Optimal Timing of Post-Alteplase Brain Computed Tomography: Routine Twenty-Four-Hour Versus Extended Forty-Eight-Hour for Detecting Asymptomatic Intracranial Hemorrhage

CT imaging at 48 h post-alteplase improves asICH detection compared with the 24-h scan, reducing missed cases without added radiation or resource burden. Multicenter validation is needed to confirm whether 48 h should replace the current standard.

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Journal
Journal of Clinical Medicine Research
Published
2025-10-01
DOI
https://doi.org/10.14740/jocmr6378
Primary Topic
Intracerebral and Subarachnoid Hemorrhage Research
Type
article
Field-Weighted Citation Impact
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article

Optimal Timing of Post-Alteplase Brain Computed Tomography: Routine Twenty-Four-Hour Versus Extended Forty-Eight-Hour for Detecting Asymptomatic Intracranial Hemorrhage

Donsuk Pongnikorn, Thanin Lokeskrawee, Jayanton Patumanond, Suppachai Lawanaskol et al.
Journal of Clinical Medicine Research
Intracerebral and Subarachnoid Hemorrhage Research
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Optimal Timing of Post-Alteplase Brain Computed Tomography: Routine Twenty-Four-Hour Versus Extended Forty-Eight-Hour for Detecting Asymptomatic Intracranial Hemorrhage

Donsuk Pongnikorn, Thanin Lokeskrawee, Jayanton Patumanond, Suppachai Lawanaskol, Jarupa Yaowalaorng, Suwapim Chanlaor, Wanwisa Bumrungpagdee, Chawalit Lakdee, Natthaphon Pruksathorn, Pranisa Botkosa
article en

Abstract

CT imaging at 48 h post-alteplase improves asICH detection compared with the 24-h scan, reducing missed cases without added radiation or resource burden. Multicenter validation is needed to confirm whether 48 h should replace the current standard.

Journal of Clinical Medicine ResearchVol. 17(10)
Maharaj Nakorn Chiang Mai Hospital (TH), Buddhachinaraj Hospital (TH), Lampang Hospital (TH), Chiang Mai University (TH), Naresuan University (TH)
Openalex Percentile: Top 56%
Intracerebral and Subarachnoid Hemorrhage Research
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Optimal Timing of Post-Alteplase Brain Computed Tomography: Routine Twenty-Four-Hour Versus Extended Forty-Eight-Hour for Detecting Asymptomatic Intracranial Hemorrhage — Donsuk Pongnikorn, Thanin Lokeskrawee, et al. · Journal of Clinical Medicine Research (2025) | TGRS Research Map | TGRS