Standards for Detecting, Interpreting, and Reporting Noncontrast Computed Tomographic Markers of Intracerebral Hemorrhage Expansion.
Morotti AndreaGregoire BoulouisDar DowlatshahiQi LiChristen D BarrasCandice DelcourtZhiyuan YuJun ZhengZien ZhouRichard I AvivAshkan ShoamaneshPeter B SpornsJonathan RosandSteven M GreenbergRustam Al-Shahi SalmanAdnan I QureshiAndrew M DemchukCraig S AndersonJoshua N GoldsteinAndreas Charidimounull nullPublished in: Annals of neurology (2019)
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;86:480-492.
Keyphrases
- computed tomography
- dual energy
- brain injury
- end stage renal disease
- ejection fraction
- newly diagnosed
- positron emission tomography
- adverse drug
- randomized controlled trial
- magnetic resonance imaging
- clinical practice
- magnetic resonance
- deep learning
- peritoneal dialysis
- emergency department
- machine learning
- ultrasound guided
- replacement therapy
- neural network