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

Annals of Neurology
Andrea MorottiInternational NCCT ICH Study Group

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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Citations

Oct 23, 2019·Stroke; a Journal of Cerebral Circulation·Gregoire BoulouisOlivier Naggara
Oct 4, 2019·Neurological Research·Miguel Quintas-NevesJoão Pinho
Nov 30, 2019·Clinical Neuroradiology·Jennifer E SounUNKNOWN ATACH-II and NETT investigators
Mar 24, 2020·Stroke; a Journal of Cerebral Circulation·Andrea MorottiEnrico Fainardi
Sep 11, 2019·Acta Neurologica Scandinavica·Banafsheh ShakibajahromiAshkan Mowla
Jan 12, 2021·Stroke; a Journal of Cerebral Circulation·Gregoire BoulouisOlivier Naggara
Feb 7, 2021·Translational Stroke Research·Jawed NawabiUta Hanning
Mar 13, 2021·Current Neurology and Neuroscience Reports·Xin-Ni LvQi Li
Apr 4, 2021·Diagnostics·Theodore C HannahChristopher P Kellner
Apr 4, 2021·Journal of Clinical Medicine·Peter B SpornsAndrea Morotti
Apr 16, 2021·Neuroradiology·Andrea MorottiEnrico Fainardi
Apr 28, 2021·Neuroimaging Clinics of North America·Abhi JainSeyedmehdi Payabvash
Apr 3, 2021·Neurology·Andrea MorottiJoshua N Goldstein
Jul 1, 2021·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·Stefan P HaiderSeyedmehdi Payabvash
Sep 15, 2021·Stroke; a Journal of Cerebral Circulation·Jean François HakOlivier Naggara
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Sep 28, 2021·International Journal of Stroke : Official Journal of the International Stroke Society·Chang JianboWang Renzhi
Nov 30, 2021·International Journal of Stroke : Official Journal of the International Stroke Society·Arba FrancescoMorotti Andrea

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