Evidence map›Paper›PMID 31817933›Full record

ArticleDiagnostics (Basel, Switzerland)2019

Correlation between Spot Sign and Intracranial Hemorrhage Expansion on Dual-Phase CT Angiography.

Hyesoo Kim, Ja Hong Goo, Hyo Sung Kwak, Seung Bae Hwang, Gyung Ho Chung

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Article in Diagnostics (Basel, Switzerland), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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0cells of the map it votes in
5citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Hyesoo KimMedical School, Chonbuk National University, Jeonju-si 54896, Korea.
Ja Hong GooMedical School, Chonbuk National University, Jeonju-si 54896, Korea.
Hyo Sung KwakDepartment of Radiology and Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Geonji-ro Jeonju-si 54907 20, Korea.
Seung Bae HwangDepartment of Radiology and Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Geonji-ro Jeonju-si 54907 20, Korea.
Gyung Ho ChungDepartment of Radiology and Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Geonji-ro Jeonju-si 54907 20, Korea.

Funding

This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education NRF-2017R1D1A3B03032390
6 · The paper itself

Abstract

purposeExpansion of intracranial hemorrhage (ICH) is an important predictor of poor clinical outcome. ICH expansion can be predicted with a spot sign on computed tomographic angiography (CTA). We aimed to evaluate the correlation between spot signs on CTA and ICH expansion on dual-phase CTA.

methodsPatients with spontaneous ICH between January 2017 and April 2019 who underwent an initial CT, dual-phase CTA, and a subsequent CT were retrospectively identified. ICH expansion was defined as volume growth of >33% or >6 mL. We analyzed the presence and change in size of the spot sign in the first phase and second phase CTA. Also, we divided the morphological status of the spot sign, such as a dot-like lesion or linear contrast extravasation, in the first and second phase CTA.

resultsA total of 206 patients, including 38 (18.5%) with ICH expansion and 45 (21.8%) with a spot sign, qualified for analysis. Of patients with a spot sign, 26 (57.8%) had ICH expansion on subsequent CT. Increased size of a spot sign in second-phase CTA was more frequent in the ICH expansion group than in the no-expansion group (96.2% vs. 52.6%,

conclusionSpot signs on dual-phase CTA have different sizes and morphological patterns. Increased size of a spot sign in the second phase of CTA can help identify patients at risk for ICH expansion.

Indexed as

brainCT angiographyintracerebral hemorrhage

Identifiers

PMID31817933
PMCPMC6963721

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