Ultra-high field MRI sequences for clot characterization in acute ischemic stroke

In acute ischemic stroke, the composition of the clot occluding the arteries is associated with the underlying pathophysiology and with the response to treatment. Innovative MRI sequences aim to improve the ability to recognize clot composition from neuroimaging signs. Using ultra-high field MR imaging of clot analogs, we demonstrate the ability of R2* map to distinguish between red blood cells-rich and fibrin-rich compositions. This technique can also be used for the volumetric analysis of formalin fixed clots. Further studies with intermediate clot compositions and improved phantoms will reveal the full potential of MRI sequences for depicting clot composition.