 The topic of my paper presentation is an online stroke patient with tertiary health care syndrome. Stroke is a fine assist syndrome of an aptly developed and ended-sized clinical sign of pupil disturbances of cerebral function, last week I went home for hours or leading to death and it's a beauty. So the stroke is a primary to achieve death and disability. The incidence of stroke in India is 1.5 per 1 lakh person in our country, 1.24 per 1 lakh person in rural. Stroke are said to be an infarction primary, non-traumatic sobriety, ischemic stroke is a common step. Stroke accounted for 80-90% of all cases. Stroke results in a central adverse infarct tissue, some of the peripheral region of the standard cells, that is called the penamins. CT has been a modality widely used in evaluating. However, MR has a greater sensitivity and specificity for detecting early infarction in the nurse's city. MR has become a primary modality for evaluating stroke patients. Stroke MR protocol consists of T1, T2, player, D2Y, ADC, MR, angiography, and MR spectroscopy. Most infarct can be used in conventional MR sequences. Equationally, MR is sensitive for detection of hyperecutisemia. GRE for the hemorrhages, status of vessels can be assessed by MR angiography and status of various metabolites can be evaluated by MR spectroscopy. They aim and object to the role of MR in evaluation of stroke to determine the territory of involved blood vessels to MR spectroscopy finding in machine stroke. Material methods, the study was conducted in the Ontario Diagnosis Department of Pacific Academy Medical College. It was implemented by U Precinct and after that weighed a percentage of the study in comparison to the study in the Jean Metsch, the study was conducted with model of the stroke... the studies were carried out with patients line of phone. The standard of supply is polarized head point. These are the case one. Here we can see the acute left to... This is the DWI image... this is the corresponding ADC image showing hyperecord density and this is the same patient MR spectroscopy... had aero конечно, and the patient MR spectroscopy shows the lactate peak in the same area. This is the case two is the axial image showing the hyperintensity in the PCA directory. This is the case three showing lacuna and what is the DWI image? We are showing lacuna part on the left for the nucleus. And this is the MR angiolactic 3D duct image which is showing occlusion of the left MCA. This is the case five image which was shown in subarconic harm in the right cell infusion, which is shown as hyperintensities in the left cell infusion. This is the case five which shows the GRE. This is the GRE image axial section, which shows a blooming in the right hyperatomic region. This is the same as morning DWI image. This is the same patient showing high pain test in the same region. This is our discussion. This is the case distribution among the stroke patient. 80% were from the park. Cerebral hemorrhage was present in 10%. Cerebral hemorrhage was present in 5%. Cerebral hemorrhage was present in 1.2%. The inter-presentation of the stroke patients were hemophlegia and 49%. Maximum was facial palsy. It gave disturbances that headache and vertigo, visual disturbances and vomiting. This factor is associated with stroke as we have come across that hypertension was present in around 28%. Diabetes was present in around 52%. Spoken was present in around 38%. Heaviness in lightness and hypertension was present in around 36%. Hyperplostrilineal was present in around 32% and cardiovascular diseases in 9% of cases. In an extreme stroke, the population of 55% patients, 8 to 40% were from the infarct. 31% were from acute ischemia and 18% were from chronic infarct and 5% were from acute and chronic. The most commonly effective treatment was the MCA which accounted for 45 to 46% of all. In fact, it was for the observed at the left MCA. It was more commonly involved. PCA was also involved in 6 patients. Among them, 4 were patrolled on the right side. 3 patients were from A.C.E. and 2 were from the right side A.C.E. Involving the basilar artery to artery without involvement of PCA was observed in 3 patients. Human changes in white matter were observed in 6 patients. Among the 6 patients, 3 stood very well due to hyposintensities and 3 patients suffered from hypereintensities and subcortices. In fact, Shafakai was observed in 4 patients. In these white matter, hypentensities and dnds. 3 patients in a study population suffered from multiple impact. Among the study population, 2 patients suffered from water-shed impact between the right and PCA right. M.C.E. and P.H.E. So, we are finding an impact that we came through. The series of hypereintensities in 24 hours, the T1 iso, T2 pair iso to hyper. D.W.A.Increase signal, ADC is now 3crease signal. On acute one to 3 days after the insult, T1, T1 is hypo, on T2 it is hyper. D.W.A.Increase signal, ADC is decrease signal on early patients and subcortices that is 07 days, T1 hypo, T2 pair and hyper. D.W.A.Increase signal and upper end ADC is decreased. On late subcise 273 days, T1 hypo, T2 pair, hypentensity which不到 increase signal, ADC, EDC, they came in normalizing the signal to just know as the strength. On chronic, there's hypo intense due to the volume loss in sublimal Asia without that involvement. And T2, it is surrounding hypo intensity with surrounding hypo intensities, which are because of sublimal Asia with gaseous and DWW, there's normalization, EDC, it is normalized. On comparison, among the study population, 31 patients have a acute altered characteristic problem in the acute patient, both in the convention, T2, it can be devised. This is a student who has shown the situation in DWI without altered characteristics in the conventional environment. T2 was observant of the patient, hemorrhagic stroke, 6 patients in our study population suffered from hemorrhagic stroke, which was 2 to 10% in a study that's available. Hemorrhagic and gaseous anemia was observed in three patients. One patient suffered from lower involvement and one patient suffered from cerebral involvement and one from halogen involvement. Scoping mixed with five patients among the study, three patients suffered from cerebral illness from versus and two patients who suffered from hemorrhage. These are the stroke parameters. The MR finding was Markovoxel MR was performed at one patient with a student path in Australia and showed decreased na concentrations of all 31 patients compared with the contralateral cell and the lactate was observed increased in all the 31 patients. Voxel immediately adjacent to the area of diffusion which has normal signal on the MRM dish, so preserved na concentration, however, the lactate was observed. So this is the salvageable area. On conclusion, MR is anonymous in mortality, it is noticed that finalization radiation has that certain lesions kind of identified in MRI, you could see clearly why that is the revolution. Early detection of infarct and MRI maybe as we will do is ability to pick up altered water signals. EWR showed that altered signal characteristics in acute infarct earlier as compared in conventional K2. VWR showed deputant hypochloric acute infarct makes it one of the primary sequence that can aid in treating the patient in golden age. EWR can differentiate up to platelet infarct with white medicine which is responsible for patient symptoms. And EWR helped the patients have acute infarct issues to try and prove from acute and chronic. While the Voxel MR was performed patient that we do have, we also have a decrease in innate infarctations and the impact it could have all the patients when compared to contralateral site. These are my differences. Thank you.