Minds treating brains: understanding the interpretation of non-contrast CT ASPECTS in acute ischemic stroke

被引：19

作者：

Wilson, Alexis T. ^{[1
]}

Dey, Sadanand ^{[1
]}

Evans, James W. ^{[1
]}

Najm, Mohamed ^{[1
]}

Qiu, Wu ^{[1
]}

Menon, Bijoy K. ^{[1
,2
,3
]}

机构：

[1] Univ Calgary, Dept Clin Neurosci, Calgary, AB, Canada

[2] Univ Calgary, Dept Radiol, Calgary, AB, Canada

[3] Univ Calgary, Dept Community Hlth Sci, Calgary, AB, Canada

来源：

EXPERT REVIEW OF CARDIOVASCULAR THERAPY | 2018年 / 16卷 / 02期

关键词：

Stroke; computed tomography; medical imaging; brain imaging; image interpretation;

D O I：

10.1080/14779072.2018.1421069

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Introduction: The Alberta Stroke Program Early CT Score on non-contrast CT is a key component of prognostication and treatment selection in acute stroke care. Previous findings show that the reliability of this scale must be improved to maximize its clinical utility. Areas covered: This review discusses technical, patient-level, and reader-level sources of variability in ASPECTS reading; relevant concepts in the psychology of medical image perception; and potential interventions likely to improve inter-and intra-rater reliability. Expert commentary: Approaching variability in medical decision making from a psychological perspective will afford cognitively informed insights into the development of interventions and training techniques aimed at improving this issue.

引用

页码：143 / 153

页数：11

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