Detail
Článek
Článek online
FT
Medvik - BMČ
  • Je něco špatně v tomto záznamu ?

Utility of Time-Variant Multiphase CTA Color Maps in Outcome Prediction for Acute Ischemic Stroke Due to Anterior Circulation Large Vessel Occlusion

JM. Ospel, P. Cimflova, O. Volny, W. Qiu, M. Hafeez, A. Mayank, M. Najm, K. Chung, N. Kashani, MA. Almekhlafi, BK. Menon, M. Goyal

. 2021 ; 31 (3) : 783-790. [pub] 20200925

Jazyk angličtina Země Německo

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc22003794
E-zdroje Online Plný text

NLK ProQuest Central od 2006-01-01 do Před 1 rokem
Health & Medicine (ProQuest) od 2006-01-01 do Před 1 rokem

Odkazy

PubMed 32975611
DOI 10.1007/s00062-020-00958-3
Knihovny.cz E-zdroje

BACKGROUND: Multiphase CTA (mCTA) is an established tool for endovascular treatment decision-making and outcome prediction in acute ischemic stroke, but its interpretation requires some degree of experience. We aimed to determine whether mCTA-based prediction of clinical outcome and final infarct volume can be improved by assessing collateral status on time-variant mCTA color maps rather than using a conventional mCTA display format. METHODS: Patients from the PRove-IT cohort study with anterior circulation large vessel occlusion were included in this study. Collateral status was assessed with a three-point scale using the conventional display format. Collateral extent and filling dynamics were then graded on a three-point scale using time-variant mCTA color-maps (FastStroke, GE Healthcare, Milwaukee, WI, USA). Multivariable logistic regression was performed to determine the association of conventional collateral score, color-coded collateral extent and color-coded collateral filling dynamics with good clinical outcome and final infarct volume (volume below vs. above median infarct volume in the study sample). RESULTS: A total of 285 patients were included in the analysis and 53% (152/285) of the patients achieved a good outcome. Median infarct volume on follow-up was 12.6 ml. Color-coded collateral extent was significantly associated with good outcome (adjusted odds ratio [adjOR] 0.53, 95% confidence interval [CI]:0.36-0.77) while color-coded collateral filling dynamics (adjOR 1.30 [95%CI:0.88-1.95]) and conventional collateral scoring (adjOR 0.72 [95%C:0.48-1.08]) were not. Both color-coded collateral extent (adjOR 2.67 [95%CI:1.80-4.00]) and conventional collateral scoring (adjOR 1.84 [95%CI:1.21-2.79]) were significantly associated with follow-up infarct volume, while color-coded collateral filling dynamics were not (adjOR 1.21 [95%CI:0.83-1.78]). CONCLUSION: In this study, collateral extent assessment on time-variant mCTA maps improved prediction of good outcome and has similar value in predicting follow-up infarct volume compared to conventional mCTA collateral grading.

Citace poskytuje Crossref.org

000      
00000naa a2200000 a 4500
001      
bmc22003794
003      
CZ-PrNML
005      
20220127145845.0
007      
ta
008      
220113s2021 gw f 000 0|eng||
009      
AR
024    7_
$a 10.1007/s00062-020-00958-3 $2 doi
035    __
$a (PubMed)32975611
040    __
$a ABA008 $b cze $d ABA008 $e AACR2
041    0_
$a eng
044    __
$a gw
100    1_
$a Ospel, Johanna M $u Department of Clinical Neurosciences, Foothills Medical Centre, University of Calgary, 1403 29th St. NW, T2N2T9, Calgary, AB, Canada $u Department of Radiology, University Hospital of Basel, Basel, Switzerland
245    10
$a Utility of Time-Variant Multiphase CTA Color Maps in Outcome Prediction for Acute Ischemic Stroke Due to Anterior Circulation Large Vessel Occlusion / $c JM. Ospel, P. Cimflova, O. Volny, W. Qiu, M. Hafeez, A. Mayank, M. Najm, K. Chung, N. Kashani, MA. Almekhlafi, BK. Menon, M. Goyal
520    9_
$a BACKGROUND: Multiphase CTA (mCTA) is an established tool for endovascular treatment decision-making and outcome prediction in acute ischemic stroke, but its interpretation requires some degree of experience. We aimed to determine whether mCTA-based prediction of clinical outcome and final infarct volume can be improved by assessing collateral status on time-variant mCTA color maps rather than using a conventional mCTA display format. METHODS: Patients from the PRove-IT cohort study with anterior circulation large vessel occlusion were included in this study. Collateral status was assessed with a three-point scale using the conventional display format. Collateral extent and filling dynamics were then graded on a three-point scale using time-variant mCTA color-maps (FastStroke, GE Healthcare, Milwaukee, WI, USA). Multivariable logistic regression was performed to determine the association of conventional collateral score, color-coded collateral extent and color-coded collateral filling dynamics with good clinical outcome and final infarct volume (volume below vs. above median infarct volume in the study sample). RESULTS: A total of 285 patients were included in the analysis and 53% (152/285) of the patients achieved a good outcome. Median infarct volume on follow-up was 12.6 ml. Color-coded collateral extent was significantly associated with good outcome (adjusted odds ratio [adjOR] 0.53, 95% confidence interval [CI]:0.36-0.77) while color-coded collateral filling dynamics (adjOR 1.30 [95%CI:0.88-1.95]) and conventional collateral scoring (adjOR 0.72 [95%C:0.48-1.08]) were not. Both color-coded collateral extent (adjOR 2.67 [95%CI:1.80-4.00]) and conventional collateral scoring (adjOR 1.84 [95%CI:1.21-2.79]) were significantly associated with follow-up infarct volume, while color-coded collateral filling dynamics were not (adjOR 1.21 [95%CI:0.83-1.78]). CONCLUSION: In this study, collateral extent assessment on time-variant mCTA maps improved prediction of good outcome and has similar value in predicting follow-up infarct volume compared to conventional mCTA collateral grading.
650    12
$a ischemie mozku $x diagnostické zobrazování $7 D002545
650    _2
$a mozková angiografie $7 D002533
650    _2
$a kohortové studie $7 D015331
650    _2
$a kolaterální oběh $7 D003097
650    _2
$a CT angiografie $7 D000072226
650    _2
$a lidé $7 D006801
650    12
$a ischemická cévní mozková příhoda $7 D000083242
650    _2
$a retrospektivní studie $7 D012189
650    12
$a cévní mozková příhoda $x diagnostické zobrazování $7 D020521
655    _2
$a časopisecké články $7 D016428
700    1_
$a Cimflova, Petra $u Department of Clinical Neurosciences, Foothills Medical Centre, University of Calgary, 1403 29th St. NW, T2N2T9, Calgary, AB, Canada $u Department of Medical Imaging, St. Anne's University Hospital Brno and Faculty of Medicine, Masaryk University, Brno, Czech Republic $u International Clinical Research Center, St. Anne's University Hospital Brno, Brno, Czech Republic
700    1_
$a Volny, Ondrej $u Czech National Centre for Evidence-Based Healthcare and Knowledge Translation, Faculty of Medicine, Masaryk University, Brno, Czech Republic
700    1_
$a Qiu, Wu $u Department of Clinical Neurosciences, Foothills Medical Centre, University of Calgary, 1403 29th St. NW, T2N2T9, Calgary, AB, Canada
700    1_
$a Hafeez, Moiz $u Department of Clinical Neurosciences, Foothills Medical Centre, University of Calgary, 1403 29th St. NW, T2N2T9, Calgary, AB, Canada
700    1_
$a Mayank, Arnuv $u Department of Clinical Neurosciences, Foothills Medical Centre, University of Calgary, 1403 29th St. NW, T2N2T9, Calgary, AB, Canada
700    1_
$a Najm, Mohamed $u Department of Clinical Neurosciences, Foothills Medical Centre, University of Calgary, 1403 29th St. NW, T2N2T9, Calgary, AB, Canada
700    1_
$a Chung, Kevin $u Department of Medical Biophysics, University of Western Ontario, London, Canada
700    1_
$a Kashani, Nima $u Department of Clinical Neurosciences, Foothills Medical Centre, University of Calgary, 1403 29th St. NW, T2N2T9, Calgary, AB, Canada $u Department of Radiology, University of Calgary, Calgary, Canada
700    1_
$a Almekhlafi, Mohammed A $u Department of Clinical Neurosciences, Foothills Medical Centre, University of Calgary, 1403 29th St. NW, T2N2T9, Calgary, AB, Canada $u Department of Radiology, University of Calgary, Calgary, Canada
700    1_
$a Menon, Bijoy K $u Department of Clinical Neurosciences, Foothills Medical Centre, University of Calgary, 1403 29th St. NW, T2N2T9, Calgary, AB, Canada $u Department of Radiology, University of Calgary, Calgary, Canada
700    1_
$a Goyal, Mayank $u Department of Clinical Neurosciences, Foothills Medical Centre, University of Calgary, 1403 29th St. NW, T2N2T9, Calgary, AB, Canada. mgoyal@ucalgary.ca $u Department of Radiology, University of Calgary, Calgary, Canada. mgoyal@ucalgary.ca
773    0_
$w MED00189516 $t Clinical neuroradiology $x 1869-1447 $g Roč. 31, č. 3 (2021), s. 783-790
856    41
$u https://pubmed.ncbi.nlm.nih.gov/32975611 $y Pubmed
910    __
$a ABA008 $b sig $c sign $y p $z 0
990    __
$a 20220113 $b ABA008
991    __
$a 20220127145842 $b ABA008
999    __
$a ok $b bmc $g 1751299 $s 1154943
BAS    __
$a 3
BAS    __
$a PreBMC
BMC    __
$a 2021 $b 31 $c 3 $d 783-790 $e 20200925 $i 1869-1447 $m Clinical neuroradiology $n Clin Neuroradiol $x MED00189516
LZP    __
$a Pubmed-20220113

Najít záznam

Citační ukazatele

Možnosti archivace