Overview of CTA protocols used in previous CTA-SI studies of acute stroke

StudySharma et al, AJNR 20113Pulli et al, Radiology 20114Pulli et al, Radiology20114Schramm et al, Stroke 20025Schramm et al, Stroke 20046Wittkamp et al, Acad Radiol 20107
CT scanner64-section64-section4- or 16-sectionSingle-section4-section64-section
Acquisition directionCaudocranialCraniocaudalCaudocranialCaudocranialCaudocranialN/A
Table speed3.7 mm/s9.38–39.38 mm/s3.75–5.68 mm/sN/AaN/Aa61.35 mm/s
Contrast injection≤90 mL at 5 mL/s65–100 mL at 3–4 mL/s95–140 at 3–3.5 mL/s130 mL at 5 mL/s40 mL at 5 mL/s, 25 mL at 2.5 mL/s80 mL at 4 mL/s
Saline flush40 mL at 5 mL/s40 mL at 4 mL/sNoneNoneNone50 mL at 4 mL/s
Injection duration≤18 s16–32 s40–60 s26 s18 s20 s
Delay time5–10 sSmartPrep,b aortic arch (average, 22 s)25 s17 s17 sPeak enhancement at superior sagittal sinus
Timing of CT perfusion relative to CTAAfterAfter (if performed)After (if performed)N/ABeforeBefore
CTA-SI correlateCTP-CBF>MR-DWIMR-DWIMR-DWIMR-DWICTP-CBV
Agreement with infarct corePoor, overestimationPoor, overestimationGoodGoodGoodGood
  • Note:—N/A indicates not applicable.

  • a Although the investigators did not state the table speed in their work, it can be presumed to be relatively slow because scanners of this generation were not capable of acquiring at higher speeds.

  • b GE Healthcare, Milwaukee, Wisconsin.