Vol. 6, Issue 1, Part B (2024)

Brain stroke diagnosis heavily relies on the magnetic resonance imaging (MRI) that provides detailed view of brain structure and function. MRI though imperfect still stands unbeaten as a key player in detecting stroke early and correctly, a procedure later found to improve clinical outcomes even without its ineffectiveness. The future is promising as AI keeps integrating into the already evolving technology of MRI which is aimed at producing innovative images for stroke diagnosis through this new approach, treating stroke like a treatable disease has led other groups towards studying different possibilities such as intra-arterial clots using thrombolytic drugs like urokinase or even more recent mechanical clot extraction. Patients who suffered from an acute ischemic stroke were admitted to AL-Najaf in the province of Najaf, Iraq. The study specifically focused on patients with ischemic stroke in the anterior circulation area and recommended that the evaluation of such patients should be based on two criteria: collateral circulation and CTP parameters. This approach helps identify patients with good collaterals and certain aspects and group characteristic thresholds, which can lead to more targeted treatment strategies. Notably, most of the patients were found to have small vessel ischemia with a baseline ASPECTS CTP threshold, indicating high incidence among this specific population subgroup.