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Standards for Detecting, Interpreting, and Reporting Noncontrast Computed Tomographic Markers of Intracerebral Hemorrhage Expansion
Author(s) -
Morotti Andrea,
Boulouis Gregoire,
Dowlatshahi Dar,
Li Qi,
Barras Christen D.,
Delcourt Candice,
Yu Zhiyuan,
Zheng Jun,
Zhou Zien,
Aviv Richard I.,
Shoamanesh Ashkan,
Sporns Peter B.,
Rosand Jonathan,
Greenberg Steven M.,
AlShahi Salman Rustam,
Qureshi Adnan I.,
Demchuk Andrew M.,
Anderson Craig S.,
Goldstein Joshua N.,
Charidimou Andreas
Publication year - 2019
Publication title -
annals of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.764
H-Index - 296
eISSN - 1531-8249
pISSN - 0364-5134
DOI - 10.1002/ana.25563
Subject(s) - medicine , intracerebral hemorrhage , radiology , hematoma , computed tomographic angiography , angiography , terminology , computed tomography , computed tomographic , surgery , subarachnoid hemorrhage , linguistics , philosophy
Significant hematoma expansion (HE) affects one‐fifth of people within 24 hours after acute intracerebral hemorrhage (ICH), and its prevention is an appealing treatment target. Although the computed tomography (CT)‐angiography spot sign predicts HE, only a minority of ICH patients receive contrast injection. Conversely, noncontrast CT (NCCT) is used to diagnose nearly all ICH, so NCCT markers represent a widely available alternative for prediction of HE. However, different NCCT signs describe similar features, with lack of consensus on the optimal image acquisition protocol, assessment, terminology, and diagnostic criteria. In this review, we propose practical guidelines for detecting, interpreting, and reporting NCCT predictors of HE. ANN NEUROL 2019;86:480–492