The role of dual energy CT in differentiating between brain haemorrhage and contrast medium after mechanical revascularisation in acute ischaemic stroke

European Radiology

Volumn 24, Issue 4, 2014, Pages 834-840

  Tijssen, M P M ^a   Hofman, P A M ^a,b   Stadler, A A R ^a   Van Zwam, W ^a   De Graaf, R ^a   Van Oostenbrugge, R J ^a,c   Klotz, E ^d   Wildberger, J E ^a,c   Postma, A A ^a  

^a MAASTRICHT UNIVERSITY MEDICAL CENTER   (Netherlands)

^b MAASTRICHT UNIVERSITY   (Netherlands)

^c MAASTRICHT UNIVERSITY   (Netherlands)

^d SIEMENS AG   (Germany)

Author keywords

CT systems; Extravasation of diagnostic and therapeutic materials; Intracranial haemorrhages; Stroke; Thrombectomy

Indexed keywords

CONTRAST MEDIUM;

ADULT; AGED; ALGORITHM; ARTICLE; BASILAR ARTERY; BRAIN HEMORRHAGE; BRAIN ISCHEMIA; CEREBRAL REVASCULARIZATION; CLINICAL ARTICLE; COMPUTED TOMOGRAPHY SCANNER; COMPUTER ASSISTED TOMOGRAPHY; CONTRAST MEDIUM EXTRAVASATION; DIAGNOSTIC ACCURACY; DIAGNOSTIC TEST ACCURACY STUDY; DUAL ENERGY COMPUTER ASSISTED TOMOGRAPHY; FEASIBILITY STUDY; FEMALE; FLUSHING; FOLLOW UP; HUMAN; MALE; MECHANICAL REVASCULARIZATION; MIDDLE AGED; PREDICTIVE VALUE; PRIORITY JOURNAL; VERY ELDERLY; YOUNG ADULT;

ADULT; AGED; AGED, 80 AND OVER; ALGORITHMS; BRAIN; CEREBRAL HEMORRHAGE; CONTRAST MEDIA; EXTRAVASATION OF DIAGNOSTIC AND THERAPEUTIC MATERIALS; FEMALE; HUMANS; IODINE; MALE; MECHANICAL THROMBOLYSIS; MIDDLE AGED; STROKE; TOMOGRAPHY, X-RAY COMPUTED; YOUNG ADULT;

EID: 84896315958     PISSN: 09387994     EISSN: 14321084     Source Type: Journal    
DOI: 10.1007/s00330-013-3073-x     Document Type: Article

References (16)

1. The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group (1995) Tissue plasminogen activator for acute ischemic stroke. N Engl J Med 333:1581-1587
2. Rubiera M, Ribo M, Pagola J et al (2011) Bridging intravenous-intra- arterial rescue strategy increases recanalization and the likelihood of a good outcome in nonresponder intravenous tissue plasminogen activator-treated patients: a case-control study. Stroke 42:993-997
3. Mokin M, Kan P, Kass-Hout T et al (2012) Intracerebral hemorrhage secondary to intravenous and endovascular intraarterial revascularization therapies in acute ischemic stroke: an update on risk factors, predictors, and management. Neurosurg Focus 32:E2
4. Fiorelli M, Bastianello S, von Kummer R et al (1999) Hemorrhagic transformation within 36 hours of a cerebral infarct: relationships with early clinical deterioration and 3-month outcome in the European Cooperative Acute Stroke Study I (ECASS I) cohort. Stroke 30:2280-2284 (Pubitemid 29517722)
5. Nakano S, Iseda T, Kawano H, Yoneyama T, Ikeda T, Wakisaka S (2001) Parenchymal hyperdensity on computed tomography after intra-arterial reperfusion therapy for acute middle cerebral artery occlusion: incidence and clinical significance. Stroke 32:2042-2048 (Pubitemid 32868095)
6. Jang YM, Lee DH, Kim HS et al (2006) The fate of high-density lesions on the non-contrast CTobtained immediately after intra-arterial thrombolysis in ischemic stroke patients. Korean J Radiol 7:221-228 (Pubitemid 44905079)
7. Kim JT, Heo SH, Cho BH et al (2012) Hyperdensity on non-contrast CT immediately after intra-arterial revascularization. J Neurol 259:936-943
8. Karcaaltincaba M, Aktas A (2011) Dual-energy CT revisited with multidetector CT: review of principles and clinical applications. Diagn Interv Radiol 17:181-194
9. Johnson TFC, Schönberg SO, Reissner MF (2010) Dual energy CT in clinical practice, 1st edn. Springer, Berlin
10. Postma AA, Hofman PA, Stadler AA, van Oostenbrugge RJ, Tijssen MP, Wildberger JE (2012) Dual-energy CT of the brain and intracranial vessels. AJR Am J Roentgenol 199:S26-S33
11. Ferda J, Novak M, Mirka H et al (2009) The assessment of intracranial bleeding with virtual unenhanced imaging by means of dual-energy CT angiography. Eur Radiol 19:2518-2522
12. Gupta R, Phan CM, Leidecker C et al (2010) Evaluation of dual-energy CT for differentiating intracerebral hemorrhage from iodinated contrast material staining. Radiology 257:205-211
13. Phan CM, Yoo AJ, Hirsch JA, Nogueira RG, Gupta R (2012) Differentiation of hemorrhage from iodinated contrast in different intracranial compartments using dual-energy head CT. AJNR Am J Neuroradiol 33:1088-1094
14. Parrilla G, Garcia-Villalba B, Espinosa de Rueda M et al (2012) Hemorrhage/contrast staining areas after mechanical intra-arterial thrombectomy in acute ischemic stroke: imaging findings and clinical significance. AJNR Am J Neuroradiol 33:1791-1796
15. Yoon W, Seo JJ, Kim JK, Cho KH, Park JG, Kang HK (2004) Contrast enhancement and contrast extravasation on computed tomography after intra-arterial thrombolysis in patients with acute ischemic stroke. Stroke 35:876-881 (Pubitemid 38419795)
16. Lummel N, Schulte-Altedorneburg G, Bernau C et al (2013) Hyperattenuated intracerebral lesions after mechanical recanalization in acute stroke. AJNR. doi:10.3174/ajnr.A3656