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ORIGINAL RESEARCH INTERVENTIONAL Reliability of the Diagnosis of Cerebral Vasospasm Using Catheter Cerebral Angiography: A Systematic Review and Inter- and Intraobserver Study T.E. Darsaut, C. Derksen, B. Farzin, M.B. Keough, R. Fahed, W. Boisseau, L. Letourneau-Guillon, A.-C. Januel, A. Weill, D. Roy, T.N. Nguyen, S. Finitsis, J.-C. Gentric, D. Volders, A. Carlson, M.M. Chow, C. O’Kelly, J.L. Rempel, R.A. Ashforth, M. Chagnon, J. Zehr, J.M. Findlay, G. Gevry, and J. Raymond ABSTRACT BACKGROUND AND PURPOSE: Conventional angiography is the benchmark examination to diagnose cerebral vasospasm, but there is limited evidence regarding its reliability. Our goals were the following: 1) to systematically review the literature on the reliability of the diagnosis of cerebral vasospasm using conventional angiography, and 2) to perform an agreement study among clinicians who perform endovascular treatment. MATERIALS AND METHODS: Articles reporting a classification system on the degree of cerebral vasospasm on conventional angiog- raphy were systematically searched, and agreement studies were identified. We assembled a portfolio of 221 cases of patients with subarachnoid hemorrhage and asked 17 raters with different backgrounds (radiology, neurosurgery, or neurology) and experience (junior #10 and senior .10 years) to independently evaluate cerebral vasospasm in 7 vessel segments using a 3-point scale
American Journal of Neuroradiology – American Journal of Neuroradiology
Published: Mar 1, 2021
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