Microvascular response of an oxygen carrier in the penumbral tissue of fast and slow progressors in a canine large vessel occlusion model

In acute ischemic stroke due to large vessel occlusion (LVO), information about the penumbral tissue can be vital in making decisions on how to treat ischemic stroke patients in the clinic. This study investigated the use of intravoxel incoherent motion (IVIM) MRI in a canine LVO model to quantify the perfusion information in penumbral tissue of fast and slow progressors that received an oxygen carrier drug. The IVIM parameters were assessed to predict the onset of penumbral tissue death. The IVIM parameters showed a better utility in predicting penumbral tissue death in fast progressors compared to slow progressors.