Clinical uncertainty in large vessel occlusion ischemic stroke: does automated perfusion imaging make a difference? An intra-rater and inter-rater agreement study.
Jose Danilo Bengzon DiestroRobert FahedAbdelsimar Tan OmarChristine HawkesEef J HendriksClare EnriquezMuneer EesaGrant StottsHubert LeeShashank NagendraAlexandre PoppeCelina DucrouxTimothy LimKarl NarvacanMichael RizzutoAfra AlfalahiHidehisa NishiPragyan SarmaZe'ev Itsekzon-HayoshKatrina IgnacioWilliam BoisseauEduardo Pimenta Ribeiro Pontes AlmeidaAnass BenomarMohammed A AlmekhlafiGenvieve MilotAviraj DeshmukhKislay KishoreDonatella TampieriJeffrey WangAbhilekh SrivastavaDaniel RoyFederico CarpaniNima R KashaniClaudia Candale-RaduNishita SinghMaria Bres BullrichRobert SarmientoRyan T MuirCarmen Parra-FarinasStephanie ReiterYan DeschaintreRavinder-Jeet SinghVivek BodaniAristeidis KatsanosRonit AgidAtif ZafarVitor M PereiraJulian SpearsThomas R MarottaPascal DjiadeuSunjay SharmaForough FarrokhyarPublished in: Journal of neurointerventional surgery (2024)
Despite the minimal difference in overall EVT recommendations with either neuroimaging protocol one in five decisions changed with perfusion imaging. Regarding agreement we found that the use of automated CT perfusion images does not significantly impact the reliability of EVT decisions for patients with late-window LVO.