Stoller Checklist Workshop for Orthopedic Imaging

Dec 12th, 2014Dec 13th, 2014
Laguna Beach, CA
US
http://stollermskcourse.com/conferences/december-2014-laguna-beach
Phone:650-440-4424
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A visual abstract of the study.
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Exemplary cases from the ESCAPE-MeVO trial illustrating good, moderate, and poor collateral status at baseline multiphase CT angiography (CTA). (A) Sagittal image shows a left anterior middle cerebral artery medium-vessel occlusion (MeVO) with a calcified thrombus (arrow). (B–D) Axial images show the (B) arterial, (C) peak venous, and (D) delayed venous phases of the baseline multiphase CTA examination. The affected brain parenchyma is highlighted by the dashed outline. The collateral status is good, with early filling of more than 50% of the leptomeningeal collaterals compared with the contralateral side in the arterial phase (B), and there is no delayed washout in the peak venous (C) or delayed venous phase (D). (E) Sagittal image shows a left anterior middle cerebral artery MeVO (arrow). (F–H) Axial images show the (F) arterial, (G) peak venous, and (H) delayed venous phases of the baseline multiphase CTA examination. The affected brain parenchyma is highlighted by the dashed outline. The collateral status is moderate (more than 25% but less than 50% filling of the leptomeningeal collaterals in the affected territory compared with the contralateral side) on the arterial (F) and peak venous (G) phase, and there is delayed washout in the late venous phase (H). (I) Sagittal image shows a posterior dominant middle cerebral artery MeVO (arrow). (J–L) Axial images show the (J) arterial, (K) peak venous, and (L) delayed venous phases of the baseline multiphase CTA examination. The affected brain parenchyma is highlighted by the dashed outline. The collateral status is poor, with almost no collateral filling.
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Bar graphs show mean success (blue) and confidence (orange) according to diagnostic response (lesion present or absent, shown as “present” and “absent,” respectively) and next-step decision (submit, additional tests, and consult a senior) for each group (radiologists and nonradiologists). Error bars indicate standard errors of the mean. Lesion-absent diagnoses were more prone to error and overconfidence than were lesion-present diagnoses.
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The findings have implications for future research to determine which stroke patients with medium-vessel occlusion benefit from EVT.
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Exemplary cases from the ESCAPE-MeVO trial illustrating good, moderate, and poor collateral status at baseline multiphase CT angiography (CTA). (A) Sagittal image shows a left anterior middle cerebral artery medium-vessel occlusion (MeVO) with a calcified thrombus (arrow). (B–D) Axial images show the (B) arterial, (C) peak venous, and (D) delayed venous phases of the baseline multiphase CTA examination. The affected brain parenchyma is highlighted by the dashed outline. The collateral status is good, with early filling of more than 50% of the leptomeningeal collaterals compared with the contralateral side in the arterial phase (B), and there is no delayed washout in the peak venous (C) or delayed venous phase (D). (E) Sagittal image shows a left anterior middle cerebral artery MeVO (arrow). (F–H) Axial images show the (F) arterial, (G) peak venous, and (H) delayed venous phases of the baseline multiphase CTA examination. The affected brain parenchyma is highlighted by the dashed outline. The collateral status is moderate (more than 25% but less than 50% filling of the leptomeningeal collaterals in the affected territory compared with the contralateral side) on the arterial (F) and peak venous (G) phase, and there is delayed washout in the late venous phase (H). (I) Sagittal image shows a posterior dominant middle cerebral artery MeVO (arrow). (J–L) Axial images show the (J) arterial, (K) peak venous, and (L) delayed venous phases of the baseline multiphase CTA examination. The affected brain parenchyma is highlighted by the dashed outline. The collateral status is poor, with almost no collateral filling.
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