Anterior and posterior circulation infarction image score（APCIIS），a novel approach to evaluate the prognosis of patients with acute ischemic stroke

Peng Shixin, Qiu Yulong, Zhu Ji, Zhang Xiaodong, Jiang Li, Xu Rui

PDF(1357 KB)
PDF(1357 KB)
Journal of Chongqing Medical University ›› 2024, Vol. 49 ›› Issue (02) : 217-221. DOI: 10.13406/j.cnki.cyxb.003427
Clinical research

Anterior and posterior circulation infarction image score（APCIIS），a novel approach to evaluate the prognosis of patients with acute ischemic stroke

Author information +
History +

Abstract

Objective Development and validation of a novel acute ischemic stroke（AIS） scoring system： Anterior and posterior circulation infarction image score（APCIIS）. Methods Retrospective analysis of clinical data from 163 patients with acute ischemic stroke admitted to the First Affiliated Hospital of Chongqing Medical University from 2020/6 to 2021/6. The patients were divided into anterior circulation AIS group（n=109） and posterior circulation AIS group（n=54）. Univariate and multivariate analyses were performed to identify risk factors affecting the prognosis of patients with AIS. Using the Clot Burden Score（CBS） and the Basilar Artery on Computed Tomography Angiography score（BATMAN） as references，receiver operating characteristic（ROC） curves were plotted to analyze the predictive value of the novel scoring system（APCIIS） for prognosis assessment. Results In the anterior circulation AIS group，although the prognostic value of APCIIS was not superior to CBS，it demonstrated relatively higher sensitivity of 86.8%，specificity of 90.1%，and an area under the curve of 0.939. In the posterior circulation AIS group，APCIIS showed better prognostic value than the BATMAN score. Conclusion APCIIS is a convenient and reliable method for predicting the prognosis of patients with AIS.

Key words

anterior circulation acute ischemic stroke / posterior circulation acute ischemic stroke / prognosis

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations
Peng Shixin , Qiu Yulong , Zhu Ji , et al . Anterior and posterior circulation infarction image score（APCIIS），a novel approach to evaluate the prognosis of patients with acute ischemic stroke. Journal of Chongqing Medical University. 2024, 49(02): 217-221 https://doi.org/10.13406/j.cnki.cyxb.003427

References

List( Publishing order | Descend order by publishing year | Descend order by cited within ) Chart analysis
1
Donnan GA， Fisher M， MacLeod M，et al. Stroke[J]. Lancet，2008，371（9624）：1612-1623．
本文引用 [1]
2
Pu LY， Wang L， Zhang RJ，et al. Projected global trends in ischemic stroke incidence，deaths and disability-adjusted life years from 2020 to 2030[J]. Stroke，2023，54（5）：1330-1339．
3
GBD Stroke Collaborators. Global，regional，and national burden of stroke and its risk factors，1990-2019：a systematic analysis for the Global Burden of Disease Study 2019[J]. Lancet Neurol，2021，20（10）：795-820．
本文引用 [1]
4
Kloska SP. Automated detection of large vessel occlusion in acute stroke：faster imaging assessment for faster treatment[J]. Radiology，2021，298（3）：671-672．
本文引用 [1]
5
Albers GW， Marks MP， Kemp S，et al. Thrombectomy for stroke at 6 to 16 hours with selection by perfusion imaging[J]. N Engl J Med，2018，378（8）：708-718．
本文引用 [1]
6
Campbell BCV， Mitchell PJ， Kleinig TJ，et al. Endovascular therapy for ischemic stroke with perfusion-imaging selection[J]. N Engl J Med，2015，372（11）：1009-1018．
7
Beauchamp NJ Jr， Barker PB， Wang PY，et al. Imaging of acute cerebral ischemia[J]. Radiology，1999，212（2）：307-324．
本文引用 [1]
8
Torres-Mozqueda F， He J， Yeh IB，et al. An acute ischemic stroke classification instrument that includes CT or MR angiography：the Boston Acute Stroke Imaging Scale[J]. AJNR Am J Neuroradiol，2008，29（6）：1111-1117．
本文引用 [1]
9
Barber PA， Demchuk AM， Zhang J，et al. Validity and reliability of a quantitative computed tomography score in predicting outcome of hyperacute stroke before thrombolytic therapy. ASPECTS Study Group. Alberta Stroke Programme Early CT Score[J]. Lancet，2000，355（9216）：1670-1674．
本文引用 [1]
10
Yoo AJ， Berkhemer OA， Fransen PSS，et al. Effect of baseline Alberta Stroke Program Early CT Score on safety and efficacy of intra-arterial treatment：a subgroup analysis of a randomised phase 3 trial（MR CLEAN）[J]. Lancet Neurol，2016，15（7）：685-694．
本文引用 [1]
11
Kwah LK， Diong J. National institutes of health stroke scale（NIHSS）[J]. J Physiother，2014，60（1）：61．
本文引用 [1]
12
Meyer BC， Hemmen TM， Jackson CM，et al. Modified National Institutes of Health Stroke Scale for use in stroke clinical trials：prospective reliability and validity[J]. Stroke，2002，33（5）：1261-1266．
本文引用 [1]
13
Goyal M， Demchuk AM， Menon BK，et al. Randomized assessment of rapid endovascular treatment of ischemic stroke[J]. N Engl J Med，2015，372（11）：1019-1030．
本文引用 [1]
14
Puetz V， Dzialowski I， Hill MD，et al. Intracranial thrombus extent predicts clinical outcome，final infarct size and hemorrhagic transformation in ischemic stroke：the clot burden score[J]. Int J Stroke，2008，3（4）：230-236．
本文引用 [2]
15
Alemseged F， Shah DG， Diomedi M，et al. The basilar artery on computed tomography angiography prognostic score for basilar artery occlusion[J]. Stroke，2017，48（3）：631-637．
本文引用 [1]
16
Aerden L， Luijckx GJ， Ricci S，et al. Validation of the Oxfordshire Community Stroke Project syndrome diagnosis derived from a standard symptom list in acute stroke[J]. J Neurol Sci，2004，220（1/2）：55-58．
本文引用 [1]
17
Mead GE， Lewis SC， Wardlaw JM，et al. How well does the Oxfordshire community stroke project classification predict the site and size of the infarct on brain imaging?[J]. J Neurol Neurosurg Psychiatry，2000，68（5）：558-562．
18
Wardlaw JM， Dennis MS， Lindley RI，et al. The validity of a simple clinical classification of acute ischaemic stroke[J]. J Neurol，1996，243（3）：274-279．
本文引用 [1]
19
Phipps MS， Cronin CA. Management of acute ischemic stroke[J]. BMJ，2020，368：l6983．
本文引用 [1]
20
Banks JL， Marotta CA. Outcomes validity and reliability of the modified Rankin scale：implications for stroke clinical trials：a literature review and synthesis[J]. Stroke，2007，38（3）：1091-1096．
本文引用 [1]
21
Lee KY， Han SW， Kim SH，et al. Early recanalization after intravenous administration of recombinant tissue plasminogen activator as assessed by pre- and post-thrombolytic angiography in acute ischemic stroke patients[J]. Stroke，2007，38（1）：192-193．
本文引用 [1]
22
Sims JR， Rordorf G， Smith EE，et al. Arterial occlusion revealed by CT angiography predicts NIH stroke score and acute outcomes after Ⅳ tPA treatment[J]. AJNR Am J Neuroradiol，2005，26（2）：246-251．
本文引用 [1]
23
Schonewille WJ， Wijman CA， Michel P，et al. Treatment and outcomes of acute basilar artery occlusion in the Basilar Artery International Cooperation Study（BASICS）：a prospective registry study[J]. Lancet Neurol，2009，8（8）：724-730．
本文引用 [2]
24
Sairanen T， Strbian D， Soinne L，et al. Intravenous thrombolysis of basilar artery occlusion：predictors of recanalization and outcome[J]. Stroke，2011，42（8）：2175-2179．
25
Zeng QT， Tao WD， Lei CY，et al. Etiology and risk factors of posterior circulation infarction compared with anterior circulation infarction[J]. J Stroke Cerebrovasc Dis，2015，24（7）：1614-1620．
本文引用 [1]
26
Lu WT， Du WT， Lu DS，et al. Predictive value of serum initial brain natriuretic peptide and troponin on functional prognosis in noncardiogenic patients with anterior and posterior circulation cerebral infarction[J]. Arq Neuropsiquiatr，2022，80（10）：985-993．
本文引用 [1]
27
Kwak HS， Park JS. Mechanical thrombectomy in basilar artery occlusion：clinical outcomes related to posterior circulation collateral score[J]. Stroke，2020，51（7）：2045-2050．
本文引用 [1]
28
Da Ros V， Meschini A， Gandini R，et al. Proposal for a vascular computed tomography-based grading system in posterior circulation stroke：a single-center experience[J]. J Stroke Cerebrovasc Dis，2016，25（2）：368-377．
29
van der Hoeven EJ， McVerry F， Vos JA，et al. Collateral flow predicts outcome after basilar artery occlusion：the posterior circulation collateral score[J]. Int J Stroke，2016，11（7）：768-775．
本文引用 [1]

Comments

PDF(1357 KB)

Accesses

Citation

Detail
Sections
Recommended
Copyright © Journal of Chongqing Medical University, All Rights Reserved.
Powered by Beijing Magtech Co. Ltd.

/

〈 〉