Evidence map›Paper›PMID 28596195›Full record

ArticleAJNR. American journal of neuroradiology2017

e-ASPECTS Correlates with and Is Predictive of Outcome after Mechanical Thrombectomy.

J Pfaff, C Herweh, S Schieber, S Schönenberger, J Bösel, P A Ringleb, M Möhlenbruch, M Bendszus, S Nagel

Open access · hybridAbstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
5.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 74 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Baseline predictors of poor clinical outcome despite recanalization of distal middle cerebral artery occlusions.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  4. Article
  5. Automated CT angiography collateral scoring in anterior large vessel occlusion stroke: A multireader study.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  6. Article
  7. Observational
  8. Improving acute stroke assessment in non-enhanced computed tomography: automated tool for early ischemic lesion volume detection.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. How a thrombectomy service can reduce hospital deficit: a cost-effectiveness study.Cost effectiveness and resource allocation : C/E · 2022
    Article
  18. Review
  19. Diagnostic accuracy of automated occlusion detection in CT angiography using e-CTA.International journal of stroke : official journal of the International Stroke Society · 2022
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 2 countries.

J PfaffFrom the Departments of Neuroradiology (J.P., C.H., M.M., M.B.).ORCID http://orcid.org/0000-0003-0672-5718
C HerwehFrom the Departments of Neuroradiology (J.P., C.H., M.M., M.B.).ORCID http://orcid.org/0000-0002-9223-9662
S SchieberNeurology (S. Shieber, S. Schönenberger, J.B., P.A.R., S.N.), University of Heidelberg, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-7475-7917
S SchönenbergerNeurology (S. Shieber, S. Schönenberger, J.B., P.A.R., S.N.), University of Heidelberg, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-3348-6719
J BöselNeurology (S. Shieber, S. Schönenberger, J.B., P.A.R., S.N.), University of Heidelberg, Heidelberg, Germany.ORCID http://orcid.org/0000-0001-5428-0771
P A RinglebNeurology (S. Shieber, S. Schönenberger, J.B., P.A.R., S.N.), University of Heidelberg, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-5473-8671
M MöhlenbruchFrom the Departments of Neuroradiology (J.P., C.H., M.M., M.B.).ORCID http://orcid.org/0000-0002-5075-704X
M BendszusFrom the Departments of Neuroradiology (J.P., C.H., M.M., M.B.).ORCID http://orcid.org/0000-0002-9094-6769
S NagelNeurology (S. Shieber, S. Schönenberger, J.B., P.A.R., S.N.), University of Heidelberg, Heidelberg, Germany. simon.nagel@med.uni-heidelberg.de.ORCID http://orcid.org/0000-0003-2471-6647
Heidelberg University · DEMACOM (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeThe e-ASPECTS software is a tool for the automated use of ASPECTS. Our aim was to analyze whether baseline e-ASPECT scores correlate with outcome after mechanical thrombectomy. MATERIALS AND

methodsPatients with ischemic strokes in the anterior circulation who were admitted between 2010 and 2015, diagnosed by CT, and received mechanical thrombectomy were included. The ASPECTS on baseline CT was scored by e-ASPECTS and 3 expert raters, and interclass correlation coefficients were calculated. The e-ASPECTS was correlated with functional outcome (modified Rankin Scale) at 3 months by using the Spearman rank correlation coefficient. Unfavorable outcome was defined as mRS 4-6 at 3 months, and a poor scan was defined as e-ASPECTS 0-5.

resultsTwo hundred twenty patients were included, and 147 (67%) were treated with bridging protocols. The median e-ASPECTS was 9 (interquartile range, 8-10). Intraclass correlation coefficients between e-ASPECTS and raters were 0.72, 0.74, and 0.76 (all,

conclusionsThe e-ASPECTS correlated with mRS at 3 months and was predictive of unfavorable outcome after mechanical thrombectomy, but further studies in patients with poor scan are needed.

Indexed as

SoftwareAdultAgedAged, 80 and overAnesthesia, GeneralAtrial FibrillationBrain IschemiaCerebral HemorrhageFemaleHumansImage Processing, Computer-AssistedMaleMiddle AgedObserver VariationPredictive Value of TestsProspective Studies

Identifiers

PMID28596195
PMCPMC7960437
OpenAlexW2623455701

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.