Actual trends in diagnosis/thrombolytic therapy of acute cerebral stroke

The recent reports confirm the idea that the selection of cerebral stroke patients for thrombolysis should be performed by MRI. These studies suggested that DWI/PWI/MRA may be able to identify patients who are most likely to benefit from thrombolytics, and that the PWI>DWI pattern in particular is associated with an improved outcome from thrombolytic therapy. However, many questions remain unanswered and a lot of work is necessary before MRI guided thrombolysis in acute cerebral stroke becomes a part of the standard care