TY - JOUR
AU - Gonzalez, R.G.
AB - This Article Figures Only Full Text Full Text (PDF) All Versions of this Article: ajnr.A1000v1 29/6/1111 most recent Alert me when this article is cited Alert me if a correction is posted Citation Map Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via CrossRef Citing Articles via Google Scholar Google Scholar Articles by Torres-Mozqueda, F. Articles by González, R.G. Search for Related Content PubMed PubMed Citation Articles by Torres-Mozqueda, F. Articles by González, R.G. Hotlight (NEW!) What's Hotlight? American Journal of Neuroradiology 29:1111-1117, June-July 2008 © 2008 American Society of Neuroradiology BRAIN An Acute Ischemic Stroke Classification Instrument That Includes CT or MR Angiography: The Boston Acute Stroke Imaging Scale F. Torres-Mozqueda a , J. He a , I.B. Yeh a , L.H. Schwamm b , M.H. Lev a , P.W. Schaefer a and R.G. González a a Neuroradiology Division, Massachusetts General Hospital, Harvard Medical School, Boston, Mass b Stroke Service, Massachusetts General Hospital, Harvard Medical School, Boston, Mass Please address correspondence to R. Gilberto González, Neuroradiology Division, GRB 285, Massachusetts General Hospital, Fruit St, Boston, MA 02114; E-mail: rggonzalez@partners.org BACKGROUND AND PURPOSE: A simple classification instrument based on imaging that predicts outcomes in patients with actute ischemic stroke is lacking. We tested the hypotheses that the Boston Acute Stroke Imaging Scale (BASIS) classification instrument effectively predicts patient outcomes and is superior to the Alberta Stroke Program Early CT Score (ASPECTS) in predicting outcomes in acute ischemic stroke. MATERIALS AND METHODS: Of 230 prospectively screened, consecutive patients with acute ischemic stroke, 87 had noncontrast CT (NCCT)/CT angiography (CTA), and 118 had MR imaging/MR angiography (MRA) at admission and were classified as having major stroke by BASIS criteria if they had a proximal cerebral artery occlusion or, if no occlusion, imaging evidence of significant parenchymal ischemia; all of the others were classified as minor strokes. Outcomes included death, length of hospitalization, and discharge disposition. BASIS was compared with ASPECTS (dichotomized > or 7) in 87 patients who had NCCT/CTA. RESULTS: BASIS classification by NCCT/CTA was equivalent to MR imaging/MRA. Fifty-six of 205 patients were classified as having major strokes including all 6 of the deaths. A total of 71.4% and 15.4% of major and minor stroke survivors, respectively, were discharged to a rehabilitation facility, whereas 14.3% and 79.2% of patients with major and minor strokes were discharged to home. The mean length of hospitalization was 12.3 and 3.3 days for the major and minor stroke groups, respectively (all outcomes, P < .0001). In 87 NCCT/CTA patients, BASIS and ASPECTS agreed in 22 major and 44 minor strokes. BASIS classified 21 patients as having major strokes who were classified as having minor strokes by ASPECTS. The BASIS major/ASPECTS minor stroke group had outcomes similar to those classified as major strokes by both instruments. CONCLUSIONS: The BASIS classification instrument is effective and appears superior to ASPECTS in predicting outcomes in acute ischemic stroke. This article has been cited by other articles: R M Jha, L R Hochberg, R Hakimelahi, J A Hirsch, R G Gonzalez, and A J Yoo Hyperacute stent placement in acute cervical internal carotid artery occlusions: the potential role of magnetic resonance imaging JNIS, December 1, 2009; 1(2): 171 - 174. Abstract Full Text PDF A. J. Yoo, L. A. Verduzco, P. W. Schaefer, J. A. Hirsch, J. D. Rabinov, and R. G. Gonzalez MRI-Based Selection for Intra-Arterial Stroke Therapy: Value of Pretreatment Diffusion-Weighted Imaging Lesion Volume in Selecting Patients With Acute Stroke Who Will Benefit From Early Recanalization Stroke, June 1, 2009; 40(6): 2046 - 2054. Abstract Full Text PDF J. M. Romero, L. S. Babiarz, N. P. Forero, E. K. Murphy, P. W. Schaefer, R. G. Gonzalez, and M. H. Lev Arterial Wall Enhancement Overlying Carotid Plaque on CT Angiography Correlates With Symptoms in Patients With High Grade Stenosis Stroke, May 1, 2009; 40(5): 1894 - 1896. Abstract Full Text PDF L.E. Cipriano, M.L. Steinberg, G.S. Gazelle, and R.G. Gonzalez Comparing and Predicting the Costs and Outcomes of Patients with Major and Minor Stroke Using the Boston Acute Stroke Imaging Scale Neuroimaging Classification System AJNR Am. J. Neuroradiol., April 1, 2009; 30(4): 703 - 709. Abstract Full Text PDF I.Y.L. Tan, A.M. Demchuk, J. Hopyan, L. Zhang, D. Gladstone, K. Wong, M. Martin, S.P. Symons, A.J. Fox, and R.I. Aviv CT Angiography Clot Burden Score and Collateral Score: Correlation with Clinical and Radiologic Outcomes in Acute Middle Cerebral Artery Infarct AJNR Am. J. Neuroradiol., March 1, 2009; 30(3): 525 - 531. Abstract Full Text PDF S. B. Coutts, M. D. Hill, and A. M. Demchuk Response to Letter by Gonzalez-Hernandez et al Stroke, February 1, 2009; 40(2): e34 - e34. Full Text PDF Home Subscribe Author Instructions Submit Online Search the AJNR Archives Feedback Help Copyright © 2010 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X
TI - An Acute Ischemic Stroke Classification Instrument That Includes CT or MR Angiography: The Boston Acute Stroke Imaging Scale
JF - American Journal of Neuroradiology
DO - 10.3174/ajnr.A1000
DA - 2008-06-01
UR - https://www.deepdyve.com/lp/american-journal-of-neuroradiology/an-acute-ischemic-stroke-classification-instrument-that-includes-ct-or-uQpwgFm9d7
VL - 29
IS - 6
DP - DeepDyve
ER -