Cerebrovascular CTA radiomics for objective collateral grading in acute ischemic stroke

Collateral circulation status informs prognosis and guides treatment in acute stroke, but grading is rater-dependent; our pipeline standardizes collateral assessment. We propose a CTA radiomics approach, trained and validated on multicenter data, externally tested on an independent cohort, demonstrating high effectiveness and generalizability. Automated and reliable collateral scoring has the potential to reduce inter-rater variability, improve workflow efficiency, and support individualized treatment decisions.

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Publication Details

Journal
European Radiology Experimental
Published
2026-03-16
DOI
https://doi.org/10.1186/s41747-026-00680-8
Primary Topic
Acute Ischemic Stroke Management
Type
article
Field-Weighted Citation Impact
0.00

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article

Cerebrovascular CTA radiomics for objective collateral grading in acute ischemic stroke

Peter Vajkoczy, Adam Hilbert, Orhun Utku Aydin, Dietmar Frey et al.
European Radiology Experimental
Acute Ischemic Stroke Management
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Cerebrovascular CTA radiomics for objective collateral grading in acute ischemic stroke

Peter Vajkoczy, Adam Hilbert, Orhun Utku Aydin, Dietmar Frey, Dimitrios Rallios, Susanne Bonekamp, Aad van der Lugt, Martin Bendszus, Wim Van H. van Zwam, Charles Majoie
article en

Abstract

Collateral circulation status informs prognosis and guides treatment in acute stroke, but grading is rater-dependent; our pipeline standardizes collateral assessment. We propose a CTA radiomics approach, trained and validated on multicenter data, externally tested on an independent cohort, demonstrating high effectiveness and generalizability. Automated and reliable collateral scoring has the potential to reduce inter-rater variability, improve workflow efficiency, and support individualized treatment decisions.

European Radiology ExperimentalVol. 10(1)
Heidelberg University (DE), Maastricht University Medical Centre (NL), Erasmus MC (NL), University Hospital Heidelberg (DE), Amsterdam University Medical Centers (NL), Charité - Universitätsmedizin Berlin (DE), Erasmus University Rotterdam (NL)
European Commission, HORIZON EUROPE Framework Programme
Openalex Percentile: Top 23%
Acute Ischemic Stroke Management
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