Revisiting the Optimal Apparent Diffusion Coefficient Threshold for Ischemic Core Delineation

We revisited the ADC core threshold using a stringent methodology, including EVT-induced ultra-early documented complete recanalization, ≈24-hour follow-up MRI, and EC. The resulting OptADC was marginally smaller than the reference threshold and, accordingly, modestly influenced the measured baseline core volume. The methodological refinements implemented here, including EC, seem essential for future research exploring core ADC.

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Publication Details

Journal
Neurology
Published
2025-12-26
DOI
https://doi.org/10.1212/wnl.0000000000214451
Primary Topic
Advanced MRI Techniques and Applications
Type
article
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article

Revisiting the Optimal Apparent Diffusion Coefficient Threshold for Ischemic Core Delineation

Clément Debacker, Catherine Oppenheim, Clara Cohen, Wagih Ben Hassen et al.
Neurology
Advanced MRI Techniques and Applications
article

Revisiting the Optimal Apparent Diffusion Coefficient Threshold for Ischemic Core Delineation

Clément Debacker, Catherine Oppenheim, Clara Cohen, Wagih Ben Hassen, Alice Le Berre, Joseph Benzakoun, Jean-Claude Baron
article en

Abstract

We revisited the ADC core threshold using a stringent methodology, including EVT-induced ultra-early documented complete recanalization, ≈24-hour follow-up MRI, and EC. The resulting OptADC was marginally smaller than the reference threshold and, accordingly, modestly influenced the measured baseline core volume. The methodological refinements implemented here, including EC, seem essential for future research exploring core ADC.

NeurologyVol. 106(2)
Université d'Orléans (FR), Inserm (FR), Université Paris Cité (FR), Centre Hospitalier Sainte-Anne (FR), Institut de Psychiatrie et Neurosciences de Paris (FR), Centre hospitalier universitaire d'Orléans (FR), FHU Neurovasc (FR)
Openalex Percentile: Top 31%
Advanced MRI Techniques and Applications
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