| Autor: |
Langer RD; Department of Radiology, Faculty of Medicine and Health Sciences, UAE University, and Department of Clinical Imaging, Al Ain Hospital, United Arab Emirates. rlanger@uaeu.ac.ae, Neidl van Gorkom K, Al Kaabi HO, Torab F, Czechowski J, Nagi M, Ashish GM |
| Jazyk: |
angličtina |
| Zdroj: |
Australasian radiology [Australas Radiol] 2007 Dec; Vol. 51 (6), pp. 532-7. |
| DOI: |
10.1111/j.1440-1673.2007.01901.x |
| Abstrakt: |
The aim of the study was to validate a multimodality cranial computed tomography (CCT) protocol for patients with acute stroke in the United Arab Emirates as a basic imaging procedure for a stroke unit. Therefore, a comparative study was conducted between two groups: retrospective, historical group 1 with early unenhanced CCT and prospective group 2 undergoing a multimodality CCT protocol. Follow-up unenhanced CCT>48 h served as gold standard in both groups. Group 1: Early unenhanced CCT of 50 patients were evaluated retrospectively, using Alberta Stroke Program Early CT Score, and compared with the definite infarction on follow-up CCT. Group 2: 50 patients underwent multimodality CCT (unenhanced CCT, perfusion studies: cerebral blood flow, cerebral blood volume, mean transit time and CT angiography)<8 h after clinical onset and follow-up studies. Modified National Institute of Health Stroke Scale was used clinically in both groups. Group 1 showed 38 men, 12 women, clinical onset 2-8 h before CCT and modified National Institute of Health Stroke Scale 0-28. Group 2 included 38 men, 12 women, onset 3-8 h before CCT, modified National Institute of Health Stroke Scale 0-28. Sensitivity was 58.3% in group 1 and 84.2% in group 2. Computed tomography angiography detected nine intracranial occlusions/stenoses. The higher sensitivity of the multimodality CCT protocol justifies its use as a basic diagnostic tool for the set-up of a first-stroke unit in the United Arab Emirates. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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