CT angiography source image ASPECTS
Citation, DOI & article data
CT angiography source image ASPECTS (CTA-SI ASPECTS) is a semiquantitative scoring system to characterize the extent and severity of mainly middle cerebral artery ischemic stroke, although it can be adapted to other vascular territories as well. The added value of CTA-SI ASPECTS is that it directly shows the degree of collateral circulation and better delineates the infarct territory during the acute phase 1. Furthermore, differences in contrast enhancement are typically less subtle than the often discrete hypoattenuation caused by early phase ischemia on noncontrast scans.
CTA-SI ASPECTS is evaluated using axially reconstructed brain window scans generated from the CTA source images 2.
For the MCA territory a 10-point scoring system is used identically to the original ASPECTS system for non-contrast CT, where any region of relatively diminished contrast enhancement should be registered as abnormal 1.
It has been demonstrated that a good CTA-SI ASPECTS score (8-10) is a superior predictor of the final infarct size and clinical outcome to the standard ASPECTS, and most importantly it was found to be a better indicator of the possible outcome of endovascular treatment 1,2.
- 1. Park JS, Lee JM, Kwak HS, Chung GH. Predictive value of CT angiography source image ASPECTS in patients with anterior circulation acute ischemic stroke after endovascular treatment: ultimate infarct size and clinical outcome. (2018) Journal of neurointerventional surgery. doi:10.1136/neurintsurg-2018-014359 - Pubmed
- 2. Rohit Bhatia, Simerpreet S. Bal, Nandavar Shobha, Bijoy K. Menon, Sarah Tymchuk, Volker Puetz, Imanuel Dzialowski, Shelagh B. Coutts, Mayank Goyal, Philip A. Barber, Tim Watson, Eric E. Smith, Andrew M. Demchuk. CT Angiographic Source Images Predict Outcome and Final Infarct Volume Better Than Noncontrast CT in Proximal Vascular Occlusions. (2011) Stroke. 42 (6): 1575-80. doi:10.1161/STROKEAHA.110.603936 - Pubmed