker ?
http://slidepdf.com/reader/full/joanna-wardlaw-micro-infarctus-a-new-sadb-mri-marker- 2/22
Gcjraceifrjts= Dhicectcae
• Gcjrasjapcj ―eat vcsc oh ta tbh efkhd hyh‑
• ‟gceuth iajc wctb ehuraefo oass, locascs, pfooar, ar jysts‗
• ‟sbfrpoy dhocehfthd gcjrasjapcj csjbhgcj ohscaes
fjjagpfechd `y jhoouofr dhftb ar tcssuh ehjrascs, aithefssajcfthd wctb locascs fed jfvctftcae‗
@ruedho ht fo MJ@IG 0>60;:0=408-:9; Zgctb ht fo TOE 0>60;66=0<0-20
jfvctfthdJartcjfo eae-
jfvctfthd
7/22/2019 Joanna Wardlaw - Micro infarctus, a new SADB MRI marker ?
http://slidepdf.com/reader/full/joanna-wardlaw-micro-infarctus-a-new-sadb-mri-marker- 3/22
Gcjraceifrjts= Oajftcae
• Foo `rfce rhlcaes
• ^rhpaedhrfejh iar jarthx (gastoy
hxfgcehd jarthx)• ^assc`oy garh ce `ardhrzaeh rhlcaes
• Gfey studchs dcd eat jagpfrh rhlcaes
dcrhjtoy
@ruedho ht fo MJ@IG 0>60;:0=408-:9; Zgctb ht fo TOE 0>60;66=0<0-20
7/22/2019 Joanna Wardlaw - Micro infarctus, a new SADB MRI marker ?
http://slidepdf.com/reader/full/joanna-wardlaw-micro-infarctus-a-new-sadb-mri-marker- 4/22
Gcjraceifrjts= Zczh
• Octtoh jaeshesus=
‚ ―gcjrasjapcj‑, ar 8> ¸g
‚ ta 4>> ¸g ‚ ta f ihw gg jofsshd fs gcjraceifrjts
• Jystcj aehs gfy `h ofrlhr1
@ruedho ht fo MJ@IG 0>60;:0=408-:9; Zgctb ht fo TOE 0>60;66=0<0-20
7/22/2019 Joanna Wardlaw - Micro infarctus, a new SADB MRI marker ?
http://slidepdf.com/reader/full/joanna-wardlaw-micro-infarctus-a-new-sadb-mri-marker- 5/22
Gcjraceifrjts= ^rhvfohejh
• 04% ce 6003 eae-dhghethd aodhr jaetraosu`mhjts, rfelh 0.8 ‚ 4:%6
• Twa ofrlh ehurapftbaoaly dftf`fshs, flhd ≨980
‚ Eftcaefo Fozbhcghr‑s Ja-ardceftcel Jhetrh (9623)
‚ Fduot Jbfelhs ce Tbaulbt (063)
‚ Gcjraceifrjts jaggae ‚ 63.<% fed 69%
‚ 1 Garh jaggae ce ghe tbfe waghe (06 vs 62.8%)
• Cejrhfsh ce prhvfohejh ce FD= 4:% ce 4>3pftchets ce 2 studchs,6
• Garh jaggae ce YfD= 90% ce 2< pftchets ce 9
studchs6
6@ruedho ht fo MJ@IG 0>60;:0=408-:9; 0Oaelstrhtb Foz Dcs Fssaj Dcs 0>>3;0:=036
7/22/2019 Joanna Wardlaw - Micro infarctus, a new SADB MRI marker ?
http://slidepdf.com/reader/full/joanna-wardlaw-micro-infarctus-a-new-sadb-mri-marker- 6/22
Gcjraceifrjts= ^rhvfohejh
^hrjhet ai pftchets wctb gcjraceifrjts ce EFJJ fed FJT
ehurapftbaoaly dftf`fshs jag`cehd, tatfo e794>2Oaelstrhtb Foz Dcs Fssaj Dcsardhrs 0>>3;0:=036-4
7/22/2019 Joanna Wardlaw - Micro infarctus, a new SADB MRI marker ?
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Gcjraceifrjts= Jalectcae
Zgctb ht fo TOE 0>60;66=0<0-020
^rhvfohejh ai gcjraceifrjts ce su`mhjts wctb fed wctbaut dhghetcf ce
jagguecty-`fshd jabarts, foo-jfush gartfocty, prasphjtcvh fsshssghet ce
ocih. Gcjraceifrjts garh tbfe dau`oh tbh rcsk ai dhghetcf
Gcjraceifrjts cejrhfsh rcsk ai dhghetcf= AP 0.:6 38% JC 6.4>-:.20
7/22/2019 Joanna Wardlaw - Micro infarctus, a new SADB MRI marker ?
http://slidepdf.com/reader/full/joanna-wardlaw-micro-infarctus-a-new-sadb-mri-marker- 8/22
Gcjraceifrjts= Pcsk ifjtars
Zgctb ht fo TOE 0>60;66=0<0-020
• Flh
• Byphrthescae ‚ gcxhd rhsuots ‚ passc`oy ce pftchets
?2> `ut eat 52> yhfrs
• ea johfr lhedhr `cfs ce atbhr studchs
• jhrh`rfo fgyoacd felcapftby
• frthrcaoasjohrascs• JFDFZCO
• ja-hxcst wctb dhlhehrftcvh pftbaoalchs
Gcjraceifrjts= ^ftbaoaly
7/22/2019 Joanna Wardlaw - Micro infarctus, a new SADB MRI marker ?
http://slidepdf.com/reader/full/joanna-wardlaw-micro-infarctus-a-new-sadb-mri-marker- 9/22
Gcjraceifrjts fed Cgflcel
• Gcjrasjapcj sa bfrd ta shh ae rautceh 6.8
ar :T GP ueohss vhry `rclbt sclefo
• ―jysts‑ ar frhfs ai rfrhifjtcae
• jarthx
• 1sagh ^YZ gclbt `h gcjraceifrjts
7/22/2019 Joanna Wardlaw - Micro infarctus, a new SADB MRI marker ?
http://slidepdf.com/reader/full/joanna-wardlaw-micro-infarctus-a-new-sadb-mri-marker- 10/22
Gcjraceifrjts fed Gfjrasjapcj Icedcels
Oaelstrhtb Foz Dcs Fssaj Dcsardhrs 0>>3;0:=036-4
Ztrael fssajcftcae wctb gfjrasjapcj ihfturhs=
Eft FD Jaard Jhetrh=
AP 38% JC
Gfjraceifrjts 4.4 (:.2-8.0)\GB 0.9 (0.6, :.:)
Bfhgarrbflh 0.> (6.9, 0.9)
Fduot Jbfelhs ce Tbaulbt=
Gfjraceifrjts 0.3 (6.4, 9.:)
7/22/2019 Joanna Wardlaw - Micro infarctus, a new SADB MRI marker ?
http://slidepdf.com/reader/full/joanna-wardlaw-micro-infarctus-a-new-sadb-mri-marker- 11/22
Gcjraceifrjts fed Gfjrasjapcj Icedcels
Zagh sgfoo D\C +vh ohscaes ce pftchets wctbbfhgarrbflh
Zagh sgfoo D\C ohscaes ce pftchets wctb eae-
bfhgarrbflcj ZYD
Kcg`hrohy Ehuraoaly 0>>3;<0=60:>, Zgctb ht fo TOE 0>60;66=0<0-020
7/22/2019 Joanna Wardlaw - Micro infarctus, a new SADB MRI marker ?
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7/22/2019 Joanna Wardlaw - Micro infarctus, a new SADB MRI marker ?
http://slidepdf.com/reader/full/joanna-wardlaw-micro-infarctus-a-new-sadb-mri-marker- 13/22
Mauvhet ht fo Ztrakh 0>66;40=0<-6>
Gcjraceifrjts ce JFDFZCO
Ce vcva ^ast garthg
Bclb rhs Oaw rhs
7/22/2019 Joanna Wardlaw - Micro infarctus, a new SADB MRI marker ?
http://slidepdf.com/reader/full/joanna-wardlaw-micro-infarctus-a-new-sadb-mri-marker- 14/22
<T GPC
Yfe Yhouw ht fo MJ@IG 0>60;::=:00-3Daear `rfce sjfeehd ^G wctb gfjra fed gcjrasjapcj icedcels
Ce 9 `rfces ai pftchets dycel wctb FD, iaued 9 ohscaes ai wbcjb 8whrh jaeicrghd fs gcjraceifrjts ae bcstaoaly
7/22/2019 Joanna Wardlaw - Micro infarctus, a new SADB MRI marker ?
http://slidepdf.com/reader/full/joanna-wardlaw-micro-infarctus-a-new-sadb-mri-marker- 15/22
<T GPC
^assc`oh gcjraceifrjt <9 yrs
gfoh.
IOFCP (tap, >.2x>.2x>.2gg)
T0 (`hoaw >.<x>.<x>.<gg)
Yfe Yhouw ht fo MJ@IG 0>60;::=:00-3
Ce 00 aodhr cedhphedhet su`mhjts ghfe flh 92¶: yhfrs
sjfeehd ce vcva= iaued 68 pra`f`oh gcjraceifrjts ce 9 su`mhjts
7/22/2019 Joanna Wardlaw - Micro infarctus, a new SADB MRI marker ?
http://slidepdf.com/reader/full/joanna-wardlaw-micro-infarctus-a-new-sadb-mri-marker- 16/22
<T GPC
Yfe Yhouw ht fo MJ@IG 0>60;::=:00-3
Ce 00 aodhr cedhphedhet su`mhjts ghfe flh 92¶: yhfrssjfeehd ce vcva= iaued 68 pra`f`oh gcjraceifrjts ce 9
su`mhjts
99 yhfr ihgfoh.
IOFCP (ohit >.2x>.2x>.2) T0 (gcddoh >.<x>.<x>.<), T6 (rclbt 6x6x6)
7/22/2019 Joanna Wardlaw - Micro infarctus, a new SADB MRI marker ?
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gcjravfsjuofr ohscaes ae <T GPC=
sgfoo fjuth ceifrjts
IOFCP
>.2>x>.2>x>.2> gg:
Yfe @chsshos
7/22/2019 Joanna Wardlaw - Micro infarctus, a new SADB MRI marker ?
http://slidepdf.com/reader/full/joanna-wardlaw-micro-infarctus-a-new-sadb-mri-marker- 18/22
<T GPC
• Byphrcethesh ae IOFCP fed T0,
bypacethesh ae T6
• Dhthjtf`oh ci=
‚ 5>.8gg dcfg hx vcva
‚ 56gg ft jocecjfo rhsaoutcae hx fed ce vcva
Yfe Yhouw ht fo MJ@IG 0>60;::=:00-3
7/22/2019 Joanna Wardlaw - Micro infarctus, a new SADB MRI marker ?
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36 yhfr aod su`mhjt ce Oatbcfe 6306 @crtb Jabart
6.8T GPC
7/22/2019 Joanna Wardlaw - Micro infarctus, a new SADB MRI marker ?
http://slidepdf.com/reader/full/joanna-wardlaw-micro-infarctus-a-new-sadb-mri-marker- 20/22
Gcjraceifrjts
• Jaggae wctb fdvfejcel flh
• Fssajcftcae wctb gfjrasjapcj fed
gcjrasjapcj ZYD, JFF fed JFDFZCO
• Ohss dhicehd fssajcftcae wctb usufo
vfsjuofr rcsk ifjtars
• Ycsc`oh wctb joash sjrutcey hvhe ft 6.8T (ftohfst tbrhh frh..)
7/22/2019 Joanna Wardlaw - Micro infarctus, a new SADB MRI marker ?
http://slidepdf.com/reader/full/joanna-wardlaw-micro-infarctus-a-new-sadb-mri-marker- 21/22
Gcjraceifrjts
Iuturh dcrhjtcaes• Joashr ce-vcva ‚ ^G ‚ bcstapftb jarrhoftcae
• Dcstrc`utcae
• Pcsk ifjtars
• Tclbthe up ae gfjrasjapcj cgflcel
fssajcftcaes
• Thrgceaoaly….
• Dcstcejt1 Ar must f tcey vhssho vhrscae ai
wbft wh shh forhfdy1
7/22/2019 Joanna Wardlaw - Micro infarctus, a new SADB MRI marker ?
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Gcjraceifrjts fed ZFD@1
Zcgpoy f quhstcae ai sjfoh