Collateral estimation by susceptibility-weighted imaging and prediction of functional outcomes after acute anterior circulation ischemic stroke

Abstract To determine the value of susceptibility-weighted imaging (SWI) for collateral estimation and for predicting functional outcomes after acute ischemic stroke. To identify independent predictors of favorable functional outcomes, age, sex, risk factors, baseline National Institutes of Health S...

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Autores principales:	Hyung Jin Lee, Hong Gee Roh, Sang Bong Lee, Yoo Sung Jeon, Jeong Jin Park, Taek-Jun Lee, Yu Jin Jung, Jin Woo Choi, Young Il Chun, Hee Jong Ki, Junsoo Cho, Ji Sung Lee, Hyun Jeong Kim
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/48ce12c76d39441489497aa5940e89d8
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spelling	oai:doaj.org-article:48ce12c76d39441489497aa5940e89d82021-11-08T10:55:16ZCollateral estimation by susceptibility-weighted imaging and prediction of functional outcomes after acute anterior circulation ischemic stroke10.1038/s41598-021-00775-92045-2322https://doaj.org/article/48ce12c76d39441489497aa5940e89d82021-11-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-00775-9https://doaj.org/toc/2045-2322Abstract To determine the value of susceptibility-weighted imaging (SWI) for collateral estimation and for predicting functional outcomes after acute ischemic stroke. To identify independent predictors of favorable functional outcomes, age, sex, risk factors, baseline National Institutes of Health Stroke Scale (NIHSS) score, baseline diffusion-weighted imaging (DWI) lesion volume, site of steno-occlusion, SWI collateral grade, mode of treatment, and successful reperfusion were evaluated by multiple logistic regression analyses. A total of 152 participants were evaluated. A younger age (adjusted odds ratio (aOR), 0.42; 95% confidence interval (CI) 0.34 to 0.77; P < 0.001), a lower baseline NIHSS score (aOR 0.90; 95% CI 0.82 to 0.98; P = 0.02), a smaller baseline DWI lesion volume (aOR 0.83; 95% CI 0.73 to 0.96; P = 0.01), an intermediate collateral grade (aOR 9.49; 95% CI 1.36 to 66.38; P = 0.02), a good collateral grade (aOR 6.22; 95% CI 1.16 to 33.24; P = 0.03), and successful reperfusion (aOR 5.84; 95% CI 2.08 to 16.42; P = 0.001) were independently associated with a favorable functional outcome. There was a linear association between the SWI collateral grades and functional outcome (P = 0.008). Collateral estimation using the prominent vessel sign on SWI is clinically reliable, as it has prognostic value.Hyung Jin LeeHong Gee RohSang Bong LeeYoo Sung JeonJeong Jin ParkTaek-Jun LeeYu Jin JungJin Woo ChoiYoung Il ChunHee Jong KiJunsoo ChoJi Sung LeeHyun Jeong KimNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Hyung Jin Lee Hong Gee Roh Sang Bong Lee Yoo Sung Jeon Jeong Jin Park Taek-Jun Lee Yu Jin Jung Jin Woo Choi Young Il Chun Hee Jong Ki Junsoo Cho Ji Sung Lee Hyun Jeong Kim Collateral estimation by susceptibility-weighted imaging and prediction of functional outcomes after acute anterior circulation ischemic stroke
description	Abstract To determine the value of susceptibility-weighted imaging (SWI) for collateral estimation and for predicting functional outcomes after acute ischemic stroke. To identify independent predictors of favorable functional outcomes, age, sex, risk factors, baseline National Institutes of Health Stroke Scale (NIHSS) score, baseline diffusion-weighted imaging (DWI) lesion volume, site of steno-occlusion, SWI collateral grade, mode of treatment, and successful reperfusion were evaluated by multiple logistic regression analyses. A total of 152 participants were evaluated. A younger age (adjusted odds ratio (aOR), 0.42; 95% confidence interval (CI) 0.34 to 0.77; P < 0.001), a lower baseline NIHSS score (aOR 0.90; 95% CI 0.82 to 0.98; P = 0.02), a smaller baseline DWI lesion volume (aOR 0.83; 95% CI 0.73 to 0.96; P = 0.01), an intermediate collateral grade (aOR 9.49; 95% CI 1.36 to 66.38; P = 0.02), a good collateral grade (aOR 6.22; 95% CI 1.16 to 33.24; P = 0.03), and successful reperfusion (aOR 5.84; 95% CI 2.08 to 16.42; P = 0.001) were independently associated with a favorable functional outcome. There was a linear association between the SWI collateral grades and functional outcome (P = 0.008). Collateral estimation using the prominent vessel sign on SWI is clinically reliable, as it has prognostic value.
format	article
author	Hyung Jin Lee Hong Gee Roh Sang Bong Lee Yoo Sung Jeon Jeong Jin Park Taek-Jun Lee Yu Jin Jung Jin Woo Choi Young Il Chun Hee Jong Ki Junsoo Cho Ji Sung Lee Hyun Jeong Kim
author_facet	Hyung Jin Lee Hong Gee Roh Sang Bong Lee Yoo Sung Jeon Jeong Jin Park Taek-Jun Lee Yu Jin Jung Jin Woo Choi Young Il Chun Hee Jong Ki Junsoo Cho Ji Sung Lee Hyun Jeong Kim
author_sort	Hyung Jin Lee
title	Collateral estimation by susceptibility-weighted imaging and prediction of functional outcomes after acute anterior circulation ischemic stroke
title_short	Collateral estimation by susceptibility-weighted imaging and prediction of functional outcomes after acute anterior circulation ischemic stroke
title_full	Collateral estimation by susceptibility-weighted imaging and prediction of functional outcomes after acute anterior circulation ischemic stroke
title_fullStr	Collateral estimation by susceptibility-weighted imaging and prediction of functional outcomes after acute anterior circulation ischemic stroke
title_full_unstemmed	Collateral estimation by susceptibility-weighted imaging and prediction of functional outcomes after acute anterior circulation ischemic stroke
title_sort	collateral estimation by susceptibility-weighted imaging and prediction of functional outcomes after acute anterior circulation ischemic stroke
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/48ce12c76d39441489497aa5940e89d8
work_keys_str_mv	AT hyungjinlee collateralestimationbysusceptibilityweightedimagingandpredictionoffunctionaloutcomesafteracuteanteriorcirculationischemicstroke AT honggeeroh collateralestimationbysusceptibilityweightedimagingandpredictionoffunctionaloutcomesafteracuteanteriorcirculationischemicstroke AT sangbonglee collateralestimationbysusceptibilityweightedimagingandpredictionoffunctionaloutcomesafteracuteanteriorcirculationischemicstroke AT yoosungjeon collateralestimationbysusceptibilityweightedimagingandpredictionoffunctionaloutcomesafteracuteanteriorcirculationischemicstroke AT jeongjinpark collateralestimationbysusceptibilityweightedimagingandpredictionoffunctionaloutcomesafteracuteanteriorcirculationischemicstroke AT taekjunlee collateralestimationbysusceptibilityweightedimagingandpredictionoffunctionaloutcomesafteracuteanteriorcirculationischemicstroke AT yujinjung collateralestimationbysusceptibilityweightedimagingandpredictionoffunctionaloutcomesafteracuteanteriorcirculationischemicstroke AT jinwoochoi collateralestimationbysusceptibilityweightedimagingandpredictionoffunctionaloutcomesafteracuteanteriorcirculationischemicstroke AT youngilchun collateralestimationbysusceptibilityweightedimagingandpredictionoffunctionaloutcomesafteracuteanteriorcirculationischemicstroke AT heejongki collateralestimationbysusceptibilityweightedimagingandpredictionoffunctionaloutcomesafteracuteanteriorcirculationischemicstroke AT junsoocho collateralestimationbysusceptibilityweightedimagingandpredictionoffunctionaloutcomesafteracuteanteriorcirculationischemicstroke AT jisunglee collateralestimationbysusceptibilityweightedimagingandpredictionoffunctionaloutcomesafteracuteanteriorcirculationischemicstroke AT hyunjeongkim collateralestimationbysusceptibilityweightedimagingandpredictionoffunctionaloutcomesafteracuteanteriorcirculationischemicstroke
_version_	1718442519613669376

Collateral estimation by susceptibility-weighted imaging and prediction of functional outcomes after acute anterior circulation ischemic stroke

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