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Clinical diagnosis of cerebral amyloid angiopathy related hemorrhage in China: Simplified Edinburgh criteria and Boston criteria version 2.0

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机构: [1]Capital Med Univ, Xuanwu Hosp, Dept Neurol, Beijing, Peoples R China [2]Capital Med Univ, Beijing Shijitan Hosp, Dept Neurol, Beijing, Peoples R China [3]Capital Med Univ, Beijing Chaoyang Hosp, Dept Radiol, Beijing, Peoples R China [4]Capital Med Univ, Xuanwu Hosp, Ctr Evidence Based Med, Beijing, Peoples R China [5]Henan Prov Peoples Hosp, Dept Neurol, Zhengzhou, Henan, Peoples R China [6]Henan Prov Peoples Hosp, Dept Med Records, Zhengzhou, Henan, Peoples R China [7]Peoples Hosp Zhengzhou, Dept Neurol, Zhengzhou, Henan, Peoples R China [8]Beijing Fengtai Youanmen Hosp, Dept Neurosurg, Beijing, Peoples R China [9]Beijing Fengtai Youanmen Hosp, Dept Radiol, Beijing, Peoples R China [10]Capital Med Univ, Xuanwu Hosp, Emergency Dept, Beijing, Peoples R China [11]Capital Med Univ, Xuanwu Hosp, Beijing Key Lab Hypoxia Conditioning Translat Med, Beijing, Peoples R China [12]Capital Med Univ, Xuanwu Hosp, Dept Neurosurg, 45,Changchun St, Beijing 100053, Peoples R China [13]Capital Med Univ, Beijing Inst Brain Disorders, Beijing, Peoples R China
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关键词: Cerebral amyloid angiopathy intracerebral hemorrhage diagnostic criteria prognosis neuroimaging

摘要:
Background: Accurate diagnosis of cerebral amyloid angiopathy (CAA) in surviving patients is indispensable for making treatment decisions and conducting clinical trials. We aimed to evaluate the diagnostic value and clinical utility of the simplified Edinburgh computed tomography (CT) criteria for CAA-related hemorrhage in Chinese patients.Methods: We analyzed 212 patients with lobar hemorrhage who underwent brain CT and magnetic resonance imaging (MRI) from a multicentre cohort. Using the Boston criteria version 2.0 (v2.0) as the gold standard, we assessed the application value of the simplified Edinburgh CT criteria, and investigated whether the Edinburgh CT criteria predict patient outcomes.Results: Patients with probable CAA accounted for 36.6% according to the Boston criteria v2.0. The Edinburgh CT criteria indicated an area under the receiver operating characteristic curves (AUC) of 0.735 for the diagnosis of probable CAA, and it performed better when there was a high-risk threshold of CAA in the decision curve analysis. Patients with a high risk of CAA based on the Edinburgh CT criteria had poorer outcomes at 90-day after adjusting for confounding factors (p = 0.034). Finger-like projections in the Edinburgh CT criteria were associated with lobar microbleeds, cortical superficial siderosis, and multispot white matter hyperintensity according to the Boston criteria.Conclusions: Taking the Boston criteria v2.0 as the gold standard, the Edinburgh CT criteria demonstrated good diagnostic value and predicted outcomes well at 90-day in Chinese patients with lobar hemorrhage. Further studies with larger sample sizes are required to confirm these findings.

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大类 | 3 区 医学
小类 | 3 区 临床神经病学 3 区 外周血管病
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出版当年[2023]版:
Q1 CLINICAL NEUROLOGY Q1 PERIPHERAL VASCULAR DISEASE
最新[2023]版:
Q1 CLINICAL NEUROLOGY Q1 PERIPHERAL VASCULAR DISEASE

影响因子: 最新[2023版] 最新五年平均 出版当年[2023版] 出版当年五年平均 出版前一年[2022版]

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第一作者机构: [1]Capital Med Univ, Xuanwu Hosp, Dept Neurol, Beijing, Peoples R China
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通讯机构: [1]Capital Med Univ, Xuanwu Hosp, Dept Neurol, Beijing, Peoples R China [12]Capital Med Univ, Xuanwu Hosp, Dept Neurosurg, 45,Changchun St, Beijing 100053, Peoples R China [13]Capital Med Univ, Beijing Inst Brain Disorders, Beijing, Peoples R China
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