Overview of CTA protocols used in previous CTA-SI studies of acute stroke
Study | Sharma et al, AJNR 20113 | Pulli et al, Radiology 20114 | Pulli et al, Radiology20114 | Schramm et al, Stroke 20025 | Schramm et al, Stroke 20046 | Wittkamp et al, Acad Radiol 20107 |
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CT scanner | 64-section | 64-section | 4- or 16-section | Single-section | 4-section | 64-section |
Acquisition direction | Caudocranial | Craniocaudal | Caudocranial | Caudocranial | Caudocranial | N/A |
Table speed | 3.7 mm/s | 9.38–39.38 mm/s | 3.75–5.68 mm/s | N/Aa | N/Aa | 61.35 mm/s |
Contrast injection | ≤90 mL at 5 mL/s | 65–100 mL at 3–4 mL/s | 95–140 at 3–3.5 mL/s | 130 mL at 5 mL/s | 40 mL at 5 mL/s, 25 mL at 2.5 mL/s | 80 mL at 4 mL/s |
Saline flush | 40 mL at 5 mL/s | 40 mL at 4 mL/s | None | None | None | 50 mL at 4 mL/s |
Injection duration | ≤18 s | 16–32 s | 40–60 s | 26 s | 18 s | 20 s |
Delay time | 5–10 s | SmartPrep,b aortic arch (average, 22 s) | 25 s | 17 s | 17 s | Peak enhancement at superior sagittal sinus |
Timing of CT perfusion relative to CTA | After | After (if performed) | After (if performed) | N/A | Before | Before |
CTA-SI correlate | CTP-CBF | >MR-DWI | MR-DWI | MR-DWI | MR-DWI | CTP-CBV |
Agreement with infarct core | Poor, overestimation | Poor, overestimation | Good | Good | Good | Good |