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Quantitative assessment of local perfusion change in acute intracerebral hemorrhage areas with and without "dynamic spot sign" using CT perfusion imaging.
Acta Radiol. 2019 Mar; 60(3):367-373.AR

Abstract

BACKGROUND

Positive "dynamic spot sign" has been proven to be a potential risk factor for acute intracerebral hemorrhage (ICH) expansion, but local perfusion change has not been quantitatively investigated.

PURPOSE

To quantitatively evaluate perfusion changes at the ICH area using computed tomography perfusion (CTP) imaging.

MATERIAL AND METHODS

Fifty-three patients with spontaneous ICH were recruited. Unenhanced computed tomography (NCCT), CTP within 6 h, and follow-up NCCT were performed for 21 patients in the "spot sign"-positive group and 32 patients in the control group. Cerebral perfusion change was quantitatively measured on regional cerebral blood flow/regional cerebral blood volume (rCBF/rCBV) maps. Regions of interest (ROIs) were set at the "spot-sign" region and the whole hematoma area for "spot-sign"-positive cases, and at one of the highest values of three interested areas and the whole hematoma area for the control group. Hematoma expansion was determined by follow-up NCCT.

RESULTS

For the "spot-sign"-positive group, the average rCBF (rCBV) values at the "spot-sign" region and the whole hematoma area were 21.34 ± 15.24 mL/min/100 g (21.64 ± 21.48 mL/100g) and 5.78 ± 6.32 mL/min/100 g (6.07 ± 5.45 mL/100g); for the control group, the average rCBF (rCBV) values at the interested area and whole hematoma area were 2.50 ± 1.83 mL/min/100 g (3.13 ± 1.96 mL/100g) and 3.02 ± 1.80 mL/min/100 g (3.40 ± 1.44 mL/100g), respectively. Average rCBF and rCBV values of the "spot-sign" region were significantly different from other regions (P < 0.001; P = 0.004). The average volumes of hematoma expansion in the "spot-sign"-positive and control groups were 25.24 ± 19.38 mL and -0.41 ± 1.34 mL, respectively.

CONCLUSION

The higher perfusion change at ICH on CTP images may reflect the contrast extravasation and be associated with the hematoma expansion.

Authors+Show Affiliations

Neuroradiology Department, Beijing Tiantan Hospital, Capital Medical University, Beijing, PR China.Neuroradiology Department, Beijing Tiantan Hospital, Capital Medical University, Beijing, PR China.Neuroradiology Department, Beijing Tiantan Hospital, Capital Medical University, Beijing, PR China.Neuroradiology Department, Beijing Tiantan Hospital, Capital Medical University, Beijing, PR China.Neuroradiology Department, Beijing Tiantan Hospital, Capital Medical University, Beijing, PR China.Neuroradiology Department, Beijing Tiantan Hospital, Capital Medical University, Beijing, PR China.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29871494

Citation

Fu, Fan, et al. "Quantitative Assessment of Local Perfusion Change in Acute Intracerebral Hemorrhage Areas With and Without "dynamic Spot Sign" Using CT Perfusion Imaging." Acta Radiologica (Stockholm, Sweden : 1987), vol. 60, no. 3, 2019, pp. 367-373.
Fu F, Sui B, Liu L, et al. Quantitative assessment of local perfusion change in acute intracerebral hemorrhage areas with and without "dynamic spot sign" using CT perfusion imaging. Acta Radiol. 2019;60(3):367-373.
Fu, F., Sui, B., Liu, L., Su, Y., Sun, S., & Li, Y. (2019). Quantitative assessment of local perfusion change in acute intracerebral hemorrhage areas with and without "dynamic spot sign" using CT perfusion imaging. Acta Radiologica (Stockholm, Sweden : 1987), 60(3), 367-373. https://doi.org/10.1177/0284185118780893
Fu F, et al. Quantitative Assessment of Local Perfusion Change in Acute Intracerebral Hemorrhage Areas With and Without "dynamic Spot Sign" Using CT Perfusion Imaging. Acta Radiol. 2019;60(3):367-373. PubMed PMID: 29871494.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Quantitative assessment of local perfusion change in acute intracerebral hemorrhage areas with and without "dynamic spot sign" using CT perfusion imaging. AU - Fu,Fan, AU - Sui,Binbin, AU - Liu,Liping, AU - Su,Yaping, AU - Sun,Shengjun, AU - Li,Yingying, Y1 - 2018/06/05/ PY - 2018/6/7/pubmed PY - 2019/2/27/medline PY - 2018/6/7/entrez KW - Cerebral hemorrhage KW - computed tomography KW - perfusion KW - prognosis KW - stroke SP - 367 EP - 373 JF - Acta radiologica (Stockholm, Sweden : 1987) JO - Acta Radiol VL - 60 IS - 3 N2 - BACKGROUND: Positive "dynamic spot sign" has been proven to be a potential risk factor for acute intracerebral hemorrhage (ICH) expansion, but local perfusion change has not been quantitatively investigated. PURPOSE: To quantitatively evaluate perfusion changes at the ICH area using computed tomography perfusion (CTP) imaging. MATERIAL AND METHODS: Fifty-three patients with spontaneous ICH were recruited. Unenhanced computed tomography (NCCT), CTP within 6 h, and follow-up NCCT were performed for 21 patients in the "spot sign"-positive group and 32 patients in the control group. Cerebral perfusion change was quantitatively measured on regional cerebral blood flow/regional cerebral blood volume (rCBF/rCBV) maps. Regions of interest (ROIs) were set at the "spot-sign" region and the whole hematoma area for "spot-sign"-positive cases, and at one of the highest values of three interested areas and the whole hematoma area for the control group. Hematoma expansion was determined by follow-up NCCT. RESULTS: For the "spot-sign"-positive group, the average rCBF (rCBV) values at the "spot-sign" region and the whole hematoma area were 21.34 ± 15.24 mL/min/100 g (21.64 ± 21.48 mL/100g) and 5.78 ± 6.32 mL/min/100 g (6.07 ± 5.45 mL/100g); for the control group, the average rCBF (rCBV) values at the interested area and whole hematoma area were 2.50 ± 1.83 mL/min/100 g (3.13 ± 1.96 mL/100g) and 3.02 ± 1.80 mL/min/100 g (3.40 ± 1.44 mL/100g), respectively. Average rCBF and rCBV values of the "spot-sign" region were significantly different from other regions (P < 0.001; P = 0.004). The average volumes of hematoma expansion in the "spot-sign"-positive and control groups were 25.24 ± 19.38 mL and -0.41 ± 1.34 mL, respectively. CONCLUSION: The higher perfusion change at ICH on CTP images may reflect the contrast extravasation and be associated with the hematoma expansion. SN - 1600-0455 UR - https://www.unboundmedicine.com/medline/citation/29871494/Quantitative_assessment_of_local_perfusion_change_in_acute_intracerebral_hemorrhage_areas_with_and_without_"dynamic_spot_sign"_using_CT_perfusion_imaging_ L2 - http://journals.sagepub.com/doi/full/10.1177/0284185118780893?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -