Optimal Multiphase Computed Tomographic Angiography-based Infarct Core Estimations for Acute Ischemic Stroke

Abstract We evaluated the best methods for predicting various infarct core thresholds for endovascular treatment of ischemic stroke using parameters obtained by multiphase computed tomographic angiography (mCTA). Consecutive patients evaluated for endovascular treatment who concomitantly underwent m...

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Autores principales:	Seong-Joon Lee, Woo Sang Jung, Mun Hee Choi, Ji Man Hong, Jin Soo Lee, Jin Wook Choi
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2019
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/cc150c6d66ea4ae09412b0500f5101b0
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spelling	oai:doaj.org-article:cc150c6d66ea4ae09412b0500f5101b02021-12-02T15:09:37ZOptimal Multiphase Computed Tomographic Angiography-based Infarct Core Estimations for Acute Ischemic Stroke10.1038/s41598-019-51708-62045-2322https://doaj.org/article/cc150c6d66ea4ae09412b0500f5101b02019-10-01T00:00:00Zhttps://doi.org/10.1038/s41598-019-51708-6https://doaj.org/toc/2045-2322Abstract We evaluated the best methods for predicting various infarct core thresholds for endovascular treatment of ischemic stroke using parameters obtained by multiphase computed tomographic angiography (mCTA). Consecutive patients evaluated for endovascular treatment who concomitantly underwent mCTA and stroke magnetic resonance imaging (MRI) were analyzed. The ability of CTA-based collaterals (single-phase [sCTAc] and multiphase [mCTAc]) and ASPECTS or their combined interpretation for the selection of patients with cores of <31 ml and <70 ml, and ≥100 ml, were compared. In the total 142 patients, the combined interpretation of collateral scores and ASPECTS score indicated significant added benefit for the prediction of smaller infarct volume thresholds (<31 ml) compared to ASPECTS alone. Selection of cases that satisfied both sCTAc 3–5 and ASPECTS 6–10 had the optimal predictive capability and inter-rater reliability. While the combined interpretation did not provide a significant added benefit for the prediction of larger infarct volume thresholds, sCTAc 0–2 and mCTAc 0–2 performed as well as ASPECTS 0–5 in prediction of core volumes ≥100 ml with better inter-rater reliability. sCTA and mCTA can improve the selection of patients for EVT by more accurately predicting lower infarct core volume cutoffs. When excluding patients with large infarct cores, they can improve inter-rater reliability.Seong-Joon LeeWoo Sang JungMun Hee ChoiJi Man HongJin Soo LeeJin Wook ChoiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 9, Iss 1, Pp 1-7 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Seong-Joon Lee Woo Sang Jung Mun Hee Choi Ji Man Hong Jin Soo Lee Jin Wook Choi Optimal Multiphase Computed Tomographic Angiography-based Infarct Core Estimations for Acute Ischemic Stroke
description	Abstract We evaluated the best methods for predicting various infarct core thresholds for endovascular treatment of ischemic stroke using parameters obtained by multiphase computed tomographic angiography (mCTA). Consecutive patients evaluated for endovascular treatment who concomitantly underwent mCTA and stroke magnetic resonance imaging (MRI) were analyzed. The ability of CTA-based collaterals (single-phase [sCTAc] and multiphase [mCTAc]) and ASPECTS or their combined interpretation for the selection of patients with cores of <31 ml and <70 ml, and ≥100 ml, were compared. In the total 142 patients, the combined interpretation of collateral scores and ASPECTS score indicated significant added benefit for the prediction of smaller infarct volume thresholds (<31 ml) compared to ASPECTS alone. Selection of cases that satisfied both sCTAc 3–5 and ASPECTS 6–10 had the optimal predictive capability and inter-rater reliability. While the combined interpretation did not provide a significant added benefit for the prediction of larger infarct volume thresholds, sCTAc 0–2 and mCTAc 0–2 performed as well as ASPECTS 0–5 in prediction of core volumes ≥100 ml with better inter-rater reliability. sCTA and mCTA can improve the selection of patients for EVT by more accurately predicting lower infarct core volume cutoffs. When excluding patients with large infarct cores, they can improve inter-rater reliability.
format	article
author	Seong-Joon Lee Woo Sang Jung Mun Hee Choi Ji Man Hong Jin Soo Lee Jin Wook Choi
author_facet	Seong-Joon Lee Woo Sang Jung Mun Hee Choi Ji Man Hong Jin Soo Lee Jin Wook Choi
author_sort	Seong-Joon Lee
title	Optimal Multiphase Computed Tomographic Angiography-based Infarct Core Estimations for Acute Ischemic Stroke
title_short	Optimal Multiphase Computed Tomographic Angiography-based Infarct Core Estimations for Acute Ischemic Stroke
title_full	Optimal Multiphase Computed Tomographic Angiography-based Infarct Core Estimations for Acute Ischemic Stroke
title_fullStr	Optimal Multiphase Computed Tomographic Angiography-based Infarct Core Estimations for Acute Ischemic Stroke
title_full_unstemmed	Optimal Multiphase Computed Tomographic Angiography-based Infarct Core Estimations for Acute Ischemic Stroke
title_sort	optimal multiphase computed tomographic angiography-based infarct core estimations for acute ischemic stroke
publisher	Nature Portfolio
publishDate	2019
url	https://doaj.org/article/cc150c6d66ea4ae09412b0500f5101b0
work_keys_str_mv	AT seongjoonlee optimalmultiphasecomputedtomographicangiographybasedinfarctcoreestimationsforacuteischemicstroke AT woosangjung optimalmultiphasecomputedtomographicangiographybasedinfarctcoreestimationsforacuteischemicstroke AT munheechoi optimalmultiphasecomputedtomographicangiographybasedinfarctcoreestimationsforacuteischemicstroke AT jimanhong optimalmultiphasecomputedtomographicangiographybasedinfarctcoreestimationsforacuteischemicstroke AT jinsoolee optimalmultiphasecomputedtomographicangiographybasedinfarctcoreestimationsforacuteischemicstroke AT jinwookchoi optimalmultiphasecomputedtomographicangiographybasedinfarctcoreestimationsforacuteischemicstroke
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Optimal Multiphase Computed Tomographic Angiography-based Infarct Core Estimations for Acute Ischemic Stroke

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