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Predictive Value of a Novel Baseline Diffusion-Weighted Imaging Posterior Circulation Score in Endovascular Treatment of Patients with Acute Vertebrobasilar Occlusion.
Bai, Bofeng; Huang, Shanshan; Ning, Cong; Wang, Yannan; Lei, Wei; Xi, Xiaoyi; Zhang, Haoyu; Liu, Ting; Gao, Yifei; Shi, Hong; He, Hong; Cui, Jian; Li, Yongbin.
Afiliación
  • Bai B; Department of Radiology, Xi'an No. 1 Hospital, The First Affiliated Hospital of Northwest University, Xi'an, China (B.B., S.H., C.N., Y.W., W.L., X.X., H.Z., T.L., Y.G., H.S., H.H., Y.L.).
  • Huang S; Department of Radiology, Xi'an No. 1 Hospital, The First Affiliated Hospital of Northwest University, Xi'an, China (B.B., S.H., C.N., Y.W., W.L., X.X., H.Z., T.L., Y.G., H.S., H.H., Y.L.).
  • Ning C; Department of Radiology, Xi'an No. 1 Hospital, The First Affiliated Hospital of Northwest University, Xi'an, China (B.B., S.H., C.N., Y.W., W.L., X.X., H.Z., T.L., Y.G., H.S., H.H., Y.L.).
  • Wang Y; Department of Radiology, Xi'an No. 1 Hospital, The First Affiliated Hospital of Northwest University, Xi'an, China (B.B., S.H., C.N., Y.W., W.L., X.X., H.Z., T.L., Y.G., H.S., H.H., Y.L.).
  • Lei W; Department of Radiology, Xi'an No. 1 Hospital, The First Affiliated Hospital of Northwest University, Xi'an, China (B.B., S.H., C.N., Y.W., W.L., X.X., H.Z., T.L., Y.G., H.S., H.H., Y.L.).
  • Xi X; Department of Radiology, Xi'an No. 1 Hospital, The First Affiliated Hospital of Northwest University, Xi'an, China (B.B., S.H., C.N., Y.W., W.L., X.X., H.Z., T.L., Y.G., H.S., H.H., Y.L.).
  • Zhang H; Department of Radiology, Xi'an No. 1 Hospital, The First Affiliated Hospital of Northwest University, Xi'an, China (B.B., S.H., C.N., Y.W., W.L., X.X., H.Z., T.L., Y.G., H.S., H.H., Y.L.).
  • Liu T; Department of Radiology, Xi'an No. 1 Hospital, The First Affiliated Hospital of Northwest University, Xi'an, China (B.B., S.H., C.N., Y.W., W.L., X.X., H.Z., T.L., Y.G., H.S., H.H., Y.L.).
  • Gao Y; Department of Radiology, Xi'an No. 1 Hospital, The First Affiliated Hospital of Northwest University, Xi'an, China (B.B., S.H., C.N., Y.W., W.L., X.X., H.Z., T.L., Y.G., H.S., H.H., Y.L.).
  • Shi H; Department of Radiology, Xi'an No. 1 Hospital, The First Affiliated Hospital of Northwest University, Xi'an, China (B.B., S.H., C.N., Y.W., W.L., X.X., H.Z., T.L., Y.G., H.S., H.H., Y.L.).
  • He H; Department of Radiology, Xi'an No. 1 Hospital, The First Affiliated Hospital of Northwest University, Xi'an, China (B.B., S.H., C.N., Y.W., W.L., X.X., H.Z., T.L., Y.G., H.S., H.H., Y.L.).
  • Cui J; Department of Neurosurgery, Xi'an No. 1 Hospital, The First Affiliated Hospital of Northwest University, Xi'an, China (J.C.).
  • Li Y; Department of Radiology, Xi'an No. 1 Hospital, The First Affiliated Hospital of Northwest University, Xi'an, China (B.B., S.H., C.N., Y.W., W.L., X.X., H.Z., T.L., Y.G., H.S., H.H., Y.L.). Electronic address: liyongbin@med.nwu.edu.cn.
Acad Radiol ; 30(10): 2212-2221, 2023 10.
Article en En | MEDLINE | ID: mdl-37453882
RATIONALE AND OBJECTIVES: To investigate the predictive value of a novel posterior circulation score (novel-PC score) based on baseline posterior circulation diffusion-weighted imaging (DWI) for functional independence after endovascular treatment (EVT) in patients with acute vertebral-basilar artery occlusion (VBAO). MATERIALS AND METHODS: The baseline DWI brain stem score (BSS), posterior circulation Alberta Stroke Program Early CT Score (pc-ASPECTS), and the novel-PC score were evaluated separately. A modified Rankin scale (mRS) ≤2 at 90 days was defined as a prognostic indicator of functional independence. Modified Thrombolysis in Cerebral Infarction grade 2b or 3 was defined as surgical success. RESULTS: A total of 64 eligible patients were enrolled and divided into good and poor functional prognosis groups based on the mRS. The novel-PC score, BSS, and pc-ASPECTS (all P ≤ .001) were significantly better in the good functional prognosis group. The novel-PC score had a higher predictive value than BSS and pc-ASPECTS for 90-day functional independence (area under the receiver operating characteristic curve, 0.87 vs. 0.73 vs. 0.71; P < .05). Univariate binary logistic regression analysis showed that age (P = .006), Posterior National Institutes of Health Stroke Scale ≤18 (P < .001), BSS ≤2 (P = .008), pc-ASPECTS >7 (P = .002), and novel-PC score ≤5 (P = .001) were independently associated with function. CONCLUSION: Our novel-PC score, based on DWI, can independently predict functional prognosis in patients with acute VBAO after EVT. CLINICAL RELEVANCE: The novel-PC score based on baseline DWI was shown to be an independent predictor of function in patients with acute BVAO who are treated with EVT.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Insuficiencia Vertebrobasilar / Accidente Cerebrovascular Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Acad Radiol Asunto de la revista: RADIOLOGIA Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Insuficiencia Vertebrobasilar / Accidente Cerebrovascular Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Acad Radiol Asunto de la revista: RADIOLOGIA Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos