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Redefining CT perfusion-based ischemic core estimates for the ghost core in early time window stroke.

Manisha C KoneruMeisam HoseinyazdiDhairya A LakhaniCynthia GreeneKaren CopelandRichard C WangRisheng XuLicia LunaJustin M CaplanAdam A DmytriwAdrien GuenegoNicholas J LeeperGregory W AlbersYing LiLuis F GonzalezVictor C UrrutiaJudy HuangKambiz NaelRichard LeighElisabeth B MarshArgye E HillisRafael H LlinasVivek Srikar Yedavalli
Published in: Journal of neuroimaging : official journal of the American Society of Neuroimaging (2023)
Our multisite analysis shows that favorable short-term neurological recovery was significantly correlated with rCBF volumes in the early time window. However, modest strength of correlations provides supportive evidence that the applicability of general ischemic core estimate thresholds in this subpopulation is limited. Our results support future larger-scale efforts to liberalize or reevaluate current rCBF parameter thresholds guiding treatment decisions for early time window stroke patients.
Keyphrases
  • cerebral ischemia
  • computed tomography
  • contrast enhanced
  • magnetic resonance imaging
  • magnetic resonance
  • image quality
  • quality improvement
  • positron emission tomography
  • brain injury
  • dual energy