CT cerebral blood flow maps optimally correlate with admission diffusion-weighted imaging in acute stroke but thresholds vary by postprocessing platform

Stroke

Volumn 42, Issue 7, 2011, Pages 1923-1928

  Kamalian, Shahmir ^a   Kamalian, Shervin ^a   Maas, Matthew B ^a   Goldmacher, Greg V ^a   Payabvash, Seyedmehdi ^a   Akbar, Adnan ^a   Schaefer, Pamela W ^a   Furie, Karen L ^a   Gonzalez, R Gilberto ^a   Lev, Michael H ^a  

^a MASSACHUSETTS GENERAL HOSPITAL   (United States)

Author keywords

acute stroke; cerebral blood flow; cerebral blood volume; CT perfusion

Indexed keywords

ADULT; AGED; AREA UNDER THE CURVE; ARTICLE; BRAIN BLOOD FLOW; BRAIN INFARCTION; BRAIN ISCHEMIA; BRAIN MAPPING; BRAIN PERFUSION; CLINICAL ARTICLE; DIAGNOSTIC ACCURACY; DIFFUSION WEIGHTED IMAGING; FEMALE; HOSPITAL ADMISSION; HUMAN; MALE; OUTCOME ASSESSMENT; PRIORITY JOURNAL; RECEIVER OPERATING CHARACTERISTIC; SENSITIVITY AND SPECIFICITY;

ADULT; AGED; AGED, 80 AND OVER; AREA UNDER CURVE; BRAIN ISCHEMIA; CEREBROVASCULAR CIRCULATION; DIFFUSION; FEMALE; HUMANS; IMAGE PROCESSING, COMPUTER-ASSISTED; MALE; MIDDLE AGED; PERFUSION; REPRODUCIBILITY OF RESULTS; ROC CURVE; STROKE; TIME FACTORS; TOMOGRAPHY, X-RAY COMPUTED;

EID: 79959946747     PISSN: 00392499     EISSN: 15244628     Source Type: Journal    
DOI: 10.1161/STROKEAHA.110.610618     Document Type: Article

References (21)

1. Hacke W, Kaste M, Fieschi C, Toni D, Lesaffre E, von Kummer R, et al. Intravenous thrombolysis with recombinant tissue plasminogen activator for acute hemispheric stroke. The European Cooperative Acute Stroke Study (ECASS). JAMA. 1995;274:1017-1025.
2. Ueda T, Sakaki S, Yuh WT, Nochide I, Ohta S. Outcome in acute stroke with successful intra-arterial thrombolysis and predictive value of initial single-photon emission-computed tomography. J Cereb Blood Flow Metab. 1999;19:99-108. (Pubitemid 29283585)
3. Schellinger PD, Bryan RN, Caplan LR, Detre JA, Edelman RR, Jaigobin C, et al. Evidence-based guideline: the role of diffusion and perfusion MRI for the diagnosis of acute ischemic stroke: report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology. Neurology. 2010;75:177-185.
4. Lev MH, Farkas J, Gemmete JJ, Hossain ST, Hunter GJ, Koroshetz WJ, et al. Acute stroke: Improved nonenhanced CT detection- benefits of soft-copy interpretation by using variable window width and center level settings. Radiology. 1999;213:150-155. (Pubitemid 29470421)
5. Shetty SK, Lev MH. CT perfusion in acute stroke. Neuroimaging Clin N Am. 2005;15:481-501, ix. (Pubitemid 41796935)
6. Sanelli PC, Lev MH, Eastwood JD, Gonzalez RG, Lee TY. The effect of varying user-selected input parameters on quantitative values in CT perfusion maps. Acad Radiol. 2004;11:1085-1092. (Pubitemid 39458082)
7. Sasaki M, Kudo K, Ogasawara K, Fujiwara S. Tracer delay-insensitive algorithm can improve reliability of CT perfusion imaging for cerebrovascular steno-occlusive disease: comparison with quantitative singlephoton emission CT. AJNR Am J Neuroradiol. 2009;30:188-193.
8. Wu O, Ostergaard L, Weisskoff RM, Benner T, Rosen BR, Sorensen AG. Tracer arrival timing-insensitive technique for estimating flow in MR perfusion-weighted imaging using singular value decomposition with a block-circulant deconvolution matrix. Magn Reson Med. 2003;50: 164-174. (Pubitemid 36841872)
9. Kudo K, Sasaki M, Yamada K, Momoshima S, Utsunomiya H, Shirato H, et al. Differences in CT perfusion maps generated by different commercial software: quantitative analysis by using identical source data of acute stroke patients. Radiology. 2009;254:200-209.
10. Schaefer PW, Roccatagliata L, Ledezma C, Hoh B, Schwamm LH, Koroshetz W, et al. First-pass quantitative CT perfusion identifies thresholds for salvageable penumbra in acute stroke patients treated with intra-arterial therapy. AJNR Am J Neuroradiol. 2006;27:20-25. (Pubitemid 46947920)
11. Wintermark M, Flanders AE, Velthuis B, Meuli R, van Leeuwen M, Goldsher D, et al. Perfusion-CT assessment of infarct core and penumbra: receiver operating characteristic curve analysis in 130 patients suspected of acute hemispheric stroke. Stroke. 2006;37:979-985.
12. Murphy BD, Fox AJ, Lee DH, Sahlas DJ, Black SE, Hogan MJ, et al. Identification of penumbra and infarct in acute ischemic stroke using computed tomography perfusion-derived blood flow and blood volume measurements. Stroke. 2006;37:1771-1777. (Pubitemid 44297728)
13. Schaefer PW, Mui K, Kamalian S, Nogueira RG, Gonzalez RG, Lev MH. Avoiding 'pseudo-reversibility' of CT-CBV infarct core lesions in acute stroke patients after thrombolytic therapy: the need for algorithmically 'delay-corrected' CT perfusion map postprocessing software. Stroke. 2009;40:2875-2878.
14. Bandera E, Botteri M, Minelli C, Sutton A, Abrams KR, Latronico N. Cerebral blood flow threshold of ischemic penumbra and infarct core in acute ischemic stroke: a systematic review. Stroke. 2006;37:1334-1339. (Pubitemid 43731886)
15. Lev MH, Gonzalez RG. CT angiography and ct perfusion imaging. In: Toga AW, Mazziotta JC, eds. Brain Mapping: The Methods. San Diego: Academic Press; 2002:427-484.
16. Lev MH, Segal AZ, Farkas J, Hossain ST, Putman C, Hunter GJ, et al. Utility of perfusion-weighted CT imaging in acute middle cerebral artery stroke treated with intra-arterial thrombolysis: prediction of final infarct volume and clinical outcome. Stroke. 2001;32:2021-2028.
17. Wintermark M, Albers GW, Alexandrov AV, Alger JR, Bammer R, Baron JC, et al. Acute stroke imaging research roadmap. Stroke. 2008; 39:1621-1628.
18. Murphy BD, Fox AJ, Lee DH, Sahlas DJ, Black SE, Hogan MJ, et al. White matter thresholds for ischemic penumbra and infarct core in patients with acute stroke: CT perfusion study. Radiology. 2008;247: 818-825.
19. Konstas AA, Lev MH. CT perfusion imaging of acute stroke: the need for arrival time, delay insensitive, and standardized postprocessing algorithms? Radiology. 2010;254:22-25.
20. Derdeyn CP, Videen TO, Yundt KD, Fritsch SM, Carpenter DA, Grubb RL, et al. Variability of cerebral blood volume and oxygen extraction: stages of cerebral haemodynamic impairment revisited. Brain. 2002;125: 595-607. (Pubitemid 34194414)
21. Furlan M, Marchal G, Viader F, Derlon JM, Baron JC. Spontaneous neurological recovery after stroke and the fate of the ischemic penumbra. Ann Neurol. 1996;40:216-226. (Pubitemid 26274557)