Hematocrit and Serum Hemoglobin Do Not Influence Values in Computed Tomography Perfusion of Patients With Acute Ischemic Stroke.

J Comput Assist Tomogr

From the *Division of Diagnostic and Interventional Neuroradiology, Department of Radiology, and †Division of Abdominal and Oncologic Imaging, Department of Radiology, University Hospital Basel, Basel; ‡Medical Radiological Institute, Zurich, Switzerland; and §Klinik für Radiologie und Neuroradiologie, Universitaetsklinikum Schleswig-Holstein, Kiel, Germany.

Published: August 2017

AI Article Synopsis

  • A study examined the relationship between serum hemoglobin (HGB) and hematocrit (HCT) levels with the attenuation values of blood vessels in noncontrast-enhanced CT scans, potentially affecting CT perfusion maps.
  • Researchers analyzed data from 45 patients with acute neurological symptoms who underwent both NECT and CT perfusion scans, alongside follow-up MRI.
  • The findings indicated no difference in HCT and HGB between stroke patients and controls, but revealed a significant correlation between HCT, HGB, and attenuation values in certain arteries; however, these factors did not impact perfusion maps or necessitate adjustments for cerebral blood volume thresholds in stroke patients.

Article Abstract

Objective: There is a correlation between both serum hemoglobin (HGB) and hematocrit (HCT) and attenuation values of vessels in noncontrast-enhanced computed tomography (NECT), which could influence calculated perfusion maps in CT perfusion.

Methods: We retrospectively included 45 patients, who presented with acute new neurological symptoms and underwent NECT and CT perfusion (128-row multi detector scanner, coverage: 6.9 cm craniocaudally; 80 kV; 200 mAs; temporal resolution: 2 seconds using 40 mL Ultravist 370 at a flow rate of 5 mL/s) on admission and a follow-up MRI within 1 week of admission.

Results: Hematocrit, HGB, and attenuation values did not differ between patients with stroke and controls. A statistically significant correlation was found between HCT and HGB and attenuation values in the internal carotid artery or middle cerebral artery on NECT (P < 0.05). No statistically significant correlation was observed between HCT and HGB and perfusion maps.

Conclusions: Hematocrit and HGB do not influence calculated perfusion maps. There is no need for HCT/HGB-adjusted cerebral blood volume thresholds in stroke patients.

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Source
http://dx.doi.org/10.1097/RCT.0000000000000560DOI Listing

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