Evidence map›Paper›PMID 38872825›Full record

ArticleFrontiers in neurology2024

Patchy profile sign in RAPID software: a specific marker for intracranial atherosclerotic stenosis in acute ischemic stroke.

Lingwen Zhang, Hua Xue, Xiaoqing Bu, Juan Liao, Ge Tang, Yu Chen, Libo Zhao, Deyu Yang, Li Liu, Shudong Liu

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Article in Frontiers in neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

10 authors.

Lingwen Zhang *Department of Neurology, Yongchuan Hospital of Chongqing Medical University, Chongqing, China.
Hua Xue *Department of Neurology, Yongchuan Hospital of Chongqing Medical University, Chongqing, China.
Xiaoqing Bu *Department of Epidemiology, School of Public Health, Chongqing Medical University, Chongqing, China.
Juan Liao *Chongqing Key Laboratory of Cerebrovascular Disease Research, Yongchuan Hospital of Chongqing Medical University, Chongqing, China.
Ge TangDepartment of Neurology, Yongchuan Hospital of Chongqing Medical University, Chongqing, China.
Yu ChenDepartment of Neurology, Yongchuan Hospital of Chongqing Medical University, Chongqing, China.
Libo ZhaoDepartment of Neurology, Yongchuan Hospital of Chongqing Medical University, Chongqing, China.
Deyu YangDepartment of Neurology, Yongchuan Hospital of Chongqing Medical University, Chongqing, China.
Li LiuChongqing Key Laboratory of Cerebrovascular Disease Research, Yongchuan Hospital of Chongqing Medical University, Chongqing, China.
Shudong LiuDepartment of Neurology, Yongchuan Hospital of Chongqing Medical University, Chongqing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Identifying the etiology of acute ischemic stroke (AIS) before endovascular treatment (EVT) is important but challenging. In CT perfusion imaging processed by perfusion software, we observed a phenomenon called patchy profile sign (PPS), that is, the hypoperfusion morphology in RAPID software is a discontinuous sheet pattern. This phenomenon is predominantly observed in patients diagnosed with intracranial atherosclerotic stenosis (ICAS). The study intends to assess whether the PPS can be used to differentiate ICAS from intracranial embolism. Method: Patients with AIS due to M1 segment occlusion of the MCA who underwent mechanical thrombectomy were retrospectively enrolled. The receiver operating characteristic (ROC) curve analysis was performed to assess the value of PPS in predicting ICAS. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of the PPS for prediction of ICAS were calculated. Results: A total of 51 patients were included in the study. The PPS was observed in 10 of 19 (52.6%) patients with ICAS, and in 2 of 32 (6.3%) patients with intracranial embolism ( Conclusion: The PPS on RAPID software is an imaging marker with high specificity for ICAS. Larger sample sizes are imperative to validate the findings.

Indexed as

atheroscleroticcomputed tomographyintracranial embolismischemic strokeperfusionsoftware

Identifiers

PMID38872825
PMCPMC11169934

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