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Updated: Jan 11, 2026
Embolic Middle Cerebral Artery Occlusion MCAO for Ischemic Stroke with Homologous Blood Clots in Rats
Published on: September 17, 2014
Transcending traditional prognostic assessments: Predictive efficacy of MRA-based BATMAN and PCCS scores in basilar
Lichao Hong1, Lina Geng1, Shuyan Jing1
1Department of Radiology and Nuclear Medicine, First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Aim:
This study evaluated the application of Magnetic Resonance Angiography (MRA)-based BATMAN and PCCS scoring systems to predict individual neurological functional prognosis in patients with Basilar Artery Occlusive (BAO) stroke.
Materials And Methods:
Forty patients with BAO were enrolled, with prognosis assessed at 3 months post-stroke using the modified Rankin Scale (mRS). Prognostic scores were classified as good (mRS ≤ 3) or poor (mRS > 3). MRA-based BATMAN and PCCS scores were used to predict outcomes, and their predictive efficacy was assessed via Receiver Operating Characteristic (ROC) curve analysis.
Results:
Among the 40 BAO patients, 24 (60%) had a good prognosis and 16 (40%) had a poor prognosis. Both BATMAN-MRA and PCCS-MRA scores were significantly negatively correlated with the 3-month mRS score (BATMAN-MRA: r = -0.487, P < 0.001; PCCS-MRA: r = -0.503, P < 0.001). ROC analysis showed that the BATMAN-MRA score had slightly higher predictive efficacy (AUC = 0.849) than the PCCS-MRA score (AUC = 0.807), with an optimal cutoff value of 6.5 for both scoring systems.
Conclusion:
MRA-based BATMAN and PCCS scores are effective tools for predicting neurological outcomes in BAO patients, with BATMAN-MRA demonstrating superior predictive accuracy in this study.
