Objective rapid quantifi cation of injury using computational methods can improve the assessment of the degree of stroke injury, aid in the selection of patients for early or specifi c treatments, and monitor the evolution of injury and recovery. In this chapter, we use neonatal ischemia as a case-study of the application of several computational methods that in fact are generic and applicable across the age and disease spectrum. We provide a summary of current computational approaches used for injury detection, including Gaussian mixture models (GMM), Markov random fi elds (MRFs), normalized graph cut, and K-means clustering. We also describe more recent automated approaches to segment the region(s) of ischemic injury including hierarchical region splitting, support vector machine, a brain symmetry/asymmetry integrated model, and a watershed method that are robust at different developmental stages. We conclude with our assessment of probable future research directions in the fi eld of computational noninvasive stroke analysis such as automated detection of the ischemic core and penumbra, monitoring of implanted neuronal stem cells in the ischemic brain, injury localization specifi c to different brain anatomical regions, and quantifi cation of stroke evolution, recovery and spatiotemporal interactions between injury volume/severity and treatment. Computational analysis is expected to open a new horizon in current clinical and translational stroke research by exploratory data mining that is not detectable using the standard "methods" of visual assessment of imaging data.