Automated collateral assessment restricted to the hypoperfused area for distal vessel occlusions in ischemic stroke
Question CT angiography-based collateral assessment in the MCA territory is inadequate to assess the collateral status in patients with distal vessel occlusions. Findings Our automated ODACS revealed lower collateral scores than traditional whole-territory assessment, especially in distal vessel occlusions. Clinical relevance The more precise evaluation of affected brain territories through automated occlusion-downstream area assessments prevents an overestimation of collateral status in distal occlusions, which could lead to improved patient selection and treatment decisions in acute stroke care.
Authors
- Efstratios Gavves (ORCID: https://orcid.org/0000-0001-8947-1332)
- Ivo G.H. Jansen (ORCID: https://orcid.org/0000-0002-8862-1877)
- Saeid Mojtahedi
- Bart J. Emmer (ORCID: https://orcid.org/0000-0001-8462-4037)
- Susanne G. H. Olthuis (ORCID: https://orcid.org/0000-0002-2802-1511)
- Henk A. Marquering (ORCID: https://orcid.org/0000-0002-1414-6313)
- Alida A. Postma (ORCID: https://orcid.org/0000-0002-1116-054X)
- Charles B.L.M. Majoie (ORCID: https://orcid.org/0000-0002-7600-9568)
- M M Q Robbe (ORCID: https://orcid.org/0000-0001-9380-4769)
- Ludo F.M. Beenen (ORCID: https://orcid.org/0000-0001-9204-1026)
- Diederik W.J. Dippel (ORCID: https://orcid.org/0000-0002-9234-3515)
- Jan W. Hoving (ORCID: https://orcid.org/0000-0003-3310-3973)
- Lucas de Vries (ORCID: https://orcid.org/0000-0002-8117-9158)
- Robrecht R. M. M. Knapen (ORCID: https://orcid.org/0000-0003-4677-3685)
- Manon Kappelhof (ORCID: https://orcid.org/0000-0001-5250-8955)
- Robert J. van Oostenbrugge (ORCID: https://orcid.org/0000-0003-1032-9099)
- Florentina M.E. Pinckaers (ORCID: https://orcid.org/0000-0002-8336-6897)
- Wim H. van Zwam
Institutions
- Amsterdam University College (NL)
- University Medical Center Groningen (NL)
- Radboud University Nijmegen (NL)
- Leiden University Medical Center (NL)
- Maastricht University Medical Centre (NL)
- Catharina Ziekenhuis (NL)
- Medisch Spectrum Twente (NL)
- Erasmus MC (NL)
- Radboud University Medical Center (NL)
- University Medical Center Utrecht (NL)
- Maastricht University (NL)
- GGD Haaglanden (NL)
- Noordwest Ziekenhuisgroep (NL)
- Albert Schweitzer Ziekenhuis (NL)
- Reinier de Graaf Hospital (NL)
- St. Antonius Ziekenhuis (NL)
- Amphia Ziekenhuis (NL)
- Amsterdam Neuroscience (NL)
- Plano Cancer Institute (US)
- Zuyderland Medisch Centrum (NL)
- Texas Back Institute (US)
- Haga Hospital (NL)
- Isala (NL)
- Elisabeth-TweeSteden Ziekenhuis (NL)
- Amsterdam University Medical Centers (NL)
- Rijnstate Hospital (NL)
- Amsterdam University of Applied Sciences (NL)
- Vrije Universiteit Amsterdam (NL)
- University of Amsterdam (NL)
Publication Details
- Journal
- European Radiology
- Published
- 2025-04-14
- DOI
- https://doi.org/10.1007/s00330-025-11442-2
- Citations
- 2
- Primary Topic
- Acute Ischemic Stroke Management
- Type
- article
- Field-Weighted Citation Impact
- 2.71
Funders
- Stryker
- Medtronic