Research ArticleBRAIN
Alberta Stroke Program Early CT Scoring of CT Perfusion in Early Stroke Visualization and Assessment
R.I. Aviv, J. Mandelcorn, S. Chakraborty, D. Gladstone, S. Malham, G. Tomlinson, A.J. Fox and S. Symons
American Journal of Neuroradiology November 2007, 28 (10) 1975-1980; DOI: https://doi.org/10.3174/ajnr.A0689
R.I. Aviv
J. Mandelcorn
S. Chakraborty
D. Gladstone
S. Malham
G. Tomlinson
A.J. Fox

References
- ↵von Kummer R, Nolte PN, Schnittger H, et al. Detectability of cerebral hemisphere ischaemic infarcts by CT within 6 h of stroke. Neuroradiology 1996;38:31–33
- ↵Mullins ME, Lev MH, Schellingerhout D, et al. Influence of availability of clinical history on detection of early stroke using unenhanced CT and diffusion-weighted MR imaging. AJR Am J Roentgenol 2002;179:223–28
- ↵Lev MH, Farkas J, Gemmete JJ, et al. Acute stroke: improved nonenhanced CT detection–benefits of soft-copy interpretation by using variable window width and center level settings. Radiology 1999;213:150–55
- ↵Barber PA, Demchuk AM, Zhang J, et al. Validity and reliability of a quantitative computed tomography score in predicting outcome of hyperacute stroke before thrombolytic therapy: ASPECTS Study Group—Alberta Stroke Programme Early CT Score. Lancet 2000;355:1670–74
- ↵Coutts SB, Lev MH, Eliasziw M, et al. ASPECTS on CTA source images versus unenhanced CT: added value in predicting final infarct extent and clinical outcome. Stroke 2004;35:2472–76
- ↵Haley EC Jr, Lewandowski C, Tilley BC. Myths regarding the NINDS rt-PA Stroke Trial: setting the record straight. Ann Emerg Med 1997;30:676–82
- ↵Saposnik G, Di Legge S, Webster F, et al. Predictors of major neurologic improvement after thrombolysis in acute stroke. Neurology 2005;65:1169–74
- ↵Brown DL, Johnston KC, Wagner DP, et al. Predicting major neurological improvement with intravenous recombinant tissue plasminogen activator treatment of stroke. Stroke 2004;35:147–50
- ↵Alexandrov AV, Demchuk AM, Felberg RA, et al. High rate of complete recanalization and dramatic clinical recovery during tPA infusion when continuously monitored with 2-MHz transcranial Doppler monitoring. Stroke 2000;31:610–14
- ↵Weir NU, Pexman JH, Hill MD, et al. CASES investigators: how well does ASPECTS predict the outcome of acute stroke treated with IV tPA? Neurology 2006;67:516–18
- ↵Cohnen M, Wittsack HJ, Assadi S, et al. Radiation exposure of patients in comprehensive computed tomography of the head in acute stroke. AJNR Am J Neuroradiol 2006;27:1741–45
- ↵Pexman JH, Barber PA, Hill MD, et al. Use of the Alberta Stroke Program Early CT Score (ASPECTS) for assessing CT scans in patients with acute stroke. AJNR Am J Neuroradiol 2001;22:1534–42
- ↵Schaefer PW, Roccatagliata L, Ledezma C, et al. First-pass quantitative CT perfusion identifies thresholds for salvageable penumbra in acute stroke patients treated with intra-arterial therapy. AJNR Am J Neuroradiol 2006;27:20–25
- Wintermark M, Flanders AE, Velthuis B, et al. Perfusion-CT assessment of infarct core and penumbra: receiver operating characteristic curve analysis in 130 patients suspected of acute hemispheric stroke. Stroke 2006;37:979–85
- Murphy BD, Fox AJ, Lee DH, et al. Identification of penumbra and infarct in acute ischemic stroke using computed tomography perfusion-derived blood flow and blood volume measurements. Stroke 2006;37:1771–77
- Schaefer PW, Roccatagliata L, Ledezma C, et al. First-pass quantitative CT perfusion identifies thresholds for salvageable penumbra in acute stroke patients treated with intra-arterial therapy. AJNR Am J Neuroradiol 2006;27:20–25
- ↵Wintermark M, Reichhart M, Thiran JP, et al. Prognostic accuracy of cerebral blood flow measurement by perfusion computed tomography, at the time of emergency room admission, in acute stroke patients. Ann Neurol 2002;51:417–32
- ↵Roberts HC, Roberts TP, Smith WS, et al. Multisection dynamic CT perfusion for acute cerebral ischemia: the “toggling-table” technique. AJNR Am J Neuroradiol 2001;22:1077–80
- ↵Wintermark M, Smith WS, Ko NU, et al. Dynamic perfusion CT: optimizing the temporal resolution and contrast volume for calculation of perfusion CT parameters in stroke patients. AJNR Am J Neuroradiol 2004;25:720–29
- ↵Adams HP Jr, Adams RJ, Brott T, et al. Guidelines for the early management of patients with ischemic stroke: a scientific statement from the Stroke Council of the American Stroke Association. Stroke 2003;34:1056–83
- Moulin T, Cattin F, Crepin-Leblond T, et al. Early CT signs in acute middle cerebral artery infarction: predictive value for subsequent infarct locations and outcome. Neurology 1996;47:366–75
- von Kummer R, Bourquain H, Bastianello S, et al. Early prediction of irreversible brain damage after ischemic stroke at CT. Radiology 2001;219:95–100
- ↵Hill MD, Rowley HA, Adler F, et al, and the PROACT-II Investigators. Selection of acute ischemic stroke patients for intra-arterial thrombolysis with pro-urokinase by using ASPECTS. Stroke 2003;34:1925–31. Epub 2003 Jul 3
- Hacke W, Kaste M, Fieschi C, et al. Intravenous thrombolysis with recombinant tissue plasminogen activator for acute hemispheric stroke:+- The European Cooperative Acute Stroke Study (ECASS). JAMA 1995;274:1017–25
- ↵Dzialowski I, Hill MD, Coutts SB, et al. Extent of early ischemic changes on computed tomography (CT) before thrombolysis: prognostic value of the Alberta Stroke Program Early CT Score in ECASS II. Stroke 2006;37:973–78
- Cornu C, Boutitie F, Candelise L, et al. Streptokinase in acute ischemic stroke: an individual patient data meta-analysis—the Thrombolysis in Acute Stroke Pooling Project. Stroke 2000;31:1555–60
- ↵Patel SC, Levine SR, Tilley BC, et al. Lack of clinical significance of early ischemic changes on computed tomography in acute stroke. JAMA 2001;286:2830–38
- ↵Hill MD, Demchuk AM, Tomsick TA, et al. Using the baseline CT scan to select acute stroke patients for IV-IA therapy. AJNR Am J Neuroradiol 2006;27:1612–16
- ↵Tissue plasminogen activator for acute ischemic stroke: The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group. N Engl J Med 1995;333:1581–87
- ↵Wardlaw JM, Dorman PJ, Lewis SC, et al. Can stroke physicians and neuroradiologists identify signs of early cerebral infarction on CT? J Neurol Neurosurg Psychiatry 1999;67:651–53
- ↵
- ↵Na DG, Kim EY, Ryoo JW, et al. CT sign of brain swelling without concomitant parenchymal hypoattenuation: comparison with diffusion- and perfusion-weighted MR imaging. Radiology 2005;235:992–48
- ↵Parsons MW, Pepper EM, Chan V, et al. Perfusion computed tomography: prediction of final infarct extent and stroke outcome. Ann Neurol 2005;58:672–79
- ↵Jahan R, Duckwiler GR, Kidwell CS, et al. Intraarterial thrombolysis for treatment of acute stroke: experience in 26 patients with long-term follow-up. AJNR Am J Neuroradiol 1999;20:1291–99
In this issue
Advertisement
R.I. Aviv, J. Mandelcorn, S. Chakraborty, D. Gladstone, S. Malham, G. Tomlinson, A.J. Fox, S. Symons
Alberta Stroke Program Early CT Scoring of CT Perfusion in Early Stroke Visualization and Assessment
American Journal of Neuroradiology Nov 2007, 28 (10) 1975-1980; DOI: 10.3174/ajnr.A0689
0 Responses
Jump to section
Related Articles
- No related articles found.
Cited By...
- Automated ASPECTS in Acute Ischemic Stroke: A Comparative Analysis with CT Perfusion
- Computed Tomographic Perfusion Predicts Poor Outcomes in a Randomized Trial of Endovascular Therapy
- Cerebellar Hypoperfusion in Migraine Attack: Incidence and Significance
- Impact of ASPECT scores and infarct distribution on outcomes among patients undergoing thrombectomy for acute ischemic stroke with the ADAPT technique
- Performance of CT ASPECTS and Collateral Score in Risk Stratification: Can Target Perfusion Profiles Be Predicted without Perfusion Imaging?
- Dynamic Angiography and Perfusion Imaging Using Flat Detector CT in the Angiography Suite: A Pilot Study in Patients with Acute Middle Cerebral Artery Occlusions
- Correlation between cerebral blood volume values and outcomes in endovascular therapy for acute ischemic stroke
- Combined Multimodal Computed Tomography Score Correlates With Futile Recanalization After Thrombectomy in Patients With Acute Stroke
- Performance and Predictive Value of a User-Independent Platform for CT Perfusion Analysis: Threshold-Derived Automated Systems Outperform Examiner-Driven Approaches in Outcome Prediction of Acute Ischemic Stroke
- Impact of the ASPECT scores and distribution on outcome among patients undergoing thrombectomy for acute ischemic stroke
- A prospective, multicenter pilot study investigating the utility of flat detector derived parenchymal blood volume maps to estimate cerebral blood volume in stroke patients
- Pre-intervention cerebral blood volume predicts outcomes in patients undergoing endovascular therapy for acute ischemic stroke
- A novel clinical and imaging based score for predicting outcome prior to endovascular treatment of acute ischemic stroke
- Pre-intervention triage incorporating perfusion imaging improves outcomes in patients undergoing endovascular stroke therapy: a comparison with the device trials
- Clinical Stroke Penumbra: Use of National Institutes of Health Stroke Scale as a Surrogate for CT Perfusion in Patient Triage for Intra-Arterial Middle Cerebral Artery Stroke Therapy
- Acute Stroke Imaging: CT with CT Angiography and CT Perfusion before Management Decisions
- Imaging-Based Endovascular Therapy for Acute Ischemic Stroke due to Proximal Intracranial Anterior Circulation Occlusion Treated Beyond 8 Hours From Time Last Seen Well: Retrospective Multicenter Analysis of 237 Consecutive Patients
- Evaluation of CT Perfusion in the Setting of Cerebral Ischemia: Patterns and Pitfalls
- CT Angiography Source Images Predict Final Infarct Extent in Patients with Basilar Artery Occlusion
This article has been cited by the following articles in journals that are participating in Crossref Cited-by Linking.
- Tudor G. Jovin, David S. Liebeskind, Rishi Gupta, Marilyn Rymer, Ansaar Rai, Osama O. Zaidat, Alex Abou-Chebl, Blaise Baxter, Elad I. Levy, Andrew Barreto, Raul G. NogueiraStroke 2011 42 8
- Julia Hopyan, Anthony Ciarallo, Dar Dowlatshahi, Peter Howard, Verity John, Robert Yeung, Liying Zhang, Jisung Kim, Genevieve MacFarlane, Ting-Yim Lee, Richard I. AvivRadiology 2010 255 1
- Y.W. Lui, E.R. Tang, A.M. Allmendinger, V. SpektorAmerican Journal of Neuroradiology 2010 31 9
- Christian Maegerlein, Johanna Fischer, Sebastian Mönch, Maria Berndt, Silke Wunderlich, Christian L. Seifert, Manuel Lehm, Tobias Boeckh-Behrens, Claus Zimmer, Benjamin FriedrichRadiology 2019 291 1
- K. Lin, O. Rapalino, M. Law, J.S. Babb, K.A. Siller, B.K. PramanikAmerican Journal of Neuroradiology 2008 29 5
- Joyce S. Balami, Gina Hadley, Brad A. Sutherland, Hasneen Karbalai, Alastair M. BuchanBrain 2013 136 12
- Marinka Twilt, Susanne M. BenselerNature Reviews Rheumatology 2012 8 2
- Tania Cellucci, Susanne M BenselerCurrent Opinion in Rheumatology 2010 22 5
- Mariano Espinosa de Rueda, Guillermo Parrilla, Sergio Manzano-Fernández, Blanca García-Villalba, Joaquín Zamarro, Francisco Hernández-Fernández, Cristina Sánchez-Vizcaino, Ester Carreón, Ana Morales, Antonio MorenoStroke 2015 46 9
- T. Struffert, Y. Deuerling-Zheng, S. Kloska, T. Engelhorn, S. Lang, A. Mennecke, M. Manhart, C.M. Strother, S. Schwab, A. DoerflerAmerican Journal of Neuroradiology 2015 36 10
More in this TOC Section
Similar Articles
Advertisement