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Outcome Prediction Using Perfusion Parameters and Collateral Scores of Multi-Phase and Single-Phase CT Angiography in Acute Stroke: Need for One, Two, Three, or Thirty Scans?

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Outcome Prediction Using Perfusion Parameters and Collateral Scores of Multi-Phase and Single-Phase CT Angiography in Acute Stroke: Need for One, Two, Three, or Thirty Scans? / Schregel, Katharina; Tsogkas, Ioannis; Peter, Carolin; Zapf, Antonia; Behme, Daniel; Schnieder, Marlena; Maier, Ilko L; Liman, Jan; Knauth, Michael; Psychogios, Marios-Nikos.

In: J STROKE, Vol. 20, No. 3, 09.2018, p. 362-372.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Schregel, K, Tsogkas, I, Peter, C, Zapf, A, Behme, D, Schnieder, M, Maier, IL, Liman, J, Knauth, M & Psychogios, M-N 2018, 'Outcome Prediction Using Perfusion Parameters and Collateral Scores of Multi-Phase and Single-Phase CT Angiography in Acute Stroke: Need for One, Two, Three, or Thirty Scans?', J STROKE, vol. 20, no. 3, pp. 362-372. https://doi.org/10.5853/jos.2018.00605

APA

Schregel, K., Tsogkas, I., Peter, C., Zapf, A., Behme, D., Schnieder, M., Maier, I. L., Liman, J., Knauth, M., & Psychogios, M-N. (2018). Outcome Prediction Using Perfusion Parameters and Collateral Scores of Multi-Phase and Single-Phase CT Angiography in Acute Stroke: Need for One, Two, Three, or Thirty Scans? J STROKE, 20(3), 362-372. https://doi.org/10.5853/jos.2018.00605

Vancouver

Schregel K, Tsogkas I, Peter C, Zapf A, Behme D, Schnieder M et al. Outcome Prediction Using Perfusion Parameters and Collateral Scores of Multi-Phase and Single-Phase CT Angiography in Acute Stroke: Need for One, Two, Three, or Thirty Scans? J STROKE. 2018 Sep;20(3):362-372. https://doi.org/10.5853/jos.2018.00605

Bibtex

@article{d5afa0f2669045c6be14b1571d84821d,
title = "Outcome Prediction Using Perfusion Parameters and Collateral Scores of Multi-Phase and Single-Phase CT Angiography in Acute Stroke: Need for One, Two, Three, or Thirty Scans?",
abstract = "BACKGROUND AND PURPOSE: Collateral status is an important factor determining outcome in acute ischemic stroke (AIS). Hence, different collateral scoring systems have been introduced. We applied different scoring systems on single- and multi-phase computed tomography (CT) angiography (spCTA and mpCTA) and compared them to CT perfusion (CTP) parameters to identify the best method for collateral evaluation in patients with AIS.METHODS: A total of 102 patients with AIS due to large vessel occlusion in the anterior circulation who underwent multimodal CT imaging and who were treated endovascularly were included. Collateral status was assessed on spCTA and mpCTA using four different scoring systems and compared to CTP parameters. Logistic regression was performed for predicting favorable outcome.RESULTS: All collateral scores correlated well with each other and with CTP parameters. Comparison of collateral scores stratified by extent of perfusion deficit showed relevant differences between groups (P<0.01 for each). An spCTA collateral score discriminated best between favorable and unfavorable outcome as determined using the modified Rankin Scale 3 months after stroke.CONCLUSION: s Collateral status evaluated on spCTA may suffice for outcome prediction and decision making in AIS patients, potentially obviating further imaging modalities like mpCTA or CTP.",
keywords = "Journal Article",
author = "Katharina Schregel and Ioannis Tsogkas and Carolin Peter and Antonia Zapf and Daniel Behme and Marlena Schnieder and Maier, {Ilko L} and Jan Liman and Michael Knauth and Marios-Nikos Psychogios",
year = "2018",
month = sep,
doi = "10.5853/jos.2018.00605",
language = "English",
volume = "20",
pages = "362--372",
journal = "J STROKE",
issn = "2287-6391",
publisher = "Korean Stroke Society",
number = "3",

}

RIS

TY - JOUR

T1 - Outcome Prediction Using Perfusion Parameters and Collateral Scores of Multi-Phase and Single-Phase CT Angiography in Acute Stroke: Need for One, Two, Three, or Thirty Scans?

AU - Schregel, Katharina

AU - Tsogkas, Ioannis

AU - Peter, Carolin

AU - Zapf, Antonia

AU - Behme, Daniel

AU - Schnieder, Marlena

AU - Maier, Ilko L

AU - Liman, Jan

AU - Knauth, Michael

AU - Psychogios, Marios-Nikos

PY - 2018/9

Y1 - 2018/9

N2 - BACKGROUND AND PURPOSE: Collateral status is an important factor determining outcome in acute ischemic stroke (AIS). Hence, different collateral scoring systems have been introduced. We applied different scoring systems on single- and multi-phase computed tomography (CT) angiography (spCTA and mpCTA) and compared them to CT perfusion (CTP) parameters to identify the best method for collateral evaluation in patients with AIS.METHODS: A total of 102 patients with AIS due to large vessel occlusion in the anterior circulation who underwent multimodal CT imaging and who were treated endovascularly were included. Collateral status was assessed on spCTA and mpCTA using four different scoring systems and compared to CTP parameters. Logistic regression was performed for predicting favorable outcome.RESULTS: All collateral scores correlated well with each other and with CTP parameters. Comparison of collateral scores stratified by extent of perfusion deficit showed relevant differences between groups (P<0.01 for each). An spCTA collateral score discriminated best between favorable and unfavorable outcome as determined using the modified Rankin Scale 3 months after stroke.CONCLUSION: s Collateral status evaluated on spCTA may suffice for outcome prediction and decision making in AIS patients, potentially obviating further imaging modalities like mpCTA or CTP.

AB - BACKGROUND AND PURPOSE: Collateral status is an important factor determining outcome in acute ischemic stroke (AIS). Hence, different collateral scoring systems have been introduced. We applied different scoring systems on single- and multi-phase computed tomography (CT) angiography (spCTA and mpCTA) and compared them to CT perfusion (CTP) parameters to identify the best method for collateral evaluation in patients with AIS.METHODS: A total of 102 patients with AIS due to large vessel occlusion in the anterior circulation who underwent multimodal CT imaging and who were treated endovascularly were included. Collateral status was assessed on spCTA and mpCTA using four different scoring systems and compared to CTP parameters. Logistic regression was performed for predicting favorable outcome.RESULTS: All collateral scores correlated well with each other and with CTP parameters. Comparison of collateral scores stratified by extent of perfusion deficit showed relevant differences between groups (P<0.01 for each). An spCTA collateral score discriminated best between favorable and unfavorable outcome as determined using the modified Rankin Scale 3 months after stroke.CONCLUSION: s Collateral status evaluated on spCTA may suffice for outcome prediction and decision making in AIS patients, potentially obviating further imaging modalities like mpCTA or CTP.

KW - Journal Article

U2 - 10.5853/jos.2018.00605

DO - 10.5853/jos.2018.00605

M3 - SCORING: Journal article

C2 - 30309231

VL - 20

SP - 362

EP - 372

JO - J STROKE

JF - J STROKE

SN - 2287-6391

IS - 3

ER -