ArticleInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences2025
Visual Alberta stroke program early computed tomography score versus RAPID-AI perfusion in predicting outcome after late-window thrombectomy.
Article in Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It carries an expression of concern. Cited by 1 paper.
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1 citing paper in PubMed.
- Clinical evaluation of an automated Alberta Stroke Program Early Computed Tomography Score (ASPECTS)-scoring system.Quantitative imaging in medicine and surgery · 2026Article
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10 authors.
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Abstract
PurposeTo evaluate the prognostic utility of visual Alberta stroke program early computed tomography score (ASPECTS) and perfusion parameters obtained from automated RAPID-AI software in patients undergoing mechanical thrombectomy (MT) beyond 6 hours from stroke onset.MethodsWe retrospectively analyzed 86 patients with anterior circulation large vessel occlusion who underwent non-enhanced computed tomography (NECT), multiphase computed tomography angiography, and computed tomography perfusion within 6-24 hours before thrombectomy. Visual ASPECTS (assessed by junior doctor), RAPID-ASPECTS, and RAPID-CTP parameters (ischemic core volume, penumbra, and mismatch ratio) were recorded. The primary outcome was 90-day functional independence (modified Rankin Score 0-2). Multivariable logistic regression and receiver operating characteristic analysis were used to identify independent predictors.ResultsVisual ASPECTS was significantly associated with a favorable outcome (area under the curve = 0.709; optimal cut-off ≥ 6), while no perfusion-derived parameters reached statistical significance. In multivariable analysis, only visual ASPECTS (OR 0.083, 95% CI: 0.033-0.133;
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