Validity of shape as a predictive biomarker of final infarct volume in acute ischemic stroke
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Validity of shape as a predictive biomarker of final infarct volume in acute ischemic stroke. / Frindel, Carole; Rouanet, Anaïs; Giacalone, Mathilde; Cho, Tae-Hee; Østergaard, Leif; Fiehler, Jens; Pedraza, Salvador; Baron, Jean-Claude; Wiart, Marlène; Berthezène, Yves; Nighoghossian, Norbert; Rousseau, David.
in: STROKE, Jahrgang 46, Nr. 4, 04.2015, S. 976-81.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Validity of shape as a predictive biomarker of final infarct volume in acute ischemic stroke
AU - Frindel, Carole
AU - Rouanet, Anaïs
AU - Giacalone, Mathilde
AU - Cho, Tae-Hee
AU - Østergaard, Leif
AU - Fiehler, Jens
AU - Pedraza, Salvador
AU - Baron, Jean-Claude
AU - Wiart, Marlène
AU - Berthezène, Yves
AU - Nighoghossian, Norbert
AU - Rousseau, David
N1 - © 2015 American Heart Association, Inc.
PY - 2015/4
Y1 - 2015/4
N2 - BACKGROUND AND PURPOSE: This study examines whether lesion shape documented on magnetic resonance diffusion-weighted imaging during acute stroke improves the prediction of the final infarct volume compared with lesion volume only.METHODS: Diffusion-weighted imaging data and clinical information were retrospectively reviewed in 110 consecutive patients who underwent (n=67) or not (n=43) thrombolytic therapy for acute ischemic stroke. Three-dimensional shape analysis was performed on admission diffusion-weighted imaging data and 5 shape descriptors were developed. Final infarct volume was measured on T2-fluid-attenuated inversion recovery imaging data performed 30 days after stroke.RESULTS: Shape analysis of acute ischemic lesion and more specifically the ratio of the bounding box volume to the lesion volume before thrombolytic treatment improved the prediction of the final infarct for patients undergoing thrombolysis (R(2)=0.86 in model with volume; R(2)=0.98 in model with volume and shape).CONCLUSIONS: Our findings suggest that lesion shape contains important predictive information and reflects important environmental factors that might determine the progression of ischemia from the core.
AB - BACKGROUND AND PURPOSE: This study examines whether lesion shape documented on magnetic resonance diffusion-weighted imaging during acute stroke improves the prediction of the final infarct volume compared with lesion volume only.METHODS: Diffusion-weighted imaging data and clinical information were retrospectively reviewed in 110 consecutive patients who underwent (n=67) or not (n=43) thrombolytic therapy for acute ischemic stroke. Three-dimensional shape analysis was performed on admission diffusion-weighted imaging data and 5 shape descriptors were developed. Final infarct volume was measured on T2-fluid-attenuated inversion recovery imaging data performed 30 days after stroke.RESULTS: Shape analysis of acute ischemic lesion and more specifically the ratio of the bounding box volume to the lesion volume before thrombolytic treatment improved the prediction of the final infarct for patients undergoing thrombolysis (R(2)=0.86 in model with volume; R(2)=0.98 in model with volume and shape).CONCLUSIONS: Our findings suggest that lesion shape contains important predictive information and reflects important environmental factors that might determine the progression of ischemia from the core.
KW - Aged
KW - Aged, 80 and over
KW - Biomarkers
KW - Brain Ischemia
KW - Cerebral Infarction
KW - Diffusion Magnetic Resonance Imaging
KW - Disease Progression
KW - Female
KW - Follow-Up Studies
KW - Humans
KW - Male
KW - Middle Aged
KW - Prognosis
KW - Stroke
KW - Thrombolytic Therapy
U2 - 10.1161/STROKEAHA.114.008046
DO - 10.1161/STROKEAHA.114.008046
M3 - SCORING: Journal article
C2 - 25744520
VL - 46
SP - 976
EP - 981
JO - STROKE
JF - STROKE
SN - 0039-2499
IS - 4
ER -