Characteristics of Misclassified CT Perfusion Ischemic Core in Patients with Acute Ischemic Stroke

Autor: Sjoerd F. M. Jenniskens, Clean trial investigators, Jordi Borst, Henk A. Marquering, Ralph R. E. G. Geuskens, Wim H. van Zwam, Yvo B.W.E.M. Roos, Marit Lucas, A. M. Merel Boers, Diederik W.J. Dippel, Marianne A. A. van Walderveen, Olvert A. Berkhemer, Charles B. L. M. Majoie
Přispěvatelé: Biomedical Engineering and Physics, Other departments, ACS - Amsterdam Cardiovascular Sciences, ANS - Amsterdam Neuroscience, Radiology and Nuclear Medicine, Neurology, RS: CARIM - R3 - Vascular biology, MUMC+: DA BV Medisch Specialisten Radiologie (9)
Rok vydání: 2015
Předmět:
Zdroj: PLoS One, 10
PLoS One, 10, 11
PLoS ONE, 10(11). Public Library of Science
PLoS One (print), 10(11). Public Library of Science
PLoS ONE, 10(11):e0141571. PUBLIC LIBRARY SCIENCE
PLoS ONE, Vol 10, Iss 11, p e0141571 (2015)
PLOS ONE, 10(11):e0141571. Public Library of Science
PLoS ONE
ISSN: 1932-6203
Popis: Contains fulltext : 152013.PDF (Publisher’s version ) (Open Access) BACKGROUND: CT perfusion (CTP) is used to estimate the extent of ischemic core and penumbra in patients with acute ischemic stroke. CTP reliability, however, is limited. This study aims to identify regions misclassified as ischemic core on CTP, using infarct on follow-up noncontrast CT. We aim to assess differences in volumetric and perfusion characteristics in these regions compared to areas that ended up as infarct on follow-up. MATERIALS AND METHODS: This study included 35 patients with >100 mm brain coverage CTP. CTP processing was performed using Philips software (IntelliSpace 7.0). Final infarct was automatically segmented on follow-up noncontrast CT and used as reference. CTP and follow-up noncontrast CT image data were registered. This allowed classification of ischemic lesion agreement (core on CTP: rMTT>/=145%, aCBV
Databáze: OpenAIRE