The purpose of this study was to find a prognostic perfusion parameter to predict the enlargement of acute cerebral infarction. The prognostic parameter of the enlargement ratio (ER) was only mean delay transit time (DT) in all perfusion parameters, and the tendency was different depending on the existence of recanalization or not. DT obtained by multi-delay ASL may become a better prognostic index of acute cerebral infarction than the mismatch area between the infarction core and ischemic penumbra.
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