ArticleNeuroradiology2014
Computed tomographic angiography criteria in the diagnosis of brain death-comparison of sensitivity and interobserver reliability of different evaluation scales.
Article in Neuroradiology, 2014. 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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17 citing papers in PubMed, 38 citations in OpenAlex.
- Diagnostic Sensitivity of the Revised Venous System in Brain Death in Children.Tomography (Ann Arbor, Mich.) · 2025Article
- Computed Tomography Angiography as Ancillary Testing for Death Determination by Neurologic Criteria: A Technical Review.Tomography (Ann Arbor, Mich.) · 2024Review
- Ancillary tests for brain death.Frontiers in neurology · 2024Review
- Cerebral blood vessels and perfusion in the pediatric brain death: five cases studied by neuroimaging.Neuroradiology · 2022Article
- Implementation of Computed Tomography Angiography (CTA) and Computed Tomography Perfusion (CTP) in Polish Guidelines for Determination of Cerebral Circulatory Arrest (CCA) during Brain Death/Death by Neurological Criteria (BD/DNC) Diagnosis Procedure.Journal of clinical medicine · 2021Article
- Computed tomography angiography scoring systems and the role of skull defects in the confirmation of brain death.Scientific reports · 2021Article
- Assessment of Cerebral Circulatory Arrest via CT Angiography and CT Perfusion in Brain Death Confirmation.Korean journal of radiology · 2021Article
- Invitation to participate in a multi-center study for validation of cerebral computed tomography angiography and computed tomography perfusion in the determination of cerebral circulatory arrest during brain death/death by neurological criteria diagnosis procedure in paediatric population below 12 years of age.Anaesthesiology intensive therapy · 2021Article
- Brain computed tomography angiography in postcardiac arrest patients and neurologic outcome.Clinical and experimental emergency medicine · 2019Article
- Impact of Skull Defects on the Role of CTA for Brain Death Confirmation.AJNR. American journal of neuroradiology · 2019Observational
- Computed Tomography Perfusion is a Useful Adjunct to Computed Tomography Angiography in the Diagnosis of Brain Death.Clinical neuroradiology · 2019Article
- Confirmation of brain death using optical methods based on tracking of an optical contrast agent: assessment of diagnostic feasibility.Scientific reports · 2018Article
- Accuracy of Computed Tomographic Perfusion in Diagnosis of Brain Death: A Prospective Cohort Study.Medical science monitor : international medical journal of experimental and clinical research · 2018Article
- Revised CT angiography venous score with consideration of infratentorial circulation value for diagnosing brain death.Annals of intensive care · 2016Article
- CT Angiography in the Diagnosis of Brain Death.Polish journal of radiology · 2014Review
- The role of neuroimaging in the determination of brain death.Radiologia brasileiraReview
- CT angiography as a confirmatory test in diagnosis of brain death: comparison between three scoring systems.Diagnostic and interventional radiology (Ankara, Turkey)Article
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11 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe standardized diagnostic criteria for computed tomographic angiography (CTA) in diagnosis of brain death (BD) are not yet established. The aim of the study was to compare the sensitivity and interobserver agreement of the three previously used scales of CTA for the diagnosis of BD.
methodsEighty-two clinically brain-dead patients underwent CTA with a delay of 40 s after contrast injection. Catheter angiography was used as the reference standard. CTA results were assessed by two radiologists, and the diagnosis of BD was established according to 10-, 7-, and 4-point scales.
resultsCatheter angiography confirmed the diagnosis of BD in all cases. Opacification of certain cerebral vessels as indicator of BD was highly sensitive: cortical segments of the middle cerebral artery (96.3 %), the internal cerebral vein (98.8 %), and the great cerebral vein (98.8 %). Other vessels were less sensitive: the pericallosal artery (74.4 %), cortical segments of the posterior cerebral artery (79.3 %), and the basilar artery (82.9 %). The sensitivities of the 10-, 7-, and 4-point scales were 67.1, 74.4, and 96.3 %, respectively (p<0.001). Percentage interobserver agreement in diagnosis of BD reached 93 % for the 10-point scale, 89 % for the 7-point scale, and 95 % for the 4-point scale (p=0.37).
conclusionsIn the application of CTA to the diagnosis of BD, reducing the assessment of vascular opacification scale from a 10- to a 4-point scale significantly increases the sensitivity and maintains high interobserver reliability.
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