Standards for Detecting, Interpreting and Reporting NCCT Markers of ICH Expansion

International NCCT ICH Study Group

Research output: Contribution to journalReview article

Abstract

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 CT-Angiography spot sign predicts HE, only a minority of ICH patients receives contrast injection. Conversely, non-contrast 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. This article is protected by copyright. All rights reserved.

Original languageEnglish
JournalAnnals of Neurology
DOIs
Publication statusE-pub ahead of print - Jul 31 2019

Fingerprint

Cerebral Hemorrhage
Hematoma
Terminology
Guidelines
Injections
Therapeutics

Cite this

Standards for Detecting, Interpreting and Reporting NCCT Markers of ICH Expansion. / International NCCT ICH Study Group.

In: Annals of Neurology, 31.07.2019.

Research output: Contribution to journalReview article

@article{34c05821a0e44c8290d535d8c6874b21,
title = "Standards for Detecting, Interpreting and Reporting NCCT Markers of ICH Expansion",
abstract = "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 CT-Angiography spot sign predicts HE, only a minority of ICH patients receives contrast injection. Conversely, non-contrast 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. This article is protected by copyright. All rights reserved.",
author = "{International NCCT ICH Study Group} and Andrea Morotti and Gregoire Boulouis and Dar Dowlatshahi and Qi Li and Barras, {Christen D} and Candice Delcourt and Zhiyuan Yu and Jun Zheng and Zien Zhou and Aviv, {Richard I} and Ashkan Shoamanesh and Sporns, {Peter B} and Jonathan Rosand and Greenberg, {Steven M} and {Al-Shahi Salman}, Rustam and Qureshi, {Adnan I} and Demchuk, {Andrew M} and Anderson, {Craig S} and Goldstein, {Joshua N} and Andreas Charidimou",
note = "This article is protected by copyright. All rights reserved.",
year = "2019",
month = "7",
day = "31",
doi = "10.1002/ana.25563",
language = "English",
journal = "Annals of Neurology",
issn = "0364-5134",
publisher = "John Wiley and Sons Inc.",

}

TY - JOUR

T1 - Standards for Detecting, Interpreting and Reporting NCCT Markers of ICH Expansion

AU - International NCCT ICH Study Group

AU - Morotti, Andrea

AU - Boulouis, Gregoire

AU - Dowlatshahi, Dar

AU - Li, Qi

AU - Barras, Christen D

AU - Delcourt, Candice

AU - Yu, Zhiyuan

AU - Zheng, Jun

AU - Zhou, Zien

AU - Aviv, Richard I

AU - Shoamanesh, Ashkan

AU - Sporns, Peter B

AU - Rosand, Jonathan

AU - Greenberg, Steven M

AU - Al-Shahi Salman, Rustam

AU - Qureshi, Adnan I

AU - Demchuk, Andrew M

AU - Anderson, Craig S

AU - Goldstein, Joshua N

AU - Charidimou, Andreas

N1 - This article is protected by copyright. All rights reserved.

PY - 2019/7/31

Y1 - 2019/7/31

N2 - 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 CT-Angiography spot sign predicts HE, only a minority of ICH patients receives contrast injection. Conversely, non-contrast 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. This article is protected by copyright. All rights reserved.

AB - 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 CT-Angiography spot sign predicts HE, only a minority of ICH patients receives contrast injection. Conversely, non-contrast 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. This article is protected by copyright. All rights reserved.

U2 - 10.1002/ana.25563

DO - 10.1002/ana.25563

M3 - Review article

C2 - 31364773

JO - Annals of Neurology

JF - Annals of Neurology

SN - 0364-5134

ER -