Framework to generate perfusion map from CT and CTA images in patients with acute ischemic stroke: A longitudinal and cross-sectional study

Fuente: arXiv
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Autores principales: Tangwiriyasakul, Chayanin, Borges, Pedro, Moriconi, Stefano, Wright, Paul, Mah, Yee-Haur, Teo, James, Nachev, Parashkev, Ourselin, Sebastien, Cardoso, M. Jorge
Formato: Preprint
Publicado: 2024
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author Tangwiriyasakul, Chayanin
Borges, Pedro
Moriconi, Stefano
Wright, Paul
Mah, Yee-Haur
Teo, James
Nachev, Parashkev
Ourselin, Sebastien
Cardoso, M. Jorge
author_facet Tangwiriyasakul, Chayanin
Borges, Pedro
Moriconi, Stefano
Wright, Paul
Mah, Yee-Haur
Teo, James
Nachev, Parashkev
Ourselin, Sebastien
Cardoso, M. Jorge
contents Stroke is a leading cause of disability and death. Effective treatment decisions require early and informative vascular imaging. 4D perfusion imaging is ideal but rarely available within the first hour after stroke, whereas plain CT and CTA usually are. Hence, we propose a framework to extract a predicted perfusion map (PPM) derived from CT and CTA images. In all eighteen patients, we found significantly high spatial similarity (with average Spearman's correlation = 0.7893) between our predicted perfusion map (PPM) and the T-max map derived from 4D-CTP. Voxelwise correlations between the PPM and National Institutes of Health Stroke Scale (NIHSS) subscores for L/R hand motor, gaze, and language on a large cohort of 2,110 subjects reliably mapped symptoms to expected infarct locations. Therefore our PPM could serve as an alternative for 4D perfusion imaging, if the latter is unavailable, to investigate blood perfusion in the first hours after hospital admission.
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id arxiv_https___arxiv_org_abs_2404_04025
institution arXiv
publishDate 2024
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spellingShingle Framework to generate perfusion map from CT and CTA images in patients with acute ischemic stroke: A longitudinal and cross-sectional study
Tangwiriyasakul, Chayanin
Borges, Pedro
Moriconi, Stefano
Wright, Paul
Mah, Yee-Haur
Teo, James
Nachev, Parashkev
Ourselin, Sebastien
Cardoso, M. Jorge
Computer Vision and Pattern Recognition
Quantitative Methods
Stroke is a leading cause of disability and death. Effective treatment decisions require early and informative vascular imaging. 4D perfusion imaging is ideal but rarely available within the first hour after stroke, whereas plain CT and CTA usually are. Hence, we propose a framework to extract a predicted perfusion map (PPM) derived from CT and CTA images. In all eighteen patients, we found significantly high spatial similarity (with average Spearman's correlation = 0.7893) between our predicted perfusion map (PPM) and the T-max map derived from 4D-CTP. Voxelwise correlations between the PPM and National Institutes of Health Stroke Scale (NIHSS) subscores for L/R hand motor, gaze, and language on a large cohort of 2,110 subjects reliably mapped symptoms to expected infarct locations. Therefore our PPM could serve as an alternative for 4D perfusion imaging, if the latter is unavailable, to investigate blood perfusion in the first hours after hospital admission.
title Framework to generate perfusion map from CT and CTA images in patients with acute ischemic stroke: A longitudinal and cross-sectional study
topic Computer Vision and Pattern Recognition
Quantitative Methods
url https://arxiv.org/abs/2404.04025