Evidence map›Paper›PMID 40875663›Full record

ArticlePloS one2025

ProSPective evaluation of the dIagnostic accuracy of siNe spiN non-contrast flatdEtectoR CT (FDCT) for the detection of intracranial hemorrhage in stroke patients - Protocol of a non-inferiority comparison to multi detector CT.

Marios Psychogios, Alex Brehm, Nitin Goyal, Grégoire Boulouis, Jan-Karl Burkhardt, Shakeel A Chowdhry, Donald Frei, Jan Gralla, Johannes Kaesmacher, Ryan T Kellogg and 14 more

Registry-linked trialAbstract readMulticenter StudyComparative Study
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05458908 (ProSPective Evaluation of the dIagnostic Accuracy of siNe spiN Noncontrast Flat-dEtectoR CT), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

NCT05458908 nacompletednot on this map

ProSPective Evaluation of the dIagnostic Accuracy of siNe spiN Noncontrast Flat-dEtectoR CT (FDCT) for the Detection of Intracranial Hemorrhage in Stroke Patients

TypeinterventionalSponsorUniversity Hospital, Basel, SwitzerlandRan2022 to 2026Enrolled252ConditionsStrokeArmsNon-contrast cranial MDCT head scan, Non-contrast syngo DynaCT Sine Spin head scan and application software
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

24 authors.

Marios PsychogiosDepartment of Diagnostic and Interventional Neuroradiology, University Hospital Basel, Basel, Switzerland.
Alex BrehmDepartment of Diagnostic and Interventional Neuroradiology, University Hospital Basel, Basel, Switzerland.ORCID https://orcid.org/0000-0002-1630-6210
Nitin GoyalDepartment of Neurosurgery, Semmes Murphey Clinic and University of Tennessee Health Sciences Center, Memphis, Tennessee, United States of America.
Grégoire BoulouisService de Neuroradiologie, CHRU Tours, Tours, France.
Jan-Karl BurkhardtDepartment of Cerebrovascular Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, United States of America.
Shakeel A ChowdhryDepartment of Neurosurgery, Endeavor Health, Chicago, Illinois, United States of America.
Donald FreiRIA Neurovascular, Englewood, Colorado, United States of America.
Jan GrallaDepartment of Neuroradiology, Inselspital Bern, Bern, Switzerland.
Johannes KaesmacherService de Neuroradiologie, CHRU Tours, Tours, France.
Ryan T KelloggDepartment of Neurosurgery, University of Virginia, Charlottesville, Virginia, United States of America.
Christopher P KellnerDepartment of Neurosurgery, Mt Sinai Hospital Systems, New York, New York, United States of America.
Demetrius K LopesDepartment of Neurosurgery, Advocate Medical Group, Park Ridge, Illinois, United States of America.
Eytan RazDepartment of Neuroradiology, NYU Langone Health, New York, New York, United States of America.
Daniel StrbianDepartment of Neurology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Laura MannismäkiDepartment of Neurology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Alejandro TomaselloDepartment of Neuroradiology, Hospital Vall d'Hebron, Barcelona, Spain.
Ioannis TsogkasDepartment of Diagnostic and Interventional Neuroradiology, University Hospital Basel, Basel, Switzerland.
Alexander von HesslingSection of Neuroradiology, Radiology and Nuclear Medicine, Cantonal Hospital of Lucerne, Lucerne, Switzerland.
Grzegorz M KarwackiSection of Neuroradiology, Radiology and Nuclear Medicine, Cantonal Hospital of Lucerne, Lucerne, Switzerland.ORCID https://orcid.org/0000-0001-5963-6220
Raphael GuzmanDepartment of Neurosurgery, University Hospital Basel, Basel, Switzerland.
Nikki RommersDepartment of Clinical Research, University Hospital Basel, Basel, Switzerland.
David S LiebeskindDepartment of Neurology, UC Los Angeles, Los Angeles, California, United States of America.ORCID https://orcid.org/0000-0002-5109-8736
Adam S ArthurDepartment of Neurosurgery, Semmes Murphey Clinic and University of Tennessee Health Sciences Center, Memphis, Tennessee, United States of America.
SPINNERS investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

rationaleWhether syngo DynaCT Sine Spin non-contrast flat detector CT (FDCT) imaging is sufficient to rule out intracranial hemorrhage in suspected acute stroke patients is unknown.

aimTo determine if syngo DynaCT Sine Spin non-contrast FDCT imaging is non-inferior to conventional multidetector CT (MDCT) imaging for the detection and exclusion of intracranial hemorrhages in suspected acute stroke patients. SAMPLE SIZE: To enroll 252 participants in three buckets (126 ischemic stroke patients, 126 hemorrhagic stroke patients (including 14 patients with an isolated infratentorial hemorrhage). METHODS AND

designA multicenter, international, prospective, cross-sectional, endpoint assessor blinded, non-inferiority trial. OUTCOMES: The primary outcome is the occurrence of an intracranial hemorrhage (yes versus no). This will be used to calculate the sensitivity and specificity of FDCT imaging for the detection of intracranial hemorrhages. All FDCT images will be rated by six independent raters in a blinded imaging core-lab. The rating of the MDCT images will be deemed as ground-truth. FDCT imaging will be deemed non-inferior if the lower bound of the 95%-Confidence Interval of the sensitivity and specificity is above 95%. DISCUSSION: This trial will inform physicians whether syngo DynaCT Sine Spin non-contrast FDCT imaging can reliably exclude intracranial hemorrhages in patients with suspected acute stroke.

trial registrationClinicalTrials.gov NCT05458908.

Indexed as

Intracranial HemorrhagesMultidetector Computed TomographyStrokeTomography, X-Ray ComputedAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedProspective StudiesSensitivity and Specificity

Identifiers

PMID40875663
PMCPMC12393753

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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.