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Diagnostic imaging ...
Diagnostic imaging strategies of acute intracerebral hemorrhage in European academic hospitals—a decision-making analysis
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- Putora, Paul Martin (author)
- Kantonsspital St Gallen
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- Almeida, Gonçalo G. (author)
- Kantonsspital St Gallen
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- Wildermuth, Simon (author)
- Kantonsspital St Gallen
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- Weber, Johannes (author)
- Kantonsspital St Gallen
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- Dietrich, Tobias (author)
- Kantonsspital St Gallen
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- Vernooij, Meike W. (author)
- Erasmus University Medical Center
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- van Doormaal, Pieter Jan (author)
- Erasmus University Medical Center
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- Smagge, Lucas (author)
- Erasmus University Medical Center
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- Zeleňák, Kamil (author)
- Comenius University
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- Krainik, Alexandre (author)
- Grenoble University Hospital
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- Bonneville, Fabrice (author)
- Toulouse University Hospital
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- van Den Hauwe, Luc (author)
- Antwerp University Hospital
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- Möhlenbruch, Markus (author)
- University Hospital Heidelberg
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- Bruno, Federico (author)
- University of L'Aquila
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- Ramgren, Birgitta (author)
- Lund University,Lunds universitet,Diagnostisk radiologi, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Neuroradiologi,Forskargrupper vid Lunds universitet,Stroke Imaging Research group,Neurologiska skador vid akut aortadissektion typ A,Diagnostic Radiology, (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,Neuroradiology,Lund University Research Groups,Neurological injury in acute type A aortic dissection
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Ramos-González, Ana (author)
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- Schellhorn, Till (author)
- Oslo university hospital
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- Waelti, Stephan (author)
- Kantonsspital St Gallen
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- Fischer, Tim (author)
- Kantonsspital St Gallen
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(creator_code:org_t)
- 2023-01-12
- 2023
- English.
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In: Neuroradiology. - : Springer Science and Business Media LLC. - 0028-3940 .- 1432-1920. ; 65:4, s. 729-736
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http://dx.doi.org/10...
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Abstract
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- Purpose: To evaluate and compare which factors are relevant to the diagnostic decision-making and imaging workup of intracerebral hemorrhages in large, specialized European centers. Methods: Expert neuroradiologists from ten large, specialized centers (where endovascular stroke treatment is routinely performed) in nine European countries were selected in cooperation with the European Society of Neuroradiology (ESNR). The experts were asked to describe how and when they would investigate specific causes in a patient who presented with an acute, atraumatic, intracerebral hemorrhage for two given locations: (1) basal ganglia, thalamus, pons or cerebellum; (2) lobar hemorrhage. Answers were collected, and decision trees were compared. Results: Criteria that were considered relevant for decision-making reflect recommendations from current guidelines and were similar in all participating centers. CT Angiography or MR angiography was considered essential by the majority of centers regardless of other factors. Imaging in clinical practice tended to surpass guideline recommendations and was heterogeneous among different centers, e.g., in a scenario suggestive of typical hypertensive hemorrhage, recommendations ranged from no further follow-up imaging to CT angiography and MR angiography. In no case was a consensus above 60% achieved. Conclusion: In European clinical practices, existing guidelines for diagnostic imaging strategies in ICH evaluation are followed as a basis but in most cases, additional imaging investigation is undertaken. Significant differences in imaging workup were observed among the centers. Results suggest a high level of awareness and caution regarding potentially underlying pathology other than hypertensive disease.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)
Keyword
- Analysis
- Decision-making
- Deep
- Hemorrhage
- Intracerebral
- Lobar
Publication and Content Type
- art (subject category)
- ref (subject category)
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- By the author/editor
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Putora, Paul Mar ...
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Almeida, Gonçalo ...
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Wildermuth, Simo ...
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Weber, Johannes
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Dietrich, Tobias
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Vernooij, Meike ...
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van Doormaal, Pi ...
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Smagge, Lucas
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Zeleňák, Kamil
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Krainik, Alexand ...
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Bonneville, Fabr ...
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van Den Hauwe, L ...
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Möhlenbruch, Mar ...
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Bruno, Federico
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Ramgren, Birgitt ...
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Ramos-González, ...
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Schellhorn, Till
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Waelti, Stephan
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Fischer, Tim
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Neurology
- Articles in the publication
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Neuroradiology
- By the university
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Lund University