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ArticleFrontiers in neurology2022

Does the Brush-Sign Reflect Collateral Status and DWI-ASPECTS in Large Vessel Occlusion?

Lucie Rascle, Alexandre Bani Sadr, Camille Amaz, Nathan Mewton, Marielle Buisson, Marc Hermier, Elodie Ong, Julia Fontaine, Laurent Derex, Yves Berthezène and 4 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04620642 (Lyon Registry of Stroke Treated by Thrombolysis or Thrombectomy), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 30% 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.

NCT04620642 recruitingnot on this map

Lyon Registry of Stroke Treated by Thrombolysis or Thrombectomy

TypeobservationalSponsorHospices Civils de LyonRan2020 to 2031Enrolled4,500ConditionsIschemic StrokeArmsRegistry
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Clinical, laboratory, and radiological features influencing admission DWI-ASPECTS in stroke patients with middle cerebral artery occlusion undergoing mechanical thrombectomy.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Observational
  3. Article
  4. Observational
  5. Article
  6. 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

14 authors at 3 institutions in 1 country.

Lucie RascleDepartment of Stroke, Hospices Civils de Lyon, Lyon, France.
Alexandre Bani SadrDepartment of Neuroradiology, Hospices Civils de Lyon, Lyon, France.
Camille AmazClinical Investigation Center, Hospices Civils de Lyon, INSERM, Lyon, France.
Nathan MewtonClinical Investigation Center, Hospices Civils de Lyon, INSERM, Lyon, France.
Marielle BuissonClinical Investigation Center, Hospices Civils de Lyon, INSERM, Lyon, France.
Marc HermierDepartment of Neuroradiology, Hospices Civils de Lyon, Lyon, France.
Elodie OngDepartment of Stroke, Hospices Civils de Lyon, Lyon, France.
Julia FontaineDepartment of Stroke, Hospices Civils de Lyon, Lyon, France.
Laurent DerexDepartment of Stroke, Hospices Civils de Lyon, Lyon, France.
Yves BerthezèneDepartment of Neuroradiology, Hospices Civils de Lyon, Lyon, France.
Omer Faruk EkerDepartment of Neuroradiology, Hospices Civils de Lyon, Lyon, France.
Tae-Hee ChoDepartment of Stroke, Hospices Civils de Lyon, Lyon, France.
Norbert NighoghossianDepartment of Stroke, Hospices Civils de Lyon, Lyon, France.
Laura MechtouffDepartment of Stroke, Hospices Civils de Lyon, Lyon, France.
Hospices Civils de Lyon · FRUniversité Claude Bernard Lyon 1 · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The relevance of the brush-sign remained poorly documented in large vessel occlusion (LVO). We aimed to assess the relationship between the brush-sign and collateral status and its potential impact on baseline diffusion-weighted imaging-Alberta Stroke Program Early Computed Tomography Score (DWI-ASPECTS) in acute ischemic stroke (AIS) patients eligible to mechanical thrombectomy (MT). Methods: Consecutive patients admitted in the Lyon Stroke Center with anterior circulation AIS due to intracranial internal carotid artery (ICA) and/or M1 or M2 segment of the middle cerebral artery (MCA) occlusion eligible for MT were included. The brush-sign was assessed on T2-gradient-echo MRI. Collateral status was assessed on digital subtraction angiography according to the American Society of Interventional and Therapeutic Neuroradiology/Society of Interventional Radiology (ASITN/SIR) score. Results: In this study, 504 patients were included, among which 171 (33.9%) patients had a brush-sign. Patients with a brush-sign more frequently had a poor collateral status [72 (42.1%) vs. 103 (30.9%); Conclusions and Relevance: The brush-sign may be a marker of poor collateral status but did not independently predict a lower DWI-ASPECTS. Clinical Trial Registration: ClinicalTrials.gov, identifier: NCT04620642.

Indexed as

brush-signcollateralityDWI-ASPECTSlesion volumeMRIthrombectomy

Identifiers

PMID35309551
PMCPMC8924293
OpenAlexW4214906222

What OpenQuestion holds

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Registered trials

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.