作者
Louis Lassalle, Guillaume Turc, Marie Tisserand, Sylvain Charron, Pauline Roca, Stephanie Lion, Laurence Legrand, Myriam Edjlali, Olivier Naggara, Jean-François Meder, Jean-Louis Mas, Jean-Claude Baron, Catherine Oppenheim
发表日期
2016/10
期刊
Stroke
卷号
47
期号
10
页码范围
2553-2558
出版商
Lippincott Williams & Wilkins
简介
Background and Purpose
Rapid and reliable assessment of the perfusion-weighted imaging (PWI)/diffusion-weighted imaging (DWI) mismatch is required to promote its wider application in both acute stroke clinical routine and trials. We tested whether an evaluation based on the Alberta Stroke Program Early CT Score (ASPECTS) reliably identifies the PWI/DWI mismatch.
Methods
A total of 232 consecutive patients with acute middle cerebral artery stroke who underwent pretreatment magnetic resonance imaging (PWI and DWI) were retrospectively evaluated. PWI-ASPECTS and DWI-ASPECTS were determined blind from manually segmented PWI and DWI volumes. Mismatch-ASPECTS was defined as the difference between PWI-ASPECTS and DWI-ASPECTS (a high score indicates a large mismatch). We determined the mismatch-ASPECTS cutoff that best identified the volumetric mismatch, defined as VolumeT …
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L Lassalle, G Turc, M Tisserand, S Charron, P Roca… - Stroke, 2016