Evidence map›Paper›PMID 29663187›Full record

ArticleLa Radiologia medica2018

MRI patient selection for endovascular thrombectomy in acute ischemic stroke: correlation between pretreatment diffusion weighted imaging and outcome scores.

Marcello Longo, Gianmarco Bernava, Alessandro Calamuneri, Antonio A Caragliano, Antonio Pitrone, Rosario Papa, Enricomaria Mormina, Francesca Granata, Rosa Musolino, Agostino Tessitore and 4 more

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In one paragraph

Article in La Radiologia medica, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
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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

14 authors at 2 institutions in 1 country.

Marcello LongoNeuroradiology Unit - Department of Biomedical Sciences and of Morphologic and Functional Images, University of Messina, Messina, Italy.
Gianmarco BernavaNeuroradiology Unit - Department of Biomedical Sciences and of Morphologic and Functional Images, University of Messina, Messina, Italy.
Alessandro CalamuneriDepartment of Clinical and Experimental Medicine, University of Messina, Messina, Italy.
Antonio A CaraglianoNeuroradiology Unit - Department of Biomedical Sciences and of Morphologic and Functional Images, University of Messina, Messina, Italy.
Antonio PitroneNeuroradiology Unit - Department of Biomedical Sciences and of Morphologic and Functional Images, University of Messina, Messina, Italy.
Rosario PapaNeuroradiology Unit - Department of Biomedical Sciences and of Morphologic and Functional Images, University of Messina, Messina, Italy.
Enricomaria MorminaDepartment of Clinical and Experimental Medicine, University of Messina, Messina, Italy.
Francesca GranataNeuroradiology Unit - Department of Biomedical Sciences and of Morphologic and Functional Images, University of Messina, Messina, Italy.
Rosa MusolinoStroke Unit - Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy.
Agostino TessitoreNeuroradiology Unit - Department of Biomedical Sciences and of Morphologic and Functional Images, University of Messina, Messina, Italy.
Giuseppe CentorrinoNeuroradiology Unit - Department of Biomedical Sciences and of Morphologic and Functional Images, University of Messina, Messina, Italy.
Federico MidiriRadiology Section - DIBIMED, University Hospital "Paolo Giaccone", University of Palermo, Via Santa Maria di Gesù, 25, 90124, Palermo, PA, Italy.
Federica VernuccioRadiology Section - DIBIMED, University Hospital "Paolo Giaccone", University of Palermo, Via Santa Maria di Gesù, 25, 90124, Palermo, PA, Italy. federicavernuccio@gmail.com.ORCID http://orcid.org/0000-0003-0350-1794
Sergio L VinciNeuroradiology Unit - Department of Biomedical Sciences and of Morphologic and Functional Images, University of Messina, Messina, Italy.
University of Messina · ITUniversity of Palermo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEligibility for endovascular treatment (EVT) in patients with acute ischemic stroke (AIS) depends, amongst other factors, on CT- or MR-based scores. The aim of this study was to investigate the role of Alberta Stroke Program Early CT score based on diffusion weighted imaging (MR-ASPECT) in the assessment of brain damage pre-EVT, patient selection for EVT and outcome. MATERIALS AND

methodsWe included in this study patients with National Institute of Health stroke score (NIHSS) at admission ≥ 8, MR-ASPECT ≥ 5 and anterior AIS, who were treated with EVT in our hospital. All patients were clinically evaluated at admission, post-EVT, discharge and at 3-month follow-up. We used MR-ASPECT to establish infarct core extension at admission. We evaluated ASPECT score at admission (CT-ASPECT-IN), 24 h after EVT and at discharge, NIHSS, modified Ranking Scale (mRS), Thrombolysis in Cerebral Infarction scale (TICI), onset-to-intervention-delay (OTID) and Collateral Circulation Score (CCS).

results68 patients (mean age 78 ± 11.9 years) were included in this study. 54.4 and 64.7% of patients had strong clinical improvement after 24 h from EVT and at discharge, respectively. NIHSS evaluated 24 h after EVT correlated with CCS, TICI and OTID. We observed a favourable outcome (mRS 0-2) in 52.9% of patients at 3-month follow-up. MR-ASPECT score correlated with post-EVT outcome better than CT-ASPECT-IN scores.

conclusionMR-ASPECT score based on diffusion weighted imaging is useful for the selection of patients with AIS that can have a favourable outcome from EVT. A prompt EVT has huge impact on patient outcome.

Indexed as

Patient SelectionAgedBrain IschemiaDiffusion Magnetic Resonance ImagingEndovascular ProceduresFemaleHumansMaleStrokeThrombectomyTomography, X-Ray ComputedTreatment OutcomeDiffusion weighted imagingMagnetic resonanceRevascularizationStroke

Identifiers

PMID29663187
OpenAlexW2802023204

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Registered trials

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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.