Expedited computed tomography perfusion and angiography in acute ischemic stroke: A feasibility study

Journal of Emergency Medicine

Volumn 43, Issue 2, 2012, Pages 308-315

  Gentile, Nina T ^a   Cernetich, John ^a   Kanamalla, Uday S ^a   Kochan, Jeffrey P ^a   Reimer, Hannah ^a   Freeman, Brent ^a   Jungreis, Charles ^a  

^a TEMPLE UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

cerebrovascular accident; computed tomography; diagnostic imaging; ischemic stroke; risk stratification; stroke

Indexed keywords

ALTEPLASE; IOHEXOL;

ADULT; ARTICLE; BRAIN ISCHEMIA; CLINICAL PROTOCOL; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; COMPUTER ASSISTED TOMOGRAPHY; DEMOGRAPHY; EMERGENCY CARE; FEASIBILITY STUDY; FEMALE; FIBRINOLYTIC THERAPY; HUMAN; MAJOR CLINICAL STUDY; MALE; NEUROIMAGING; NONCONTRAST COMPUTED TOMOGRAPHY; PERFUSION COMPUTED TOMOGRAPHY; PRIORITY JOURNAL;

BRAIN ISCHEMIA; CEREBRAL ANGIOGRAPHY; CONTRAST MEDIA; FEASIBILITY STUDIES; FEMALE; HUMANS; MALE; MIDDLE AGED; PERFUSION; STROKE; TIME FACTORS; TISSUE PLASMINOGEN ACTIVATOR; TOMOGRAPHY, X-RAY COMPUTED;

EID: 84865011590     PISSN: 07364679     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jemermed.2011.02.015     Document Type: Article

References (30)

1. J.M. Wardlaw, P.J. Dorman, S.C. Lewis, and P.A.G. Sandercock Can stroke physicians and neuroradiologists identify signs of early cerebral infarction on CT? J Neurol Neurosurg Psychiatry 67 1999 651 653 (Pubitemid 29486215)
2. J.M. Wardlaw, and O. Mielke Early signs of brain infarction at CT: observer reliability and outcome after thrombolytic treatment - systematic review Radiology 235 2005 444 453 (Pubitemid 40571081)
3. M.A. Ezzeddine, M.H. Lev, and C.T. McDonald CT angiography with whole brain perfused blood volume imaging: added clinical value in the assessment of acute stroke Stroke 33 2002 959 966 (Pubitemid 34293575)
4. S.P. Kloska, D.G. Nabavi, and C. Gaus Acute stroke assessment with CT: do we need multimodal evaluation? Radiology 233 2004 79 86 (Pubitemid 39280960)
5. M. Wintermark, N.J. Fischbein, W.S. Smith, N.U. Ko, M. Quist, and W.P. Dillon Accuracy of dynamic perfusion CT with deconvolution in detecting acute hemispheric stroke AJNR Am J Neuroradiol 26 2005 104 112 (Pubitemid 43079832)
6. P. Schramm, P.D. Schellinger, and E. Klotz Comparison of perfusion computed tomography and computed tomography angiography source images with perfusion-weighted imaging and diffusion-weighted imaging in patients with acute stroke of less than 6 hours' duration Stroke 35 2004 1652 1658
7. E. Klotz, and M. Konig Perfusion measurements of the brain: using dynamic CT for the quantitative assessment of cerebral ischemia in acute stroke Eur J Radiol 30 1999 170 184 (Pubitemid 29343734)
8. M. Wintermark, M. Reichhart, and J.P. Thiran Prognostic accuracy of cerebral blood flow measurement by perfusion computed tomography, at the time of emergency room admission, in acute stroke patients Ann Neurol 51 2002 417 432 (Pubitemid 34260772)
9. M.H. Lev, J. Farkas, and V.R. Rodriguez CT angiography in the rapid triage of patients with hyperacute stroke to intraarterial thrombolysis: accuracy in the detection of large vessel thrombus J Comput Assist Tomogr 25 2001 520 528 (Pubitemid 33041507)
10. J.M. Esteban, and V. Cervera Perfusion CT and angio CT in the assessment of acute stroke Neuroradiology 46 2004 705 715 (Pubitemid 39294889)
11. S. Wildermuth, M. Knauth, T. Brandt, R. Winter, K. Sartor, and W. Hacke Role of CT angiography in patient selection for thrombolytic therapy in acute hemispheric stroke Stroke 29 1998 935 938 (Pubitemid 28228152)
12. D.A. Shrier, H. Tanaka, Y. Numaguchi, S. Konno, U. Patel, and D. Shibata CT angiography in the evaluation of acute stroke AJNR Am J Neuroradiol 18 1997 1011 1020 (Pubitemid 30412122)
13. S.C. Patel, S.R. Levine, and B.C. Tilley Lack of clinical significance of early ischemic changes on computed tomography in acute stroke JAMA 286 2001 2830 2838 (Pubitemid 33126925)
14. A.M. Demchuk, M.D. Hill, P.A. Barber, B. Silver, S.C. Patel, and S.R. Levine Importance of early ischemic computed tomography changes using ASPECTS in NINDS rtPA Stroke Study Stroke 36 2005 2110 2115 (Pubitemid 41429229)
15. J.R. Reichenbach, J. Röther, and L. Jonetz-Mentzel Acute stroke evaluated by time-to-peak mapping during initial and early follow-up perfusion CT studies AJNR Am J Neuroradiol 20 1999 1842 1850
16. M. Koenig, M. Kraus, C. Theek, E. Klotz, W. Gehlen, and L. Heuser Quantitative assessment of the ischemic brain by means of perfusion-related parameters derived from perfusion CT Stroke 32 2001 431 437 (Pubitemid 32155230)
17. H.C. Roberts, W.P. Dillon, and A.J. Furlan Angiographic collaterals in acute stroke, relationship to clinical presentation and outcome: The PROACT II trial Stroke 32 2001 336
18. G.B. Anderson, R. Ashforth, D.E. Steinke, R. Ferdinandy, and J.M. Findlay CT angiography for the detection and characterization of carotid artery bifurcation disease Stroke 31 2000 2168 2174
19. T. Sameshima, S. Futami, and Y. Morita Clinical usefulness of and problems with three-dimensional CT angiography for the evaluation of arteriosclerotic stenosis of the carotid artery: comparison with conventional angiography, MRA, and ultrasound sonography Surg Neurol 51 1999 301 308 discussion 308-9
20. M. Knauth, R. von Kummer, O. Jansen, S. Hähnel, A. Dörfler, and K. Sartor Potential of CT angiography in acute ischemic stroke AJNR Am J Neuroradiol 18 1997 1001 1010 (Pubitemid 30412121)
21. W.S. Smith, H.C. Roberts, and N.A. Chuang Safety and feasibility of a CT protocol for acute stroke: combined CT, CT angiography, and CT perfusion imaging in 53 consecutive patients AJNR Am J Neuroradiol 24 2003 688 690 (Pubitemid 36460741)
22. D. Fiorella, J. Heiserman, and E. Prenger Assessment of the reproducibility of postprocessing dynamic CT perfusion data AJNR Am J Neuroradiol 25 2004 97 107 (Pubitemid 38129487)
23. P.C. Sanelli, G. Nicola, and A.J. Tsiouris Reproducibility of postprocessing quantitative CT perfusion maps AJR Am J Roentgenol 188 2007 213 218 (Pubitemid 46012511)
24. P.C. Sanelli, G. Nicola, and R. Johnson Effect of training and experience on qualitative and quantitative CT perfusion data AJNR Am J Neuroradiol 28 2007 428 432 (Pubitemid 46481877)
25. A.L. Krol, I. Dzialowski, and J. Roy Incidence of radiocontrast nephropathy in patients undergoing acute stroke computed tomography angiography Stroke 38 2007 2364 2366 Erratum in: Stroke 2007;38:e97 (Pubitemid 47457583)
26. M.J. Kuhn, N. Chen, and D.V. Sahani The PREDICT study: a randomized double-blind comparison of contrast-induced nephropathy after low- or isoosmolar contrast agent exposure AJR Am J Roentgenol 191 2008 151 157 (Pubitemid 351955220)
27. R. Dittrich, S. Akdeniz, and S.P. Kloska Low rate of contrast-induced nephropathy after CT perfusion and CT angiography in acute stroke patients J Neurol 254 2007 1491 1497 (Pubitemid 50001591)
28. D.J. Brenner, and E.J. Hall Computed tomography - an increasing source of radiation exposure N Engl J Med 357 2007 2277 2284 (Pubitemid 350190758)
29. M. Cohnen, H.J. Wittsack, and S. Assadi Radiation exposure of patients in comprehensive computed tomography of the head in acute stroke AJNR Am J Neuroradiol 27 2006 1741 1745 (Pubitemid 44413563)
30. U.S Food and Drug Administration Safety investigation of CT brain perfusion scans: initial notification 2009 U. S. Department of Health and Human Services Washington, DC Available at: http://www.fda.gov/MedicalDevices/Safety/ AlertsandNotices/ucm185898.htm