Evidence map›Paper›PMID 40563732›Full record

ArticleBrain sciences2025

Comparative Analysis of the ABC/2 Score and e-ASPECTS Software in the Determination of Acute Ischaemic Stroke Volume from Non-Contrast CT.

Jorin Bejleri, Sarah Power, Fiona Boland, Olivier Joly, David J Williams, John J Thornton, Shona Pfeiffer

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Article in Brain sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Jorin BejleriDepartment Physiology & Medical Physics, RCSI University of Medicine and Health Sciences, D02 YN77 Dublin, Ireland.ORCID 0000-0002-8186-4075
Sarah PowerDepartment Neuroradiology, Beaumont Hospital, D09 V2N0 Dublin, Ireland.
Fiona BolandData Science Centre, RCSI University of Medicine and Health Sciences, D02 YN77 Dublin, Ireland.
Olivier JolyBrainomix Ltd., Oxford OX2 0JJ, UK.ORCID 0000-0002-5818-6552
David J WilliamsDepartment Geriatric & Stroke Medicine, Beaumont Hospital, RCSI University of Medicine and Health Sciences, D09 YD60 Dublin, Ireland.ORCID 0000-0002-1923-462X
John J ThorntonDepartment Neuroradiology, Beaumont Hospital, D09 V2N0 Dublin, Ireland.
Shona PfeifferDepartment Physiology & Medical Physics, RCSI University of Medicine and Health Sciences, D02 YN77 Dublin, Ireland.ORCID 0000-0002-8728-1620

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeAccurate and reproducible methods for assessing infarct volume in acute ischaemic stroke have important therapeutic and prognostic implications for the choice and success of acute therapeutic interventions. However, there is no international consensus on the methodology employed in infarct volume assessment. We aimed to assess the reliability of the ABC/2 score and e-ASPECTS in the determination of infarct volume in acute ischaemic stroke.

methodsInfarct volume was measured from NCCT in stroke patients recruited ≤12 h of symptoms onset and at 24 h using the ABC/2 method. Automated ischaemic volume measurements were carried out using e-ASPECTS software. Measurements using ABC/2 were compared with e-ASPECTS to assess volume differences and reliability using Lin's concordance correlation coefficient.

resultsThirty-three patients with CT < 12 h from onset of symptoms and follow-up at 24 h were included in the analysis. Use of ABC/2 demonstrated low agreement between observers (0.490, CI 0.236-0.743,

conclusionsOur results suggest that e-ASPECTS is a reliable platform for ischaemic volume determination particularly in the hyperacute phase to inform management. However, the use of ABC/2 represents an alternative approach to e-ASPECTS in the rapid and reliable estimation of ischaemic infarct volume to inform prognosis and treatment decisions, particularly in cases of delayed presentation where infarction is established and arterial territory boundaries are easily identifiable.

Indexed as

ABC/2infarct measurementinfarct volumeischaemic strokenon-contrast computerised tomographystroke

Identifiers

PMID40563732
PMCPMC12190421

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