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Comparison of 64-Slice Vs 128-Slice CT in Stroke Imaging: A Comprehensive Review

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  • Lalruatfela

    (Department of Medical Radiology and Imaging Technology Regional Institute of Paramedical and Nursing Sciences Aizawl Mizoram)

  • R Lalnunsangi

    (Department of Medical Radiology and Imaging Technology Regional Institute of Paramedical and Nursing Sciences Aizawl Mizoram)

Abstract

Rapid and accurate neuroimaging is essential for acute stroke management, guiding decisions for thrombolysis and mechanical thrombectomy. Multidetector computed tomography (MDCT) systems—particularly 64-slice and 128-slice scanners—are widely used for non-contrast CT (NCCT), CT angiography (CTA), and CT perfusion (CTP). This review compares the performance of 64-slice and 128-slice CT scanners in stroke imaging, focusing on spatial/temporal resolution, acquisition speed, radiation dose, diagnostic accuracy, workflow efficiency, and suitability for resource-limited settings. Evidence suggests that 128-slice CT provides superior temporal resolution, reduced motion artifacts, enhanced CTA and CTP quality, and faster workflow. However, 64-slice scanners remain highly effective for NCCT and routine CTA, offering cost-efficiency and adequate diagnostic accuracy for most emergency stroke pathways.

Suggested Citation

  • Lalruatfela & R Lalnunsangi, 2025. "Comparison of 64-Slice Vs 128-Slice CT in Stroke Imaging: A Comprehensive Review," International Journal of Research and Innovation in Applied Science, International Journal of Research and Innovation in Applied Science (IJRIAS), vol. 10(11), pages 963-970, November.
  • Handle: RePEc:bjf:journl:v:10:y:2025:i:11:p:963-970
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