Systematic Review of Assessment Precision of CT Perfusion Imaging in Acute Ischemic Stroke
Keywords:
Stroke, ischemic, CT Perfusion, ImagingAbstract
Background: CT perfusion (CTP) has emerged as a valuable tool in the management of acute stroke, providing essential quantitative information on the extent of the irreversibly injured ischemic core and the potentially salvageable ischemic penumbra. Methods: This systematic review focused on full-text English literature published between 2014 and 2024 using the PRISMA 2020 guidelines. Editorials and review pieces published in the same journal as the submission without a DOI were not accepted. The literature was compiled using PubMed, ScienceDirect, and SagePub, among other online venues. Result: Five publications were found to be directly related to our ongoing systematic examination after a rigorous three-level screening approach. Subsequently, a comprehensive analysis of the complete text was conducted, and additional scrutiny was given to these articles. Conclusion: The optimal duration of a CTP scan relates to the arrival time and width of the contrast bolus of the scan. This knowledge can be used to optimize CTP scan protocols and to determine if a scan is of sufficient duration.
References
Menzilcioglu MS, Mete A, Ünverdi Z. Effectiveness of CT computed tomography perfusion in diagnostics of acute ischemic stroke. Polish J Radiol. 2015;80(1):549–54.
Smith AGG, Hill chris rowl A. Imaging assessment of acute ischaemic stroke: A review of radiological methods. Br J Radiol. 2018;91(1083):1–11.
Haggenmüller B, Kreiser K, Sollmann N, Huber M, Vogele D, Schmidt SA, et al. Pictorial Review on Imaging Findings in Cerebral CTP in Patients with Acute Stroke and Its Mimics: A Primer for General Radiologists. Diagnostics. 2023;13(3).
Bill O, Inácio NM, Lambrou D, Wintermark M, Ntaios G, Dunet V, et al. Focal hypoperfusion in acute ischemic stroke perfusion CT: Clinical and radiologic predictors and accuracy for infarct prediction. Am J Neuroradiol. 2019;40(3):483–9.
Sabarudin A, Subramaniam C, Sun Z. Cerebral CT angiography and CT perfusion in acute stroke detection: a systematic review of diagnostic value. Quant Imaging Med Surg [Internet]. 2014;4(4):282–90. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25202664%0Ahttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC4137184
Hoving JW, Koopman MS, Tolhuisen ML, van Voorst H, Brehm M, Berkhemer OA, et al. Accuracy of CT perfusion ischemic core volume and location estimation: A comparison between four ischemic core estimation approaches using syngo.via. PLoS One [Internet]. 2022;17(8 August):1–14. Available from: http://dx.doi.org/10.1371/journal.pone.0272276
McNay EC, Ong CT, McCrimmon RJ, Cresswell J, Bogan JS, Sherwin RS. 基因的改变NIH Public Access. Bone [Internet]. 2008;23(1):1–7. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3624763/pdf/nihms412728.pdf
Junejo H ur R, Yusuf S, Zeb R, Zeb U, Zeb AA, Ali A. Predictive Value of CT Brain Perfusion Studies in Acute Ischemic Infarct Taking MRI Stroke Protocol As Gold Standard. Cureus. 2021;13(7):10–4.
Ehman EC, Johnson GB, Villanueva-meyer JE, Cha S, Leynes AP, Eric P, et al. Optimal CT Perfusion Scan Duration for Assessment of Acute Stroke Lesion Volumes. Stroke. 2016;47(12):2966–71.
Capasso R, Vallone S, Serra N, Zelent G, Verganti L, Sacchetti F, et al. Qualitative versus automatic evaluation of CT perfusion parameters in acute posterior circulation ischaemic stroke. Neuroradiology. 2021;63(3):317–30.
Yang Y, Yang J, Feng J, Wang Y. Early Diagnosis of Acute Ischemic Stroke by Brain Computed Tomography Perfusion Imaging Combined with Head and Neck Computed Tomography Angiography on Deep Learning Algorithm. Contrast Media Mol Imaging. 2022;2022.
Xu XQ, Ma G, Shen GC, Lu SS, Shi H Bin, Zhang YX, et al. Spatial accuracy of computed tomography perfusion to estimate the follow-up infarct on diffusion-weighted imaging after successful mechanical thrombectomy. BMC Neurol [Internet]. 2023;23(1):1–8. Available from: https://doi.org/10.1186/s12883-023-03075-z
Mubarak F, Fatima H, Mustafa MS, Shafique MA, Abbas SR, Rangwala HS. Assessment Precision of CT Perfusion Imaging in the Detection of Acute Ischemic Stroke: A Systematic Review and Meta-Analysis. Cureus. 2023;15(8).
Shen J, Li X, Li Y, Wu B. Comparative accuracy of CT perfusion in diagnosing acute ischemic stroke: A systematic review of 27 trials. PLoS One. 2017;12(5):1–17.
Heit JJ, Wintermark M. Perfusion computed tomography for the evaluation of acute ischemic stroke strengths and pitfalls. Stroke. 2016;47(4):1153–8.
Bhagat R, Muha A, Remmel K, Liu W. Assessment of computed tomography perfusion RAPID estimated core volume accuracy in patients following thrombectomy. Curr J Neurol. 2022;21(1):17–22.
Christensen S, Lansberg MG. CT perfusion in acute stroke: Practical guidance for implementation in clinical practice. J Cereb Blood Flow Metab. 2019;39(9):1664–8.
Sarraj A, Campbell BCV, Christensen S, Sitton CW, Khanpara S, Riascos RF, et al. Accuracy of CT Perfusion-Based Core Estimation of Follow-up Infarction: Effects of Time Since Last Known Well. Neurology. 2022;98(21):E2084–96.
Thirugnanachandran T, Aitchison SG, Lim A, Ding C, Ma H, Phan T. Assessing the diagnostic accuracy of CT perfusion: a systematic review. Front Neurol. 2023;14(October).
Katyal A, Bhaskar SMM. Value of pre-intervention CT perfusion imaging in acute ischemic stroke prognosis. Diagnostic Interv Radiol. 2021;27(6):774–85.
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