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Table 5 Requirements of a validated surrogate for DWI and PWI

From: Use of diffusion and perfusion magnetic resonance imaging as a tool in acute stroke clinical trials

To fully establish diffusion and perfusion MRI as a useful tool and

validated surrogate in stroke trials, several conditions need to be

satisfied (the first four have been met; see text):

1.

DWI and PWI as biologic markers of the disease process in

 

ischemic stroke

2.

The tests are sensitive and specific for the diagnosis of stroke

 

in patients

3.

Lesion volumes correlate with clinical function as measured by

 

clinical rating scales, predict outcome, and co-vary over time

 

with clinical severity

4.

Rational co-variates affecting lesion volumes identified

5.

Utility in identifying effective treatments in trials proven

  1. DWI, diffusion weighted imaging; MRI, magnetic resonance imaging; PWI, perfusion weighted imaging.