Standards for Detecting, Interpreting, and Reporting Noncontrast Computed Tomographic Markers of Intracerebral Hemorrhage Expansion

被引：165

作者：

Morotti, Andrea ^{[1
]}

Boulouis, Gregoire ^{[2
]}

Dowlatshahi, Dar ^{[3
]}

Li, Qi ^{[4
]}

Barras, Christen D. ^{[5
,6
,7
]}

Delcourt, Candice ^{[8
,9
]}

Yu, Zhiyuan ^{[10
]}

Zheng, Jun ^{[10
]}

Zhou, Zien ^{[9
,11
]}

Aviv, Richard, I ^{[12
,13
]}

Shoamanesh, Ashkan ^{[14
]}

Sporns, Peter B. ^{[15
]}

Rosand, Jonathan ^{[16
,17
,18
]}

Greenberg, Steven M. ^{[16
]}

Salman, Rustam Al-Shahi ^{[19
]}

Qureshi, Adnan, I ^{[20
]}

Demchuk, Andrew M. ^{[21
]}

Anderson, Craig S. ^{[8
,9
]}

Goldstein, Joshua N. ^{[16
,17
,22
]}

Charidimou, Andreas ^{[16
]}

机构：

[1] IRCCS Mondino Fdn, Dept Neurol & Neurorehabil, Via Mondino 2, I-27100 Pavia, Italy

[2] Univ Paris, INSERM UMR IMA BRAIN 1266, Ctr Hosp St Anne, Dept Neuroradiol, Paris, France

[3] Univ Ottawa, Ottawa Hosp, Dept Med Neurol, Res Inst, Ottawa, ON, Canada

[4] Chongqing Med Univ, Affiliated Hosp 1, Dept Neurol, Chongqing, Peoples R China

[5] Royal Adelaide Hosp, South Australian Hlth & Med Res Inst, Adelaide, SA, Australia

[6] Royal Adelaide Hosp, Dept Radiol, Adelaide, SA, Australia

[7] Univ Adelaide, Adelaide, SA, Australia

[8] Univ Sydney, Royal Prince Alfred Hosp, Dept Neurol, Sydney Hlth Partners, Sydney, NSW, Australia

[9] Univ New South Wales, Fac Med, George Inst Global Hlth, Sydney, NSW, Australia

[10] Sichuan Univ, West China Hosp, Dept Neurosurg, Chengdu, Sichuan, Peoples R China

[11] Shanghai Jiao Tong Univ, Ren Ji Hosp, Sch Med, Dept Radiol, Shanghai, Peoples R China

[12] Univ Toronto, Sunnybrook Hlth Sci Ctr, Div Neuroradiol, Toronto, ON, Canada

[13] Univ Toronto, Sunnybrook Hlth Sci Ctr, Dept Med Imaging, Toronto, ON, Canada

[14] McMaster Univ, Div Neurol, Populat Hlth Res Inst, Hamilton, ON, Canada

[15] Univ Munster, Inst Clin Radiol, Munster, Germany

[16] Harvard Med Sch, Massachusetts Gen Hosp, JP Kistler Stroke Res Ctr, Boston, MA 02115 USA

[17] Harvard Med Sch, Massachusetts Gen Hosp, Dept Neurol, Div Neurocrit Care & Emergency Neurol, Boston, MA 02115 USA

[18] Massachusetts Gen Hosp, Henry & Allison McCance Ctr Brain Hlth, Boston, MA 02114 USA

[19] Univ Edinburgh, Ctr Clin Brain Sci, Edinburgh, Midlothian, Scotland

[20] Zeenat Qureshi Stroke Inst, St Cloud, MN USA

[21] Univ Calgary, Hotchkiss Brain Inst, Dept Clin Neurosci, Dept Radiol, Calgary, AB, Canada

[22] Harvard Med Sch, Massachusetts Gen Hosp, Dept Emergency Med, Boston, MA 02115 USA

来源：

ANNALS OF NEUROLOGY | 2019年 / 86卷 / 04期

关键词：

PREDICTING HEMATOMA EXPANSION; BLOOD-PRESSURE REDUCTION; BLACK-HOLE SIGN; ANGIOGRAPHY SPOT SIGN; BLEND SIGN; INTRAVENTRICULAR HEMORRHAGE; DENSITY HETEROGENEITY; CT MARKERS; STROKE; HYPODENSITIES;

D O I：

10.1002/ana.25563

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Significant hematoma expansion (HE) affects one-fifth of people within 24 hours after acute intracerebral hemorrhage (ICH), and its prevention is an appealing treatment target. Although the computed tomography (CT)-angiography spot sign predicts HE, only a minority of ICH patients receive contrast injection. Conversely, noncontrast CT (NCCT) is used to diagnose nearly all ICH, so NCCT markers represent a widely available alternative for prediction of HE. However, different NCCT signs describe similar features, with lack of consensus on the optimal image acquisition protocol, assessment, terminology, and diagnostic criteria. In this review, we propose practical guidelines for detecting, interpreting, and reporting NCCT predictors of HE. ANN NEUROL 2019

引用

页码：480 / 492

页数：13

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