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Research ArticleNeurovascular/Stroke Imaging

Prevalence of “Ghost Infarct Core” after Endovascular Thrombectomy

Johanna M. Ospel, Nathaniel Rex, Leon Rinkel, Nima Kashani, Brian Buck, Jeremy Rempel, Demetrios Sahlas, Michael E. Kelly, Ron Budzik, Michael Tymianski, Michael D. Hill, Mayank Goyal and On behalf of the ESCAPE-NA1 Investigators
American Journal of Neuroradiology March 2024, 45 (3) 291-295; DOI: https://doi.org/10.3174/ajnr.A8113
Johanna M. Ospel
aFrom the Department of Diagnostic Imaging (J.M.O., M.D.H., M.G.), University of Calgary, Calgary, Alberta, Canada
bDepartment of Clinical Neurosciences (J.M.O., N.R., L.R., M.D.H., M.G.), University of Calgary, Calgary, Alberta, Canada
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Nathaniel Rex
bDepartment of Clinical Neurosciences (J.M.O., N.R., L.R., M.D.H., M.G.), University of Calgary, Calgary, Alberta, Canada
cDepartment of Diagnostic Imaging (N.R.), Brown University, Providence, Rhode Island
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Leon Rinkel
bDepartment of Clinical Neurosciences (J.M.O., N.R., L.R., M.D.H., M.G.), University of Calgary, Calgary, Alberta, Canada
dDepartment of Neurology (L.R.), Amsterdam University Medical Center, Amsterdam, the Netherlands
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Nima Kashani
eDepartment of Neurosurgery (N.K., M.E.K.), University of Saskatchewan, Saskatoon, Saskatchewan, Canada
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Brian Buck
fUniversity of Alberta Hospital (B.B., J.R.), Edmonton, Alberta, Canada
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Jeremy Rempel
fUniversity of Alberta Hospital (B.B., J.R.), Edmonton, Alberta, Canada
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Demetrios Sahlas
gMcMaster University (D.S.), Hamilton, Ontario, Canada
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Michael E. Kelly
eDepartment of Neurosurgery (N.K., M.E.K.), University of Saskatchewan, Saskatoon, Saskatchewan, Canada
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Ron Budzik
hOhio Health (R.B.), Riverside Methodist Hospital, Columbus, Ohio
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Michael Tymianski
iNoNO Inc. (M.T.) Toronto, Ontario, Canada
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  • ORCID record for Michael Tymianski
Michael D. Hill
aFrom the Department of Diagnostic Imaging (J.M.O., M.D.H., M.G.), University of Calgary, Calgary, Alberta, Canada
bDepartment of Clinical Neurosciences (J.M.O., N.R., L.R., M.D.H., M.G.), University of Calgary, Calgary, Alberta, Canada
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Mayank Goyal
aFrom the Department of Diagnostic Imaging (J.M.O., M.D.H., M.G.), University of Calgary, Calgary, Alberta, Canada
bDepartment of Clinical Neurosciences (J.M.O., N.R., L.R., M.D.H., M.G.), University of Calgary, Calgary, Alberta, Canada
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Article Information

vol. 45 no. 3 291-295
DOI 
https://doi.org/10.3174/ajnr.A8113
PubMed 
38272571

Published By 
American Journal of Neuroradiology
Print ISSN 
0195-6108
Online ISSN 
1936-959X
History 
  • Received April 10, 2023
  • Accepted after revision December 1, 2023
  • Published online March 7, 2024.

Article Versions

  • Latest version (January 25, 2024 - 09:00).
  • You are viewing the most recent version of this article.
Copyright & Usage 
© 2024 by American Journal of Neuroradiology

Author Information

  1. Johanna M. Ospela,b,
  2. Nathaniel Rexb,c,
  3. Leon Rinkelb,d,
  4. Nima Kashanie,
  5. Brian Buckf,
  6. Jeremy Rempelf,
  7. Demetrios Sahlasg,
  8. Michael E. Kellye,
  9. Ron Budzikh,
  10. Michael Tymianskii,
  11. Michael D. Hilla,b,
  12. Mayank Goyala,b,
  13. On behalf of the ESCAPE-NA1 Investigators
  1. aFrom the Department of Diagnostic Imaging (J.M.O., M.D.H., M.G.), University of Calgary, Calgary, Alberta, Canada
  2. bDepartment of Clinical Neurosciences (J.M.O., N.R., L.R., M.D.H., M.G.), University of Calgary, Calgary, Alberta, Canada
  3. cDepartment of Diagnostic Imaging (N.R.), Brown University, Providence, Rhode Island
  4. dDepartment of Neurology (L.R.), Amsterdam University Medical Center, Amsterdam, the Netherlands
  5. eDepartment of Neurosurgery (N.K., M.E.K.), University of Saskatchewan, Saskatoon, Saskatchewan, Canada
  6. fUniversity of Alberta Hospital (B.B., J.R.), Edmonton, Alberta, Canada
  7. gMcMaster University (D.S.), Hamilton, Ontario, Canada
  8. hOhio Health (R.B.), Riverside Methodist Hospital, Columbus, Ohio
  9. iNoNO Inc. (M.T.) Toronto, Ontario, Canada
  1. Please address correspondence to Mayank Goyal, MD, PhD, Departments of Radiology and Clinical Neurosciences, University of Calgary, 2500 University Dr NW, Calgary, AB T2N 1N4, Canada; e-mail: mgoyal{at}ucalgary.ca; @johanna_ospel; @mayank_G0; @DCNSNeuro
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Funding

  • NoNO Inc

    not applicable
  • Canadian Institutes of Health Research

    NCT02930018

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Cited By...

  • 5 Citations
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  • Optimal Cerebral Blood Flow Thresholds for Ischemic Core Estimation Using Computed Tomography Perfusion and Diffusion‐Weighted Imaging
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  • Underestimation of Follow-Up Infarct Volume by Acute CT Perfusion Imaging
    Jelle Demeestere, Benjamin F.J. Verhaaren, Soren Christensen, Anke Wouters, Gregory W. Albers, Maarten G. Lansberg, Robin Lemmens
    Neurology 2025 104 7
  • Ct-Perfusion Absolute Ghost Infarct Core Is a Rare Phenomenon Associated with Poor Collateral Status in Acute Ischemic Stroke Patients
    Giorgio Busto, Andrea Morotti, Ilaria Casetta, Anna Poggesi, Davide Gadda, Andrea Ginestroni, Giorgio Arcara, Arianna Rustici, Andrea Zini, Alessandro Padovani, Enrico Fainardi
    Journal of Clinical Medicine 2025 14 9
  • Differences in door-to-device times in a retrospective cohort of patients with ischemic stroke who received CTA only or CTA and CTP imaging
    Jason W. Tarpley, Horia Marginean, Weston Anderson, Kamila Szweda, Reza Bavarsad Shahripour, Tamela Stuchiner
    Journal of Stroke and Cerebrovascular Diseases 2025 34 5
  • Radiopaedia.org
    Dimitrios Toumpanakis, Rohit Sharma, Andrew Murphy
    2021
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American Journal of Neuroradiology: 45 (3)
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Vol. 45, Issue 3
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Cite this article
Johanna M. Ospel, Nathaniel Rex, Leon Rinkel, Nima Kashani, Brian Buck, Jeremy Rempel, Demetrios Sahlas, Michael E. Kelly, Ron Budzik, Michael Tymianski, Michael D. Hill, Mayank Goyal, On behalf of the ESCAPE-NA1 Investigators
Prevalence of “Ghost Infarct Core” after Endovascular Thrombectomy
American Journal of Neuroradiology Mar 2024, 45 (3) 291-295; DOI: 10.3174/ajnr.A8113

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“Ghost Infarct Core” Post-Thrombectomy“Ghost Infarct Core” Post-Thrombectomy
Johanna M. Ospel, Nathaniel Rex, Leon Rinkel, Nima Kashani, Brian Buck, Jeremy Rempel, Demetrios Sahlas, Michael E. Kelly, Ron Budzik, Michael Tymianski, Michael D. Hill, Mayank Goyal, On behalf of the ESCAPE-NA1 Investigators
American Journal of Neuroradiology Mar 2024, 45 (3) 291-295; DOI: 10.3174/ajnr.A8113
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Cited By...

  • CT-Perfusion absolute Ghost Infarct Core is a rare phenomenon associated with poor collateral status in acute ischemic stroke patients
  • Crossref (5)
  • Google Scholar

This article has been cited by the following articles in journals that are participating in Crossref Cited-by Linking.

  • Optimal Cerebral Blood Flow Thresholds for Ischemic Core Estimation Using Computed Tomography Perfusion and Diffusion‐Weighted Imaging
    Nakhoon Kim, Wi‐Sun Ryu, Sue Young Ha, Jun Yup Kim, Jihoon Kang, Sung Hyun Baik, Cheolkyu Jung, Moon‐Ku Han, Hee‐Joon Bae, Longting Lin, Mark Parsons, Beom Joon Kim
    Annals of Neurology 2025 97 5
  • Underestimation of Follow-Up Infarct Volume by Acute CT Perfusion Imaging
    Jelle Demeestere, Benjamin F.J. Verhaaren, Soren Christensen, Anke Wouters, Gregory W. Albers, Maarten G. Lansberg, Robin Lemmens
    Neurology 2025 104 7
  • Ct-Perfusion Absolute Ghost Infarct Core Is a Rare Phenomenon Associated with Poor Collateral Status in Acute Ischemic Stroke Patients
    Giorgio Busto, Andrea Morotti, Ilaria Casetta, Anna Poggesi, Davide Gadda, Andrea Ginestroni, Giorgio Arcara, Arianna Rustici, Andrea Zini, Alessandro Padovani, Enrico Fainardi
    Journal of Clinical Medicine 2025 14 9
  • Differences in door-to-device times in a retrospective cohort of patients with ischemic stroke who received CTA only or CTA and CTP imaging
    Jason W. Tarpley, Horia Marginean, Weston Anderson, Kamila Szweda, Reza Bavarsad Shahripour, Tamela Stuchiner
    Journal of Stroke and Cerebrovascular Diseases 2025 34 5
  • Radiopaedia.org
    Dimitrios Toumpanakis, Rohit Sharma, Andrew Murphy
    2021

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  • Role of Hypoperfusion Intensity Ratio in Vessel Occlusions: A Review on Safety and Clinical Outcomes
  • DMV, IFS and CSVD burden
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