Admission Insular Infarction >25% Is the Strongest Predictor of Large Mismatch Loss in Proximal Middle Cerebral Artery Stroke
Author(s) -
Shervin Kamalian,
André Kemmling,
Roderick C. Borgie,
Lívia T. Morais,
Seyedmehdi Payabvash,
Ana M. Franceschi,
Shahmir Kamalian,
Albert J. Yoo,
Karen L. Furie,
Michael H. Lev
Publication year - 2013
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/strokeaha.113.002260
Subject(s) - medicine , magnetic resonance imaging , receiver operating characteristic , middle cerebral artery , interquartile range , stroke (engine) , infarction , cardiology , diffusion mri , area under the curve , nuclear medicine , radiology , ischemia , myocardial infarction , engineering , mechanical engineering
Previous univariate analyses have suggested that proximal middle cerebral artery infarcts with insular involvement have greater severity and are more likely to progress into surrounding penumbral tissue at risk. We hypothesized that a practical, simple scoring method to assess percent insular ribbon infarction (PIRI score) would improve prediction of penumbral loss over other common imaging biomarkers.
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