Research ArticleBRAIN
Sensitivity and Interrater Agreement of CT and Diffusion-Weighted MR Imaging in Hyperacute Stroke
Dorothee Saur, Thomas Kucinski, Ulrich Grzyska, Bernd Eckert, Christian Eggers, Wolf Niesen, Volker Schoder, Hermann Zeumer, Cornelius Weiller and Joachim Röther
American Journal of Neuroradiology May 2003, 24 (5) 878-885;
Dorothee Saur
Thomas Kucinski
Ulrich Grzyska
Bernd Eckert
Christian Eggers
Wolf Niesen
Volker Schoder
Hermann Zeumer
Cornelius Weiller

References
- ↵Röther J. CT and MRI in the diagnosis of acute stroke and their role in thrombolysis.Thromb Res 2001;103(suppl 1):125–133
- ↵Schellinger PD, Fiebach JB, Jansen O, et al. Stroke magnetic resonance imaging within 6 hours after onset of hyperacute cerebral ischemia.Ann Neurol 2001;49:460–469
- ↵Warach S, Dashe JF, Edelman RR. Clinical outcome in ischemic stroke predicted by early diffusion-weighted and perfusion magnetic resonance imaging: a preliminary analysis.J Cereb Blood Flow Metab 1995;16:53–59
- ↵Sorensen AG, Buonanno FS, Gonzalez RG, et al. Hyperacute stroke: evaluation with combined multisection diffusion-weighted and hemodynamically weighted echo-planar MR imaging.Radiology 1996;199:391–401
- ↵Koenig M, Klotz E, Luka B, et al. Perfusion CT of the brain: diagnostic approach for early detection of ischemic stroke.Radiology 1998;209:85–93
- ↵
- ↵Tomura N, Uemura K, Inugami A, et al. Early CT finding in cerebral infarction: obscuration of the lentiform nucleus.Radiology 1988;168:463–467
- Truwit CL, Barkovich AJ, Gean-Marton A. Loss of the insular ribbon: another early CT sign of acute middle cerebral artery infarction.Radiology 1990;176:801–806
- ↵von Kummer R, Nolte PN, Schnittger H, et al. Detectability of cerebral hemisphere ischaemic infarcts by CT within 6 h of stroke.Neuroradiology 1996;38:31–33
- ↵Hacke W, Kast M, Fieschi C, et al. Intravenous thrombolysis with recombinant tissue plasminogen activator for acute hemispheric stroke. The European Cooperative Acute Stroke Study (ECASS).JAMA 1995;274:1017–1025
- ↵Practice advisory: thrombolytic therapy for acute ischemic stroke—summary statement. Report of the Quality Standards Subcommittee of the American Academy of Neurology.Neurology 1996;47:835–839
- ↵von Kummer R, Allen KL, Holle R, et al. Acute stroke: usefulness of early CT findings before thrombolytic therapy.Radiology 1997;205:327–333
- ↵Patel SC, Levine SR, Tilley BC, et al. Lack of clinical significance of early ischemic changes on computed tomography in acute stroke.JAMA 2001;286:2830–2838
- ↵Barber PA, Darby DG, Desmond PM, et al. Identification of major ischemic change: diffusion-weighted imaging versus computed tomography.Stroke 1999;30:2059–2065
- ↵Lansberg MG, Albers GW, Beaulieu C, et al. Comparison of diffusion-weighted MRI and CT in acute stroke.Neurology 2000;54:1557–1561
- ↵Urbach H, Flacke S, Keller E, et al. Detectability and detection rate of acute cerebral hemisphere infarcts on CT and diffusion-weighted MRI.Neuroradiology 2000;42:722–727
- ↵Fiebach J, Jansen O, Schellinger P, et al. Comparison of CT with diffusion-weighted MRI in patients with hyperacute stroke.Neuroradiology 2001;43:628–632
- ↵Bushnell CD, Johnston DC, Goldstein LB. Retrospective assessment of initial stroke severity: comparison of the NIH Stroke Scale and the Canadian Neurological Scale.Stroke 2001;32:656–660
- ↵Ommaya AK, Murray G, Ambrose J, et al. Computerized axial tomography: estimation of spatial and density resolution capability.Br J Radiol 1976;49:604–611
- ↵Lev MH, Farkas J, Gemmete JJ, et al. Acute stroke: improved nonenhanced CT detection—benefits of soft-copy interpretation by using variable window width and center level settings.Radiology 1999;213:150–155
- ↵Clark WM, Albers GW, Madden KP, et al. The rtPA (Alteplase) 0- to 6-hour acute stroke trial, part A (A0276g): results of a double-blind, placebo-controlled, multicenter study.Stroke 2000;31:811–816
- ↵Gacs G, Fox AJ, Barnett HJ, et al. CT visualization of intracranial arterial thromboembolism.Stroke 1983;14:756–762
- ↵Geigy JR BS.Documenta Geigy—Scientific Tables 33rd ed. Basel Switzerland;1968
- ↵Fleiss JL. Measuring nominal scale agreement among many raters.Psychol Bull 1971;76:378–382
- ↵Altman DG. In:Practical Statistics for Medical Research. 1st ed. London, UK: Chapman & Hall;1991:104
- ↵Horowitz SH, Zito JL, Donnarumma R. Computed tomographic-angiographic findings within the first five hours of cerebral infarction.Stroke 1991;22:1245–1253
- ↵von Kummer R, Meyding-Lamade U, Forsting M, et al. Sensitivity and prognostic value of early CT in occlusion of the middle cerebral artery trunk.AJNR Am J Neuroradiol 1994;15:9–15
- Moulin T, Cattin F, Crepin-Leblond T, et al. Early CT signs in acute middle cerebral artery infarction: predictive value for subsequent infarct locations and outcome.Neurology 1996;47:366–375
- Bozzao L, Bastianello S, Fantozzi LM, et al. Correlation of angiographic and sequential CT findings in patients with evolving cerebral infarction.AJNR Am J Neuroradiol 1989;10:1215–1222
- ↵Mohr JP, Biller J, Hilal SK, et al. Magnetic resonance and comouted tomographic imaging in acute stroke.Stroke 1995;26:807–812
- ↵Lovblad KO, Laubach HJ, Baird AE, et al. Clinical experience with diffusion-weighted MR in patients with acute stroke.AJNR Am J Neuroradiol 1998;19:1061–1066
- ↵Gonzalez RG, Schaefer PW, Buonanno FS, et al. Diffusion-weighted MR imaging: diagnostic accuracy in patients imaged within 6 hours of stroke symptom onset.Radiology 1999;210:155–162
- ↵Mullins ME, Lev MH, Schellingerhout D, et al. Influence of availability of clinical history on detection of early stroke using unenhanced CT and diffusion-weighted MR imaging.AJR Am J Roentgenol 2002;179:223–228
- ↵Schuier FJ, Hossmann KA. Experimental brain infarcts in cats, II: ischemic brain edema.Stroke 1980;11:593–601
- ↵Röther J, de Crespigny AJ, D’Arceuil H, et al. MR detection of cortical spreading depression immediately after focal ischemia in the rat.J Cereb Blood Flow Metab 1996;16:214–220
- Davis D, Ulatowski J, Eleff S, et al. Rapid monitoring of changes in water diffusion coefficients during reversible ischemia in cat and rat brain.Magn Reson Med 1994;31:454–460
- ↵de Crespigny AJ, Rother J, Beaulieu C, et al. Comparison of diffusion, blood oxygenation, and blood volume changes during global ischemia in rats.Magn Reson Med 2001;45:10–16
- ↵Kucinski T, Vaeterlein O, Glauche V, et al. Correlation of ADC and CT density in acute ischemic stroke.Stroke 2002;33:1786–1791
- ↵Bozzao L, Bastianello J, Fantozzi LM, et al. Correlation of angiographic and sequential CT findings in patients with evolving cerebral infarction.AJNR Am J Neuroradiol 1989;10:1215–1222
- ↵von Kummer R, Bourquain H, Bastianello S, et al. Early prediction of irreversible brain damage after ischemic stroke at CT.Radiology 2001;219:95–100
- ↵Mullins ME, Schaefer PW, Sorensen AG, et al. CT and conventional and diffusion-weighted MR imaging in acute stroke: study in 691 patients at presentation to the emergency department.Radiology 2002;224:353–360
- ↵Neumann-Haefelin T, Wittsack HJ, Wenserski F, et al. Diffusion- and perfusion-weighted MRI in a patient with a prolonged reversible ischaemic neurological deficit.Neuroradiology 2000;42:444–447
- Neumann-Haefelin T, Kastrup A, de Crespigny A, et al. Serial MRI after transient focal cerebral ischemia in rats: dynamics of tissue injury, blood-brain barrier damage, and edema formation.Stroke 2000;31:1965–1972
- ↵Lefkowitz D, LaBenz M, Nudo SR, et al. Hyperacute ischemic stroke missed by diffusion-weighted imaging.AJNR Am J Neuroradiol 1999;20:1871–1875
- ↵Adams HP Jr, Brott TG, Furlan AJ, et al. Guidelines for thrombolytic therapy for acute stroke: a supplement to the fuidelines for the management of patients with acute ischemic stroke. A statement for healthcare professionals from a Special Writing Group of the Stroke Council, American Heart Association.Stroke 1996;27:1711–1718
- ↵Albers GW, Bates VE, Clark WM, Bell R, Verro P, Hamilton SA. Intravenous tissue-type plasminogen activator for treatment of acute stroke: the Standard Treatment with Alteplase to Reverse Stroke (STARS) study.JAMA 2000;283:1145–1150
- ↵von Kummer R, Holle R, Grzyska U, et al. Interobserver agreement in assessing early CT signs of middle cerebral artery infarction.AJNR Am J Neuroradiol 1996;17:1743–1748
- ↵Barber PA, Demchuk AM, Zhang J, et al. Validity and reliability of a quantitative computed tomography score in predicting outcome of hyperacute stroke before thrombolytic therapy. ASPECTS Study Group Alberta Stroke Programme Early CT Score.Lancet 2000;355:1670–1674
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Dorothee Saur, Thomas Kucinski, Ulrich Grzyska, Bernd Eckert, Christian Eggers, Wolf Niesen, Volker Schoder, Hermann Zeumer, Cornelius Weiller, Joachim Röther
Sensitivity and Interrater Agreement of CT and Diffusion-Weighted MR Imaging in Hyperacute Stroke
American Journal of Neuroradiology May 2003, 24 (5) 878-885;
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Sensitivity and Interrater Agreement of CT and Diffusion-Weighted MR Imaging in Hyperacute Stroke
Dorothee Saur, Thomas Kucinski, Ulrich Grzyska, Bernd Eckert, Christian Eggers, Wolf Niesen, Volker Schoder, Hermann Zeumer, Cornelius Weiller, Joachim Röther
American Journal of Neuroradiology May 2003, 24 (5) 878-885;
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