Evidence map›Paper›PMID 41396428›Full record

ArticleNeuroradiology2026

Net water uptake as a predictor of the development of high-density lesions after endovascular treatment.

Cong Ning, Shanshan Huang, Bofeng Bai, Yannan Wang, Ying Yan, Kong Fang, Yongbin Li

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Article in Neuroradiology, 2026. 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

7 authors.

Cong NingDepartment of Radiology, Xi'an No.1 Hospital, The First Affiliated Hospital of Northwest University, Xi'an, 710002, China.
Shanshan HuangDepartment of Radiology, Xi'an No.1 Hospital, The First Affiliated Hospital of Northwest University, Xi'an, 710002, China.
Bofeng BaiDepartment of Radiology, Xi'an No.1 Hospital, The First Affiliated Hospital of Northwest University, Xi'an, 710002, China.
Yannan WangDepartment of Radiology, Xi'an No.1 Hospital, The First Affiliated Hospital of Northwest University, Xi'an, 710002, China.
Ying YanDepartment of Radiology, Xi'an No.1 Hospital, The First Affiliated Hospital of Northwest University, Xi'an, 710002, China.
Kong FangDepartment of Radiology, Xi'an No.1 Hospital, The First Affiliated Hospital of Northwest University, Xi'an, 710002, China.
Yongbin LiDepartment of Radiology, Xi'an No.1 Hospital, The First Affiliated Hospital of Northwest University, Xi'an, 710002, China. liyongbin@med.nwu.edu.cn.

Funding

National Key R&D Program of China 2023YFC2414200Xi'an Innovation AbilityStrong Base Plan-Medical Research Project 22YXYJ0001
6 · The paper itself

Abstract

purposeIodine extravasation signifies blood–brain barrier disruption and predicts hemorrhagic transformation (HT) after thrombectomy for acute ischemic stroke (AIS). We aimed to evaluate the role of net water uptake (NWU) in patients with acute anterior circulation ischemic stroke who developed high-density lesions on computed tomography (CT) after endovascular treatment (EVT).

methodsThis retrospective study included patients who underwent dual-energy CT immediately after EVT for acute anterior circulation occlusion between January 2022 and December 2023. Alberta Stroke Program Early CT Score (ASPECTS)-based NWU was calculated using baseline non-contrast CT. The clinical endpoint was presence of high-density lesions after EVT. A final clinical imaging model incorporating NWU was constructed.

resultsIn total, 109 patients (mean age, 68.2 ± 12.8 years; 42 male participants) were evaluated, with 67 (61.5%) patients showing high-density lesions after EVT. Multivariable logistic regression analysis identified the National Institutes of Health Stroke Scale (NIHSS) score (odds ratio = 1.049; 95% confidence interval [CI]: 1.004–1.096; p = 0.033) and NWU (odds ratio = 1.396; 95% CI: 1.170–1.666; p < 0.001) as predictors of high-density appearance post-EVT. The receiver operating characteristic curve showed an area under the curve of 0.663 (95% CI: 0.557–0.768) for the NIHSS-based model and 0.778 (95% CI: 0.690–0.867) when NWU was included.

conclusionASPECTS-based quantitative NWU independently predicted high-density lesions post-EVT, implying that it can assist in early patient risk stratification. Baseline NWU, indicating brain tissue edema, could forecast blood–brain barrier disruption following EVT.

Indexed as

Endovascular ProceduresIschemic StrokeTomography, X-Ray ComputedWaterAgedFemaleHumansMaleRetrospective StudiesThrombectomyWaterAcute ischemic strokeEndovascular treatmentHemorrhagic transformationNet water uptakeThrombectomy

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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.