Evaluation of Cerebral Hemorrhage Volume Using Transcranial Color-Coded Duplex Sonography

Matsumoto, Noriko; Kimura, Kazumi; Iguchi, Yasuyuki; Aoki, Junya

doi:10.1111/j.1552-6569.2010.00559.x

Cited by 20 publications

(23 citation statements)

References 21 publications

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“…Studies indicate that TCDS is able to identify ICH with good sensitivity (73, 75–79). TCDS is also able to estimate the diameters of the hematoma with systematic deviation close to zero (75, 76) and good volume estimation compared to CT (75–77). Studies further indicate that TCDS is useful in following hematoma expansion (75) and demonstrating the presence of IVH (73, 77).…”

Section: Follow-up Imaging In Patients With Intracerebral Hemorrhagementioning

confidence: 99%

“…The proportion of the study populations without an acoustical window varies from 7 to 56% in studies on ICH-patients, even though most studies report approximately 20% failure-rate (73, 75, 76, 78, 81, 83). The most notorious predictors of lack of an acoustical window are gender (women in general present poorer acoustical windows), increasing age, and thickness of scull (84, 85).…”

Section: Follow-up Imaging In Patients With Intracerebral Hemorrhagementioning

confidence: 99%

“…The most notorious predictors of lack of an acoustical window are gender (women in general present poorer acoustical windows), increasing age, and thickness of scull (84, 85). In addition, people of Asian descent in general present with a higher prevalence of inadequate trans-temporal acoustical bone windows compared to Caucasians (76, 84). TCDS is further limited by the anatomical location of the hematoma.…”

Section: Follow-up Imaging In Patients With Intracerebral Hemorrhagementioning

confidence: 99%

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Prediction and Observation of Post-Admission Hematoma Expansion in Patients with Intracerebral Hemorrhage

et al. 2014

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Post-admission hematoma expansion in patients with intracerebral hemorrhage (ICH) comprises a simultaneous major clinical problem and a possible target for medical intervention. In any case, the ability to predict and observe hematoma expansion is of great clinical importance. We review radiological concepts in predicting and observing post-admission hematoma expansion. Hematoma expansion can be observed within the first 24 h after symptom onset, but predominantly occurs in the early hours. Thus capturing markers of on-going bleeding on imaging techniques could predict hematoma expansion. The spot sign observed on computed tomography angiography is believed to represent on-going bleeding and is to date the most well investigated and reliable radiological predictor of hematoma expansion as well as functional outcome and mortality. On non-contrast CT, the presence of foci of hypoattenuation within the hematoma along with the hematoma-size is reported to be predictive of hematoma expansion and outcome. Because patients tend to arrive earlier to the hospital, a larger fraction of acute ICH-patients must be expected to undergo hematoma expansion. This renders observation and radiological follow-up investigations increasingly relevant. Transcranial duplex sonography has in recent years proven to be able to estimate hematoma volume with good precision and could be a valuable tool in bedside serial observation of acute ICH-patients. Future studies will elucidate, if better prediction and observation of post-admission hematoma expansion can help select patients, who will benefit from hemostatic treatment.

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Section: Follow-up Imaging In Patients With Intracerebral Hemorrhagementioning

confidence: 99%

Section: Follow-up Imaging In Patients With Intracerebral Hemorrhagementioning

confidence: 99%

Section: Follow-up Imaging In Patients With Intracerebral Hemorrhagementioning

confidence: 99%

See 1 more Smart Citation

Prediction and Observation of Post-Admission Hematoma Expansion in Patients with Intracerebral Hemorrhage

et al. 2014

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“…Studies indicate that TCDS is able to identify ICH with good sensitivity (73,(75)(76)(77)(78)(79). TCDS is also able to estimate the diameters of the hematoma with systematic deviation close to zero (75,76) and good volume estimation compared to CT (75)(76)(77). Studies further indicate that TCDS is useful in following hematoma expansion (75) and demonstrating the presence of IVH (73,77).…”

Section: Follow-up Imaging In Patients With Intracerebral Hemorrhagementioning

confidence: 92%

“…The volume of the hematoma is obtained by measuring the sagittal, transversal, and coronal diameter of the hematoma and then calculating the volume using the standard formula: ABC/2 (74,75) (Figure 7). Studies indicate that TCDS is able to identify ICH with good sensitivity (73,(75)(76)(77)(78)(79). TCDS is also able to estimate the diameters of the hematoma with systematic deviation close to zero (75,76) and good volume estimation compared to CT (75)(76)(77).…”

Section: Follow-up Imaging In Patients With Intracerebral Hemorrhagementioning

confidence: 99%

Imaging in Acute Stroke – New Options and State of the Art

2018

Frontiers Research Topics

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Ultrasound of the extra‐ and intracranial arteries

Tsivgoulis

Safouris

2019

Warlow's Stroke

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Evaluation of Cerebral Hemorrhage Volume Using Transcranial Color-Coded Duplex Sonography

Abstract: TCCS appears to be a useful method for evaluating hematoma volume.

Cited by 20 publications

References 21 publications

Prediction and Observation of Post-Admission Hematoma Expansion in Patients with Intracerebral Hemorrhage

Prediction and Observation of Post-Admission Hematoma Expansion in Patients with Intracerebral Hemorrhage

Imaging in Acute Stroke – New Options and State of the Art

Ultrasound of the extra‐ and intracranial arteries

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