临床和放射学Oxfordshire社区中风项目分类亚型之间的一致性预测器
Joao Brainer Clares de Andrade1, Jay P Mohr2, Fabricio Oliveira Lima3
1Universidade Federal de Sao Paulo, Rua Napoleao de Barros, 715, Sao Paulo, SP, Brazil; Columbia University, Doris and Stanley Tananbaum Stroke Center, Neurological Institute of New York, 710 W 168th St., 6th Floor, NI 614, 10032 New York City, NY, USA; Centro Universitario Sao Camilo, Av Nazare, 1501, São Paulo, São Paulo, Brazil.
概括
牛津郡社区中风项目 (OCSP) 的分类显示,与缺血性中风患者的神经图像学有很好的一致性. 然而,在使用放射学标准时,缺口性中风亚型经常被错误分类.
科学领域:
- 神经学 神经学
- 放射学 放射学是一门学科.
- 脑卒中医学 脑卒中医学
背景情况:
- 牛津郡社区中风项目 (OCSP) 分类是评估缺血性中风的临床工具.
- 它与神经成像发现的相关性需要进一步调查.
- 这项研究探讨了缺血性中风的临床表现和成像之间的关系.
研究的目的:
- 在缺血性中风患者中描述OCSP亚型的基线特征.
- 评估临床和神经成像发现之间的关系的预测因素.
- 评估临床OCSP分类与放射性发现的一致性.
主要方法:
- 包括接受巴西综合性中风中心治疗的缺血性中风患者.
- 进行了计算机断层扫描 (CT) 和随访神经成像.
- 临床OCSP分类是在入院时进行的; 放射性OCSP被盲目的调查人员追溯评估.
主要成果:
- 临床和放射性OCSP分类之间的总体一致性在65.5%至88.7%之间.
- 较低的NIHSS分数,缺少高密度MCA标志,更高的ASPECTS和缺少脑干症状增加了错误分类的风险.
- 头和脑干症状预测了正确的放射后部循环分类.
结论:
- 临床OCSP分类与缺血性中风中神经成像发现有很好的一致性.
- 在考虑放射学标准时,错误分类在患有缺口综合征的患者中很常见.
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