Imaging-based outcome prediction in patients with intracerebral hemorrhage
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Imaging-based outcome prediction in patients with intracerebral hemorrhage. / Sporns, Peter B; Kemmling, André; Minnerup, Jens; Hanning, Uta; Heindel, Walter.
in: ACTA NEUROCHIR, Jahrgang 160, Nr. 8, 08.2018, S. 1663-1670.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Review › Forschung
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TY - JOUR
T1 - Imaging-based outcome prediction in patients with intracerebral hemorrhage
AU - Sporns, Peter B
AU - Kemmling, André
AU - Minnerup, Jens
AU - Hanning, Uta
AU - Heindel, Walter
PY - 2018/8
Y1 - 2018/8
N2 - Besides the established spot sign in computed tomography angiography (CTA), recently investigated imaging predictors of hematoma growth in noncontrast computed tomography (NCCT) suggest great potential for outcome prediction in patients with intracerebral hemorrhage (ICH). Secondary hematoma growth is an appealing target for therapeutic interventions because in contrast to other determined factors, it is potentially modifiable. Even more initial therapy studies failed to demonstrate clear therapeutic benefits, there is a need for an effective patient selection using imaging markers to identify patients at risk for poor outcome and thereby tailor individual treatments for every patient. Hence, this review gives an overview about the current literature on NCCT imaging markers for neurological outcome prediction and aims to clarify the association with the established spot sign. Moreover, it demonstrates the clinical impact of these parameters and gives a roadmap for future imaging research in patients with intracerebral hemorrhage.
AB - Besides the established spot sign in computed tomography angiography (CTA), recently investigated imaging predictors of hematoma growth in noncontrast computed tomography (NCCT) suggest great potential for outcome prediction in patients with intracerebral hemorrhage (ICH). Secondary hematoma growth is an appealing target for therapeutic interventions because in contrast to other determined factors, it is potentially modifiable. Even more initial therapy studies failed to demonstrate clear therapeutic benefits, there is a need for an effective patient selection using imaging markers to identify patients at risk for poor outcome and thereby tailor individual treatments for every patient. Hence, this review gives an overview about the current literature on NCCT imaging markers for neurological outcome prediction and aims to clarify the association with the established spot sign. Moreover, it demonstrates the clinical impact of these parameters and gives a roadmap for future imaging research in patients with intracerebral hemorrhage.
KW - Journal Article
KW - Review
U2 - 10.1007/s00701-018-3605-x
DO - 10.1007/s00701-018-3605-x
M3 - SCORING: Review article
C2 - 29943191
VL - 160
SP - 1663
EP - 1670
JO - ACTA NEUROCHIR
JF - ACTA NEUROCHIR
SN - 0001-6268
IS - 8
ER -