ArticleAJNR. American journal of neuroradiology2009
CT angiography source images predict final infarct extent in patients with basilar artery occlusion.
Article in AJNR. American journal of neuroradiology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Intravenous Thrombolysis Prior to Endovascular Treatment in Basilar Artery Occlusions: A Patient Pooled Analysis of Four Randomized Controlled Trials.Cardiovascular and interventional radiology · 2025Article
- Comment on "Symptoms, Imaging Features, Treatment Decisions, and Outcomes of Patients with Top of the Basilar Artery Syndrome: Experiences from a Comprehensive Stroke Center".Neurocritical care · 2025Article
- Endovascular Treatment for Basilar Artery Occlusion.Journal of clinical medicine · 2024Review
- Posterior circulation cerebral infarction: A review of clinical, imaging features, management, and outcomes.European journal of radiology open · 2023Article
- Basilar artery occlusion: A review of clinicoradiologic features, treatment selection, and endovascular techniques.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2023Review
- Endovascular Thrombectomy for Acute Basilar Artery Occlusion: Latest Findings and Critical Thinking on Future Study Design.Translational stroke research · 2022Review
- Imaging-based outcome prediction in posterior circulation stroke.Journal of neurology · 2022Article
- Hemorrhagic Transformation After Tissue Plasminogen Activator Treatment in Acute Ischemic Stroke.Cellular and molecular neurobiology · 2022Review
- Novel and Efficient Quantitative Posterior-Circulation-Structure-Based Scale via Noncontrast CT to Predict Ischemic Stroke Prognosis: A Retrospective Study.Journal of personalized medicine · 2022Article
- Estimation of ischemic core in acute ischemic stroke with CT angiography and non-contrast CT: Attenuation changes in ASPECTS regions vs. automated ASPECTS scoring.Frontiers in neuroscience · 2022Article
- Article
- Acute basilar thrombosis: Recanalization following intravenous thrombolysis is dependent on thrombus length.PloS one · 2018Article
- [Stroke due to acute occlusion of the basilar artery : Diagnosis and treatment].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2017Review
- Efficacy and safety of direct aspiration first pass technique versus stent-retriever thrombectomy in acute basilar artery occlusion-a retrospective single center experience.Neuroradiology · 2017Article
- Basilar Occlusion Syndromes: An Update.The Neurohospitalist · 2015Review
- Long-term survival and serial assessment of stroke damage and recovery - practical and methodological considerations.Journal of experimental stroke & translational medicine · 2009Article
- Importance of computed tomography angiography in acute/hyperacute ischemic stroke.Radiologia brasileiraArticle
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9 authors.
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Abstract
background and purposeThe posterior circulation Acute Stroke Prognosis Early CT Score (pc-ASPECTS) is a 10-point grading system to quantify ischemic changes in the posterior circulation. We analyzed whether pc-ASPECTS on CT angiography (CTA) source images (CTASI) predicted the final infarct extent and hemorrhagic transformation (HT) rate in patients with basilar artery occlusion. MATERIALS AND
methodsA pc-ASPECTS score of 10 indicates absence of visible ischemic changes in the posterior circulation, and pc-ASPECTS score of 0 indicates ischemic changes in the midbrain, pons, and bilateral thalami, posterior circulation territories, and cerebellar hemispheres. We retrospectively studied patients with basilar artery occlusion on CTA within 24 hours from symptom onset. We applied pc-ASPECTS to noncontrast CT (NCCT), CTASI, and follow-up images by 3-reader-consensus and assessed HT on follow-up images. We calculated Spearman correlation coefficients and performed linear regression analysis. Final infarct extent and HT rates were compared across dichotomized CTASI pc-ASPECTS groups (>/= 8 vs < 8).
resultsAmong 43 patients, median (range) onset to CTA time was 5.0 hours (range, 0.7-24 hours). Pc-ASPECTS on CTASI (r = 0.75; P < .001) but not NCCT (r = 0.29; P = .063) correlated with pc-ASPECTS on follow-up scans. Linear regression demonstrated a significant positive relationship between pc-ASPECTS on CTASI and follow-up scans (R(2) = 0.58; P < 01). Median follow-up pc-ASPECTS was lower in patients with a CTASI pc-ASPECTS < 8 compared with patients with a CTASI pc-ASPECTS of 8 or more, respectively (P < .001). HT rates were 27.3% vs 9.5%, respectively (P = .24). None of 8 patients without thrombolysis had HT on follow-up scans.
conclusionsThe extent of hypoattenuation on CTASI predicts the final infarct extent in patients with basilar artery occlusion.
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