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1 Introduction.- 2 CT as the Current Standard in Stroke Imaging.- 3 Stroke Scales.- 4 Conventional MRI, Diffusion-weighted MM (DWI) and Apparent Diffusion Coefficient (ADC).- 5 Perfusion-weighted MRI (PWI).- 6 The Penumbra and the Mismatch Concept.- 7 Stroke MRI and Intracranial Hemorrhage.- 8 Feasibility, Practicality and Logistics of a Multisequence Stroke MRI Protocol.- 9 Comparison of DWI and CT.- 10 Characterization of Hyperacute Ischemic Stroke with Stroke MRI.- 11 Thrombolytic Therapy in Stroke.- 12 Impact of Stroke MRI on Therapeutic Decision Making.- 13 Alternative and Future Imaging Prospects.- 14 The Role of Stroke MRI in Clinical Trials.- References.