Standards for Detecting, Interpreting, and Reporting Noncontrast Computed Tomographic Markers of Intracerebral Hemorrhage Expansion

Andrea Morotti¹, Gregoire Boulouis², Dar Dowlatshahi³, Qi Li⁴, Christen D Barras⁵, Candice Delcourt^{6

7}, Zhiyuan Yu⁸, Jun Zheng⁸, Zien Zhou^{7

9}, Richard I Aviv¹⁰, Ashkan Shoamanesh¹¹, Peter B Sporns¹², Jonathan Rosand^{13

14

15}, Steven M Greenberg¹³, Rustam Al-Shahi Salman¹⁶, Adnan I Qureshi¹⁷, Andrew M Demchuk¹⁸, Craig S Anderson^{6

7}, Joshua N Goldstein^{13

14

19}, Andreas Charidimou¹³; International NCCT ICH Study Group

Affiliations

¹ Department of Neurology and Neurorehabilitation, IRCCS Mondino Foundation, Pavia, Italy.
² Université de Paris, INSERM UMR 1266 IMA-BRAIN, Department of Neuroradiology, Centre Hospitalier Sainte Anne, Paris, France.
³ Department of Medicine (Neurology), University of Ottawa, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
⁴ Department of Neurology, First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
⁵ South Australian Health and Medical Research Institute and Department of Radiology, Royal Adelaide Hospital and University of Adelaide, Adelaide, South Australia, Australia.
⁶ Department of Neurology, Royal Prince Alfred Hospital, Sydney Health Partners, University of Sydney, Sydney, New South Wales, Australia.
⁷ George Institute for Global Health, Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia.
⁸ Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, China.
⁹ Department of Radiology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
¹⁰ Division of Neuroradiology and Department of Medical Imaging, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.
¹¹ Division of Neurology, McMaster University/Population Health Research Institute, Hamilton, Ontario, Canada.
¹² Institute of Clinical Radiology, University of Münster, Münster, Germany.
¹³ J. P. Kistler Stroke Research Center, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
¹⁴ Division of Neurocritical Care and Emergency Neurology, Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
¹⁵ Henry and Allison McCance Center for Brain Health, Massachusetts General Hospital, Boston, MA.
¹⁶ Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, United Kingdom.
¹⁷ Zeenat Qureshi Stroke Institute, St Cloud, MN.
¹⁸ Department of Clinical Neurosciences, Department of Radiology, Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada.
¹⁹ Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA.

PMID: 31364773
DOI: 10.1002/ana.25563

Review

Standards for Detecting, Interpreting, and Reporting Noncontrast Computed Tomographic Markers of Intracerebral Hemorrhage Expansion

Andrea Morotti et al. Ann Neurol. 2019 Oct.

. 2019 Oct;86(4):480-492.

doi: 10.1002/ana.25563. Epub 2019 Aug 24.

Authors

Affiliations

¹ Department of Neurology and Neurorehabilitation, IRCCS Mondino Foundation, Pavia, Italy.
² Université de Paris, INSERM UMR 1266 IMA-BRAIN, Department of Neuroradiology, Centre Hospitalier Sainte Anne, Paris, France.
³ Department of Medicine (Neurology), University of Ottawa, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
⁴ Department of Neurology, First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
⁵ South Australian Health and Medical Research Institute and Department of Radiology, Royal Adelaide Hospital and University of Adelaide, Adelaide, South Australia, Australia.
⁶ Department of Neurology, Royal Prince Alfred Hospital, Sydney Health Partners, University of Sydney, Sydney, New South Wales, Australia.
⁷ George Institute for Global Health, Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia.
⁸ Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, China.
⁹ Department of Radiology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
¹⁰ Division of Neuroradiology and Department of Medical Imaging, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.
¹¹ Division of Neurology, McMaster University/Population Health Research Institute, Hamilton, Ontario, Canada.
¹² Institute of Clinical Radiology, University of Münster, Münster, Germany.
¹³ J. P. Kistler Stroke Research Center, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
¹⁴ Division of Neurocritical Care and Emergency Neurology, Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
¹⁵ Henry and Allison McCance Center for Brain Health, Massachusetts General Hospital, Boston, MA.
¹⁶ Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, United Kingdom.
¹⁷ Zeenat Qureshi Stroke Institute, St Cloud, MN.
¹⁸ Department of Clinical Neurosciences, Department of Radiology, Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada.
¹⁹ Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA.

PMID: 31364773
DOI: 10.1002/ana.25563

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. ANN NEUROL 2019;86:480-492.

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References

1. Qureshi AI, Mendelow AD, Hanley DF. Intracerebral haemorrhage. Lancet 2009;373:1632-1644.
1. Feigin VL, Krishnamurthi RV, Parmar P, et al. Update on the global burden of ischemic and hemorrhagic stroke in 1990-2013: The GBD 2013 study. Neuroepidemiology 2015;45:161-176.
1. Hemphill JC, Greenberg SM, Anderson CS, et al. Guidelines for the management of spontaneous intracerebral hemorrhage: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2015;46:2032-2060.
1. Steiner T, Al-Shahi Salman R, Beer R, et al. European Stroke Organisation (ESO) guidelines for the management of spontaneous intracerebral hemorrhage. Int J Stroke 2014;9:840-855.
1. Steiner T, Bösel J. Options to restrict hematoma expansion after spontaneous intracerebral hemorrhage. Stroke 2010;41:402-409.

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Standards for Detecting, Interpreting, and Reporting Noncontrast Computed Tomographic Markers of Intracerebral Hemorrhage Expansion

Affiliations

Standards for Detecting, Interpreting, and Reporting Noncontrast Computed Tomographic Markers of Intracerebral Hemorrhage Expansion

Authors

Affiliations

Abstract

References

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical