Standards for detecting, interpreting, and reporting noncontrast computed tomographic markers of intracerebral hemorrhage expansion

Andrea Morotti; Gregoire Boulouis; Dar Dowlatshahi; Qi Li; Christen D. Barras; Candice Delcourt; Zhiyuan Yu; Jun Zheng; Zien Zhou; Richard I. Aviv; Ashkan Shoamaensh; Peter B. Sporns; Jonathan Rosand; Steven M. Greenberg; Rustam Al-Shahi Salman; Adnan I. Qureshi; Andrew M. Demchuk; Craig S. Anderson; Joshua N. Goldstein; Andreas Charidimou; International NCCT ICH Study Group

doi:10.1002/ana.25563

Standards for detecting, interpreting, and reporting noncontrast computed tomographic markers of intracerebral hemorrhage expansion

Andrea Morotti, Gregoire Boulouis, Dar Dowlatshahi, Qi Li, Christen D. Barras, Candice Delcourt, Zhiyuan Yu, Jun Zheng, Zien Zhou, Richard I. Aviv, Ashkan Shoamaensh, Peter B. Sporns, Jonathan Rosand, Steven M. Greenberg, Rustam Al-Shahi Salman, Adnan I. Qureshi, Andrew M. Demchuk, Craig S. Anderson, Joshua N. Goldstein, Andreas CharidimouInternational NCCT ICH Study Group

Research output: Contribution to journal › Review article › peer-review

180 Citations (Scopus)

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 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.

Original language	English
Pages (from-to)	480-492
Number of pages	13
Journal	Annals of Neurology
Volume	86
Issue number	4
DOIs	https://doi.org/10.1002/ana.25563
Publication status	Published - Oct 2019
Externally published	Yes

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Morotti, A., Boulouis, G., Dowlatshahi, D., Li, Q., Barras, C. D., Delcourt, C., Yu, Z., Zheng, J., Zhou, Z., Aviv, R. I., Shoamaensh, A., Sporns, P. B., Rosand, J., Greenberg, S. M., Salman, R. A.-S., Qureshi, A. I., Demchuk, A. M., Anderson, C. S., Goldstein, J. N., ... International NCCT ICH Study Group (2019). Standards for detecting, interpreting, and reporting noncontrast computed tomographic markers of intracerebral hemorrhage expansion. Annals of Neurology, 86(4), 480-492. https://doi.org/10.1002/ana.25563

@article{4309b08d86de48b3a869919a891d15ad,

title = "Standards for detecting, interpreting, and reporting noncontrast computed tomographic markers of intracerebral hemorrhage 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 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.",

author = "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 Shoamaensh and Sporns, \{Peter B.\} and Jonathan Rosand and Greenberg, \{Steven M.\} and Salman, \{Rustam Al-Shahi\} and Qureshi, \{Adnan I.\} and Demchuk, \{Andrew M.\} and Anderson, \{Craig S.\} and Goldstein, \{Joshua N.\} and Andreas Charidimou and \{International NCCT ICH Study Group\}",

year = "2019",

month = oct,

doi = "10.1002/ana.25563",

language = "English",

volume = "86",

pages = "480--492",

journal = "Annals of Neurology",

issn = "0364-5134",

publisher = "John Wiley \& Sons",

number = "4",

}

Morotti, A, Boulouis, G, Dowlatshahi, D, Li, Q, Barras, CD, Delcourt, C, Yu, Z, Zheng, J, Zhou, Z, Aviv, RI, Shoamaensh, A, Sporns, PB, Rosand, J, Greenberg, SM, Salman, RA-S, Qureshi, AI, Demchuk, AM, Anderson, CS, Goldstein, JN, Charidimou, A & International NCCT ICH Study Group 2019, 'Standards for detecting, interpreting, and reporting noncontrast computed tomographic markers of intracerebral hemorrhage expansion', Annals of Neurology, vol. 86, no. 4, pp. 480-492. https://doi.org/10.1002/ana.25563

TY - JOUR

T1 - Standards for detecting, interpreting, and reporting noncontrast computed tomographic markers of intracerebral hemorrhage expansion

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 - Shoamaensh, Ashkan

AU - Sporns, Peter B.

AU - Rosand, Jonathan

AU - Greenberg, Steven M.

AU - Salman, Rustam Al-Shahi

AU - Qureshi, Adnan I.

AU - Demchuk, Andrew M.

AU - Anderson, Craig S.

AU - Goldstein, Joshua N.

AU - Charidimou, Andreas

AU - International NCCT ICH Study Group

PY - 2019/10

Y1 - 2019/10

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 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.

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 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.

UR - https://www.scopus.com/pages/publications/85071035542

U2 - 10.1002/ana.25563

DO - 10.1002/ana.25563

M3 - Review article

C2 - 31364773

SN - 0364-5134

VL - 86

SP - 480

EP - 492

JO - Annals of Neurology

JF - Annals of Neurology

IS - 4

ER -

Standards for detecting, interpreting, and reporting noncontrast computed tomographic markers of intracerebral hemorrhage expansion

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