Evidence map›Paper›PMID 37438639›Full record

ArticleEuropean radiology2023

Focused view CT angiography for selective visualization of stroke related arteries: technical feasibility.

Christian Roest, Reina W Kloet, Maria J Lamers, Derya Yakar, Thomas C Kwee

Open access · hybridAbstract read
In one paragraph

Article in European radiology, 2023. 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
0.9field-weighted citation impact, top 25% 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, 4 citations in OpenAlex.

  1. Article
  2. Current state and advancements of imaging in acute ischemic stroke: a practical review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Review
  3. 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

5 authors at 1 institution in 1 country.

Christian RoestMedical Imaging Center, Department of Radiology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands. c.roest@umcg.nl.ORCID http://orcid.org/0000-0002-3575-4465
Reina W KloetMedical Imaging Center, Department of Radiology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
Maria J LamersMedical Imaging Center, Department of Radiology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
Derya YakarMedical Imaging Center, Department of Radiology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
Thomas C KweeMedical Imaging Center, Department of Radiology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
University Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study investigated the technical feasibility of focused view CTA for the selective visualization of stroke related arteries.

methodsA total of 141 CTA examinations for acute ischemic stroke evaluation were divided into a set of 100 cases to train a deep learning algorithm (dubbed "focused view CTA") that selectively extracts brain (including intracranial arteries) and extracranial arteries, and a test set of 41 cases. The visibility of anatomic structures at focused view and unmodified CTA was assessed using the following scoring system: 5 = completely visible, diagnostically sufficient; 4 = nearly completely visible, diagnostically sufficient; 3 = incompletely visible, barely diagnostically sufficient; 2 = hardly visible, diagnostically insufficient; 1 = not visible, diagnostically insufficient.

resultsAt focused view CTA, median scores for the aortic arch, subclavian arteries, common carotid arteries, C1, C6, and C7 segments of the internal carotid arteries, V4 segment of the vertebral arteries, basilar artery, cerebellum including cerebellar arteries, cerebrum including cerebral arteries, and dural venous sinuses, were all 4. Median scores for the C2 to C5 segments of the internal carotid arteries, and V1 to V3 segments of the vertebral arteries ranged between 3 and 2. At unmodified CTA, median score for all above-mentioned anatomic structures was 5, which was significantly higher (p < 0.0001) than that at focused view CTA.

conclusionFocused view CTA shows promise for the selective visualization of stroke-related arteries. Further improvements should focus on more accurately visualizing the smaller and tortuous internal carotid and vertebral artery segments close to bone. CLINICAL RELEVANCE: Focused view CTA may speed up image interpretation time for LVO detection and may potentially be used as a tool to study the clinical relevance of incidental findings in future prospective long-term follow-up studies. KEY POINTS: • A deep learning-based algorithm ("focused view CTA") was developed to selectively visualize relevant structures for acute ischemic stroke evaluation at CTA. • The elimination of unrequested anatomic background information was complete in all cases. • Focused view CTA may be used to study the clinical relevance of incidental findings.

Indexed as

Ischemic StrokeStrokeCarotid ArteriesCerebral AngiographyCerebral ArteriesComputed Tomography AngiographyFeasibility StudiesHumansTomography, X-Ray ComputedComputed tomography angiographyDeep learningDiagnosisIschemic stroke

Identifiers

PMID37438639
PMCPMC10667412
OpenAlexW4384071790

What OpenQuestion holds

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LicenceCC BY
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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.