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皮层静脉化评分 (COVES) 与DSA ASITN附带评分独立相关

Dhairya A Lakhani^1,2, Aneri B Balar³, Subtain Ali²

¹From the Department of Radiology and Radiological Sciences (D.A.L., A.B.B., H.S., R.W., J.M., V.S.Y.), Johns Hopkins University, Baltimore, Maryland dhairyalakhani@gmail.com.

AJNR. American journal of neuroradiology

|November 22, 2024

概括

皮层静脉化评分 (COVES) 与急性缺血性中风患者的ASITN附带评分相关. 这证实了COVES作为评估大型船舶封闭冲击中的担保状况的工具.

科学领域:

神经辐射学神经辐射学
神经学神经学
脑卒中成像脑卒中成像

背景情况:

治疗前CT血管学 (CTA) 基于皮质静脉化评分 (COVES) 预测了急性缺血性中风与大血管封闭 (AIS-LVO) 的功能结果.
据信,COVES反映了抵押品的状态 (CS).
COVES与建立的基于DSA的ASITN担保得分之间的关联尚未定义.

研究的目的:

评估基于CTA的COVES和基于DSA的ASITN担保得分之间的关系.
为了验证COVES作为AIS-LVO的抵押品地位的衡量标准.

主要方法:

对前性收集的数据进行分析,对311名AIS-LVO患者 (前循环) 进行了后性审查.
神经放射学家和神经干预学家对COVES (0-6) 和ASITN CS的独立评估,对差异达成共识.
统计分析包括斯皮尔曼相关性,物流回归和ROC曲线分析.

主要成果:

在COVES和ASITN CS.之间发现了显著的正相关性 (ρ = 0.41,P < .001).
较高的COVES独立地与良好的ASITN CS相关 (调整后OR=1.73,P<.001).
在ROC分析中,AUC为0.71 (P<.001).

结论:

COVES与ASITN担保评分独立相关,这是参考标准.
这项研究验证了COVES在AIS-LVO中评估抵押品状态的实用性.

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