AI Article Synopsis

  • Intracerebral hemorrhage (ICH) is a serious condition that requires effective imaging for diagnosis, yet there is a lack of standardization in imaging protocols during the acute phase.
  • A study reviewed over 18,000 patients suspected of acute stroke to assess imaging methods, finding that CT scans were the most commonly used, followed by vascular imaging in a majority of cases.
  • The research revealed that 8.2% of ICH cases had secondary causes identified, emphasizing the need for improved and standardized imaging approaches to ensure quicker detection and treatment of vascular issues.

Article Abstract

Objective: Intracerebral hemorrhage (ICH) is a life-threatening condition, where imaging plays a crucial role but remains poorly standardized. Our main objective was to analyze the imaging protocols used during the acute phase of ICH and ascertain the proportion of patients diagnosed with secondary hemorrhage.

Patients And Methods: A multicenter retrospective observational study was conducted across over 100 French hospitals affiliated with a national tele-imaging network dedicated to emergency imaging. Among patients managed in the "Stroke Alert" pathway for suspected acute stroke from March 2021 to April 2023, those with ICH diagnosed within 24 h of symptoms onset were identified. Their imaging reports were reviewed to identify the imaging modality used and protocols performed and investigate whether a secondary cause was identified.

Results: Of the 18,356 patients included in the "Stroke Alert" pathway, 662 cerebral hemorrhages were identified (3.6 %). Computed tomography (CT) was the most widely used imaging modality in the acute phase (71.8 % of examinations). Vascular imaging was performed in 78 % of patients with cerebral hemorrhage, most often CT angiography or TOF magnetic resonance angiography. A secondary cause was identified in 8.2 % (54/662) of cerebral hemorrhages, including vascular imaging in the vast majority of cases (92.6 %).

Conclusion: Optimization and standardization of imaging protocols in the acute phase of ICH is essential to improve the detection of its secondary causes, particularly vascular, requiring urgent treatment. Vascular imaging improves their early detection.

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Source
http://dx.doi.org/10.1016/j.neurad.2024.101222DOI Listing

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