Acute stroke: A comparison of different CT perfusion algorithms and validation of ischaemic lesions by follow-up imaging

European Radiology

Volumn 22, Issue 12, 2012, Pages 2559-2567

  Abels, Benjamin ^a,d   Villablanca, J Pablo ^b   Tomandl, Bernd F ^c   Uder, Michael ^a   Lell, Michael M ^a  

^a UNIVERSITY HOSPITAL ERLANGEN   (Germany)

^b UCLA MEDICAL CENTER   (United States)

^c KLINIKUM BREMEN MITTE   (Germany)

^d UNIVERSITY HOSPITAL HEIDELBERG   (Germany)

Author keywords

Brain ischemia diagnosis; Cerebral infarction diagnosis; CT perfusion; Multidetector computed tomography; Tomography, X ray computed methods

Indexed keywords

AGED; ALBERTA STROKE PROGRAMME EARLY CT SCORE; ALGORITHM; ARTICLE; BRAIN INFARCTION SIZE; BRAIN PERFUSION; CEREBROVASCULAR ACCIDENT; CLINICAL ARTICLE; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; COMPUTER ASSISTED TOMOGRAPHY; COMPUTER ASSISTED TOMOGRAPHY PERFUSION; CONTROLLED STUDY; FEMALE; FOLLOW UP; HUMAN; HUMAN TISSUE; INTERMETHOD COMPARISON; MAGNETIC RESONANCE ANGIOGRAPHY; MALE; NEUROIMAGING; NUCLEAR MAGNETIC RESONANCE IMAGING; PRIORITY JOURNAL; QUANTITATIVE ANALYSIS; RECANALIZATION; RETROSPECTIVE STUDY;

AGED; ALGORITHMS; BRAIN ISCHEMIA; CORONARY ANGIOGRAPHY; FEMALE; HUMANS; LEAST-SQUARES ANALYSIS; MAGNETIC RESONANCE IMAGING; MALE; PREDICTIVE VALUE OF TESTS; RADIOGRAPHIC IMAGE INTERPRETATION, COMPUTER-ASSISTED; RETROSPECTIVE STUDIES; SOFTWARE; STATISTICS, NONPARAMETRIC; STROKE; THROMBOLYTIC THERAPY; TOMOGRAPHY, X-RAY COMPUTED;

EID: 84870334556     PISSN: 09387994     EISSN: 14321084     Source Type: Journal    
DOI: 10.1007/s00330-012-2529-8     Document Type: Article

References (28)

1. Miles KA, Hayball M, Dixon AK (1991) Colour perfusion imaging: a new application of computed tomography. Lancet 337: 643-645
2. Hopyan J, Ciarallo A, Dowlatshahi D et al (2010) Certainty of stroke diagnosis: incremental benefit with CT perfusion over noncontrast CT and CT angiography. Radiology 255: 142-153
3. Kloska SP, Nabavi DG, Gaus C et al (2004) Acute stroke assessment with CT: do we need multimodal evaluation? Radiology 233: 79-86
4. Wintermark M, Fischbein NJ, Smith WS, Ko NU, Quist M, Dillon WP (2005) Accuracy of dynamic perfusion CT with deconvolution in detecting acute hemispheric stroke. AJNR Am J Neuroradiol 26: 104-112
5. Roberts HC, Dillon WP, Furlan AJ et al (2002) Computed tomographic findings in patients undergoing intra-arterial thrombolysis for acute ischemic stroke due to middle cerebral artery occlusion: results from the PROACT II trial. Stroke 33: 1557-1565
6. Higashida RT, Furlan AJ, Roberts H et al (2003) Trial design and reporting standards for intra-arterial cerebral thrombolysis for acute ischemic stroke. Stroke 34:e109-e137
7. König M, Kraus M, Theek C, Klotz E, Gehlen W, Heuser L (2001) Quantitative assessment of the ischemic brain by means of perfusion-related parameters derived from perfusion CT. Stroke 32: 431-437
8. Wintermark M, Flanders AE, Velthuis B et al (2006) Perfusion-CT assessment of infarct core and penumbra: receiver operating characteristic curve analysis in 130 patients suspected of acute hemispheric stroke. Stroke 37: 979-985
9. Shih LC, Saver JL, Alger JR et al (2003) Perfusion-weighted magnetic resonance imaging thresholds identifying core, irreversibly infarcted tissue. Stroke 34: 1425-1430
10. Kluytmans M, van Everdingen KJ, Kappelle LJ, Ramos LM, Viergever MA, van der Grond J (2000) Prognostic value of perfusion- and diffusion-weighted MR imaging in first 3 days of stroke. Eur Radiol 10: 1434-1441
11. Wintermark M, Rowley HA, Lev MH (2009) Acute stroke triage to intravenous thrombolysis and other therapies with advanced CT or MR imaging: pro CT. Radiology 251: 619-626
12. Wintermark M, AlbersGW, AlexandrovAVet al (2008) Acute stroke imaging research roadmap. AJNR Am J Neuroradiol 29:e23-e30
13. Kudo K, Sasaki M, Yamada K et al (2010) Differences in CT perfusion maps generated by different commercial software: quantitative analysis by using identical source data of acute stroke patients. Radiology 254: 200-209
14. Adams HP Jr, del Zoppo G, Alberts MJ et al (2007) Guidelines for the early management of adults with ischemic stroke: a guideline from the American Heart Association/American Stroke Association Stroke Council, Clinical Cardiology Council, Cardiovascular Radiology and Intervention Council, and the Atherosclerotic Peripheral Vascular Disease and Quality of Care Outcomes in Research Interdisciplinary Working Groups: The American Academy of Neurology affirms the value of this guideline as an educational tool for neurologists. Circulation 115:e478-e534
15. Del Zoppo GJ, Saver JL, Jauch EC, Adams HP Jr (2009) Expansion of the time window for treatment of acute ischemic stroke with intravenous tissue plasminogen activator: a science advisory from the American Heart Association/American Stroke Association. Stroke 40: 2945-2948
16. Abels B, Klotz E, Tomandl BF, Kloska SP, Lell MM (2010) Perfusion CT in acute ischemic stroke: a qualitative and quantitative comparison of deconvolution and maximum slope approach. Am J Neuroradiol 31: 1690-1698
17. Klotz E, Konig M (1999) Perfusion measurements of the brain: using dynamic CT for the quantitative assessment of cerebral ischemia in acute stroke. Eur J Radiol 30: 170-184
18. Østergaard L, Weisskoff RM, Chesler DA, Gyldensted C, Rosen BR (1996) High resolution measurement of cerebral blood flow using intravascular tracer bolus passages. Part I: Mathematical approach and statistical analysis. Magn Reson Med 36: 715-725
19. Pexman JH, Barber PA, Hill MD et al (2001) Use of the Alberta Stroke Program Early CT Score (ASPECTS) for assessing CT scans in patients with acute stroke. AJNR Am J Neuroradiol 22: 1534-1542
20. Ferreira RM, Lev MH, Goldmakher GVet al (2010) Arterial input function placement for accurate CT perfusion map construction in acute stroke. Am J Roentgenol 194: 1330-1336
21. Eastwood JD, Lev MH, Azhari T et al (2002) CT perfusion scanning with deconvolution analysis: pilot study in patients with acute middle cerebral artery stroke. Radiology 222: 227-236
22. Wintermark M, Reichhart M, Thiran JP et al (2002) 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: 417-432
23. Schramm P, Schellinger PD, Klotz E et al (2004) 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: 1652-1658
24. Schaefer PW, Barak ER, Kamalian S et al (2008) Quantitative assessment of core/penumbra mismatch in acute stroke: CT and MR perfusion imaging are strongly correlated when sufficient brain volume is imaged. Stroke 39: 2986-2992
25. Dani KA, Thomas RG, Chappell FM et al (2011) Computed tomography and magnetic resonance perfusion imaging in ischemic stroke: definitions and thresholds. Ann Neurol 70: 384-401
26. Kloska SP, Dittrich R, Fischer T et al (2007) Perfusion CT in acute stroke: prediction of vessel recanalization and clinical outcome in intravenous thrombolytic therapy. Eur Radiol 17: 2491-2498
27. Dorn F, Muenzel D, Meier R, Poppert H, Rummeny EJ, Huber A (2011) Brain perfusion CT for acute stroke using a 256-slice CT: improvement of diagnostic information by large volume coverage. Eur Radiol 21: 1803-1810
28. Buckler AJ, Bresolin L, Dunnick NR et al (2011) Quantitative imaging test approval and biomarker qualification: interrelated but distinct activities. Radiology 259: 875-884