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Hodler J, Kubik-Huch RA, von Schulthess GK, editors. Diseases of the Brain, Head and Neck, Spine 2020–2023: Diagnostic Imaging [Internet]. Cham (CH): Springer; 2020. doi: 10.1007/978-3-030-38490-6_3

Cover of Diseases of the Brain, Head and Neck, Spine 2020–2023

Diseases of the Brain, Head and Neck, Spine 2020–2023: Diagnostic Imaging [Internet].

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Fig. 3.2. ASPECTS (Alberta Stroke Programme Early CT Score), acute left MCA ischemia.

Fig. 3.2

ASPECTS (Alberta Stroke Programme Early CT Score), acute left MCA ischemia. On all 5 mm non-contrast axial images from basal ganglia to the centrum semiovale, four subcortical areas (caudate, internal capsule, lentiform nucleus, and insula) and six MCA sectors (M1–M6) are reviewed for signs of low attenuation suggesting acute MCA ischemia. A normal scan or one with only old lesions receives ASPECTS = 10. A point is subtracted for each of the ten areas showing acute changes, with low scores predicting less favorable outcome. Software packages are being developed to automate ASPECTS scoring, as shown here (ASPECTS = 7). (RAPID software images modified from PD Dr. med. Carlo Cereda Medico Caposervizio, Neurocentro (EOC) della Svizzera Italiana, Stroke Center, Servizio di Neurologia, Ospedale Civico, Lugano, Switzerland.) (Reprinted with permission, Springer)

From: Chapter 3, Stroke and Stroke Mimics: Diagnosis and Treatment

Copyright 2020, The Author(s)

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