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Research ArticleBrainE

Clinical Stroke Penumbra: Use of National Institutes of Health Stroke Scale as a Surrogate for CT Perfusion in Patient Triage for Intra-Arterial Middle Cerebral Artery Stroke Therapy

J.L. Boxerman, M.V. Jayaraman, W.A. Mehan, J.M. Rogg and R.A. Haas
American Journal of Neuroradiology November 2012, 33 (10) 1893-1900; DOI: https://doi.org/10.3174/ajnr.A3102
J.L. Boxerman
aFrom the Department of Diagnostic Imaging (J.L.B., M.V.J., J.M.R., R.A.H.), Rhode Island Hospital and Alpert Medical School of Brown University, Providence, Rhode Island
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M.V. Jayaraman
aFrom the Department of Diagnostic Imaging (J.L.B., M.V.J., J.M.R., R.A.H.), Rhode Island Hospital and Alpert Medical School of Brown University, Providence, Rhode Island
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W.A. Mehan
bDepartment of Neuroradiology (W.A.M.), Massachusetts General Hospital, Boston, Massachusetts.
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J.M. Rogg
aFrom the Department of Diagnostic Imaging (J.L.B., M.V.J., J.M.R., R.A.H.), Rhode Island Hospital and Alpert Medical School of Brown University, Providence, Rhode Island
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R.A. Haas
aFrom the Department of Diagnostic Imaging (J.L.B., M.V.J., J.M.R., R.A.H.), Rhode Island Hospital and Alpert Medical School of Brown University, Providence, Rhode Island
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References

  1. 1.↵
    Generalized efficacy of t-PA for acute stroke: subgroup analysis of the NINDS t-PA Stroke Trial. Stroke 1997;28:2119–25
    Abstract/FREE Full Text
  2. 2.↵
    1. Hacke W,
    2. Kaste M,
    3. Bluhmki E,
    4. et al
    . Thrombolysis with alteplase 3 to 4.5 hours after acute ischemic stroke. N Engl J Med 2008;359:1317–29
    CrossRefPubMedWeb of Science
  3. 3.↵
    1. Furlan A,
    2. Higashida R,
    3. Wechsler L,
    4. et al
    . Intra-arterial prourokinase for acute ischemic stroke: the PROACT II study—a randomized controlled trial. Prolyse in Acute Cerebral Thromboembolism. JAMA 1999;282:2003–11
    CrossRefPubMedWeb of Science
  4. 4.↵
    IMS II Trial Investigators. The Interventional Management of Stroke (IMS) II Study. Stroke 2007;38:2127–35
    Abstract/FREE Full Text
  5. 5.↵
    1. Nogueira RG,
    2. Liebeskind DS,
    3. Sung G,
    4. et al
    . Predictors of good clinical outcomes, mortality, and successful revascularization in patients with acute ischemic stroke undergoing thrombectomy: pooled analysis of the Mechanical Embolus Removal in Cerebral Ischemia (MERCI) and Multi MERCI Trials. Stroke 2009;40:3777–83
    Abstract/FREE Full Text
  6. 6.↵
    1. Wintermark M,
    2. Flanders AE,
    3. Velthuis B,
    4. et al
    . Perfusion-CT assessment of infarct core and penumbra: receiver operating characteristic curve analysis in 130 patients suspected of acute hemispheric stroke. Stroke 2006;37:979–85
    Abstract/FREE Full Text
  7. 7.↵
    1. Cianfoni A,
    2. Colosimo C,
    3. Basile M,
    4. et al
    . Brain perfusion CT: principles, technique and clinical applications. Radiol Med 2007;112:1225–43
    CrossRefPubMedWeb of Science
  8. 8.↵
    1. Leiva-Salinas C,
    2. Provenzale JM,
    3. Wintermark M
    . Responses to the 10 most frequently asked questions about perfusion CT. AJR Am J Roentgenol 2011;196:53–60
    CrossRefPubMed
  9. 9.↵
    1. Coutts SB,
    2. Lev MH,
    3. Eliasziw M,
    4. et al
    . ASPECTS on CTA source images versus unenhanced CT: added value in predicting final infarct extent and clinical outcome. Stroke 2004;35:2472–76
    Abstract/FREE Full Text
  10. 10.↵
    1. Camargo EC,
    2. Furie KL,
    3. Singhal AB,
    4. et al
    . Acute brain infarct: detection and delineation with CT angiographic source images versus nonenhanced CT scans. Radiology 2007;244:541–48
    CrossRefPubMedWeb of Science
  11. 11.↵
    1. Fischer U,
    2. Arnold M,
    3. Nedeltchev K,
    4. et al
    . NIHSS score and arteriographic findings in acute ischemic stroke. Stroke 2005;36:2121–25
    Abstract/FREE Full Text
  12. 12.↵
    1. Sims JR,
    2. Rordorf G,
    3. Smith EE,
    4. et al
    . Arterial occlusion revealed by CT angiography predicts NIH stroke score and acute outcomes after IV tPA treatment. AJNR Am J Neuroradiol 2005;26:246–51
    Abstract/FREE Full Text
  13. 13.↵
    Tissue plasminogen activator for acute ischemic stroke: the National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group. N Engl J Med 1995;333:1581–87
    CrossRefPubMedWeb of Science
  14. 14.↵
    1. Maas MB,
    2. Furie KL,
    3. Lev MH,
    4. et al
    . National Institutes of Health Stroke Scale score is poorly predictive of proximal occlusion in acute cerebral ischemia. Stroke 2009;40:2988–93
    Abstract/FREE Full Text
  15. 15.↵
    1. Prosser J,
    2. Butcher K,
    3. Allport L,
    4. et al
    . Clinical-diffusion mismatch predicts the putative penumbra with high specificity. Stroke 2005;36:1700–04
    Abstract/FREE Full Text
  16. 16.↵
    1. Davalos A,
    2. Blanco M,
    3. Pedraza S,
    4. et al
    . The clinical-DWI mismatch: a new diagnostic approach to the brain tissue at risk of infarction. Neurology 2004;62:2187–92
    Abstract/FREE Full Text
  17. 17.↵
    1. Tei H,
    2. Uchiyama S,
    3. Usui T
    . Clinical-diffusion mismatch defined by NIHSS and ASPECTS in non-lacunar anterior circulation infarction. J Neurol 2007;254:340–46
    CrossRefPubMed
  18. 18.↵
    1. Lansberg MG,
    2. Thijs VN,
    3. Bammer R,
    4. et al
    . The MRA-DWI mismatch identifies patients with stroke who are likely to benefit from reperfusion. Stroke 2008;39:2491–96
    Abstract/FREE Full Text
  19. 19.↵
    1. Fiorelli M,
    2. Bastianello S,
    3. von Kummer R,
    4. et al
    . Hemorrhagic transformation within 36 hours of a cerebral infarct: relationships with early clinical deterioration and 3-month outcome in the European Cooperative Acute Stroke Study I (ECASS I) cohort. Stroke 1999;30:2280–84
    Abstract/FREE Full Text
  20. 20.↵
    1. Hacke W,
    2. Kaste M,
    3. Fieschi C,
    4. et al
    . Intravenous thrombolysis with recombinant tissue plasminogen activator for acute hemispheric stroke: the European Cooperative Acute Stroke Study (ECASS). JAMA 1995;274:1017–25
    CrossRefPubMedWeb of Science
  21. 21.↵
    1. del Zoppo GJ,
    2. Higashida RT,
    3. Furlan AJ,
    4. et al
    . PROACT: a phase II randomized trial of recombinant pro-urokinase by direct arterial delivery in acute middle cerebral artery stroke: PROACT Investigators—Prolyse in Acute Cerebral Thromboembolism. Stroke 1998;29:4–11
    Abstract/FREE Full Text
  22. 22.↵
    1. Dzialowski I,
    2. Hill MD,
    3. Coutts SB,
    4. et al
    . Extent of early ischemic changes on computed tomography (CT) before thrombolysis: prognostic value of the Alberta Stroke Program Early CT Score in ECASS II. Stroke 2006;37:973–78
    Abstract/FREE Full Text
  23. 23.↵
    1. Hill MD,
    2. Rowley HA,
    3. Adler F,
    4. et al
    . Selection of acute ischemic stroke patients for intra-arterial thrombolysis with pro-urokinase by using ASPECTS. Stroke 2003;34:1925–31
    Abstract/FREE Full Text
  24. 24.↵
    1. Aviv RI,
    2. Mandelcorn J,
    3. Chakraborty S,
    4. et al
    . Alberta Stroke Program Early CT Scoring of CT perfusion in early stroke visualization and assessment. AJNR Am J Neuroradiol 2007;28:1975–80
    Abstract/FREE Full Text
  25. 25.↵
    1. Hill MD,
    2. Demchuk AM,
    3. Tomsick TA,
    4. et al
    . Using the baseline CT scan to select acute stroke patients for IV-IA therapy. AJNR Am J Neuroradiol 2006;27:1612–16
    Abstract/FREE Full Text
  26. 26.↵
    1. Demaerschalk BM,
    2. Silver B,
    3. Wong E,
    4. et al
    . ASPECT scoring to estimate >1/3 middle cerebral artery territory infarction. Can J Neurol Sci 2006;33:200–04
    PubMed
  27. 27.↵
    1. Sharma M,
    2. Fox AJ,
    3. Symons S,
    4. et al
    . CT angiographic source images: flow- or volume-weighted? AJNR Am J Neuroradiol 2011;32:359–64
    Abstract/FREE Full Text
  28. 28.↵
    1. Yoo AJ,
    2. Hu R,
    3. Hakimelahi R,
    4. et al
    . CT angiography source images acquired with a fast-acquisition protocol overestimate infarct core on diffusion weighted images in acute ischemic stroke. J Neuroimaging 2011 Aug 17. [Epub ahead of print]
  29. 29.↵
    1. Bisdas S,
    2. Donnerstag F,
    3. Ahl B,
    4. et al
    . Comparison of perfusion computed tomography with diffusion-weighted magnetic resonance imaging in hyperacute ischemic stroke. J Comput Assist Tomogr 2004;28:747–55
    CrossRefPubMed
  30. 30.↵
    1. Schaefer PW,
    2. Barak ER,
    3. Kamalian S,
    4. et al
    . Quantitative assessment of core/penumbra mismatch in acute stroke: CT and MR perfusion imaging are strongly correlated when sufficient brain volume is imaged. Stroke 2008;39:2986–92
    Abstract/FREE Full Text
  31. 31.↵
    1. Mishra NK,
    2. Albers GW,
    3. Davis SM,
    4. et al
    . Mismatch-based delayed thrombolysis: a meta-analysis. Stroke 2010;41:e25–33
    Abstract/FREE Full Text
  32. 32.↵
    1. Konstas AA,
    2. Lev MH
    . CT perfusion imaging of acute stroke: the need for arrival time, delay insensitive, and standardized postprocessing algorithms? Radiology 2011;254:22–25
  33. 33.↵
    1. Maas MB,
    2. Lev MH,
    3. Ay H,
    4. et al
    . Collateral vessels on CT angiography predict outcome in acute ischemic stroke. Stroke 2009;40:3001–05
    Abstract/FREE Full Text
  34. 34.↵
    1. Schaefer PW,
    2. Mui K,
    3. Kamalian S,
    4. et al
    . Avoiding “pseudo-reversibility” of CT-CBV infarct core lesions in acute stroke patients after thrombolytic therapy: the need for algorithmically “delay-corrected” CT perfusion map postprocessing software. Stroke 2009;40:2875–78
    Abstract/FREE Full Text
  35. 35.↵
    1. Kamalian S,
    2. Kamalian S,
    3. Maas MB,
    4. et al
    . CT cerebral blood flow maps optimally correlate with admission diffusion-weighted imaging in acute stroke but thresholds vary by postprocessing platform. Stroke 2011;42:1923–28
    Abstract/FREE Full Text
  36. 36.↵
    1. Knash M,
    2. Tsang A,
    3. Hameed B,
    4. et al
    . Low cerebral blood volume is predictive of diffusion restriction only in hyperacute stroke. Stroke 2010;41:2795–800
    Abstract/FREE Full Text
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J.L. Boxerman, M.V. Jayaraman, W.A. Mehan, J.M. Rogg, R.A. Haas
Clinical Stroke Penumbra: Use of National Institutes of Health Stroke Scale as a Surrogate for CT Perfusion in Patient Triage for Intra-Arterial Middle Cerebral Artery Stroke Therapy
American Journal of Neuroradiology Nov 2012, 33 (10) 1893-1900; DOI: 10.3174/ajnr.A3102

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Clinical Stroke Penumbra: Use of National Institutes of Health Stroke Scale as a Surrogate for CT Perfusion in Patient Triage for Intra-Arterial Middle Cerebral Artery Stroke Therapy
J.L. Boxerman, M.V. Jayaraman, W.A. Mehan, J.M. Rogg, R.A. Haas
American Journal of Neuroradiology Nov 2012, 33 (10) 1893-1900; DOI: 10.3174/ajnr.A3102
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