https://ogma.newcastle.edu.au/vital/access/ /manager/Index en-au 5 Defining core and penumbra in ischemic stroke: a voxel- and volume-based analysis of whole brain CT perfusion https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:24527 Wed 24 Nov 2021 15:50:30 AEDT ]]> Reperfusion facilitates reversible disruption of the human blood-brain barrier following acute ischaemic stroke https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:36740 hypo-i), non-hypoperfused region of ischaemic hemisphere (rPSnonhypo-i) and their contralateral mirror regions (rPShypo-c and rPSnonhypo-c). The changes of rPS were analysed using analysis of variance (ANOVA) with repeated measures. Logistic regression was used to identify independent predictors of unfavourable outcome. Results: Fifty-six patients were included in the analysis, median age was 76 (IQR 62-81) years and 28 (50%) were female. From baseline to 24 h after treatment, rPShypo-i, rPSnonhypo-i and rPShypo-c all decreased significantly. The decreases in rPShypo-i and rPShypo-c were larger in the reperfusion group than non-reperfusion group. The rPShypo-i at follow-up was a predictor for unfavourable outcome (OR 1.131; 95% CI 1.018-1.256; P = 0.022). Conclusion: Early disruption of BBB in AIS is reversible, particularly when greater reperfusion is achieved. Elevated BBBP at 24 h after treatment, not the pretreatment BBBP, predicts unfavourable outcome. Key points: Early disruption of blood-brain barrier (BBB) in stroke is reversible after treatment; The reversibility of BBB permeability is associated with reperfusion; Unfavourable outcome is associated with BBB permeability at 24 h after treatment; Contralateral non-ischaemic hemisphere is not 'normal' during an acute stroke.]]> Thu 02 Jul 2020 16:31:45 AEST ]]> Filling Defect of Ipsilateral Transverse Sinus in Acute Large Artery Occlusion https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:51794 0.05). Conclusion: Filling defect of the ipsilateral transverse sinus was associated with edema expansion and an unfavorable outcome irrespective of the baseline arterial collateral status in patients with acute LAO, indicating that FDITS may be an important stroke-related prognostic imaging marker.]]> Mon 18 Sep 2023 15:19:11 AEST ]]> Identification of corticospinal tract lesion for predicting outcome in small perfusion stroke https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:46879 Mon 05 Dec 2022 14:09:44 AEDT ]]> The velocity of collateral filling predicts recanalization in acute ischemic stroke after intravenous thrombolysis https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:29190 p = 0.020), but not tMIP-ASPECT score (OR = 1.073, 95% CI = 0.820–1.405, p = 0.607), was independently associated with recanalization (AOL score of 2 and 3) at 24 hours after IVT. When recanalization was achieved, hemorrhagic transformation (HT) occurred more frequently in patients with slow collaterals (ATD ≥ 2.3 seconds) than those with rapid collaterals (ATD < 2.3 seconds) (88.9% vs 38.1%, p = 0.011). In conclusion, the velocity of collaterals related to recanalization, which may guide the decision-making of revascularization therapy in acute ischemic stroke.]]> Fri 01 Apr 2022 09:24:17 AEDT ]]>