Andrew Bivard is a Research Fellow at the Melbourne Brain Centre, University of Melbourne, Australia.
ASPECTaSaurus (a dinosaur)?
Article first published online: 19 SEP 2012
© 2012 The Authors. International Journal of Stroke © 2012 World Stroke Organization
International Journal of Stroke
Volume 7, Issue 7, page 564, October 2012
How to Cite
Bivard, A. and Parsons, M. (2012), ASPECTaSaurus (a dinosaur)?. International Journal of Stroke, 7: 564. doi: 10.1111/j.1747-4949.2012.00854.x
Mark Parsons is an Associate Professor in the Department of Neurology at the John Hunter Hospital and the University of Newcastle, Australia.
Conflict of interest: None declared.
- Issue published online: 19 SEP 2012
- Article first published online: 19 SEP 2012
- computed tomography score;
- diffusion weighted imaging;
There is mounting evidence that shows how poorly non-contrast computed tomography (NCCT) Alberta Stroke Program Early CT Score (ASPECTS) performs in the first three-hours after stroke onset compared to Diffusion weighted (DWI) magnetic resonance imaging (MRI). It is time to move into the 21st century and use more advanced imaging routinely in hyper-acute stroke assessment. While a useful tool if one is limited to NCCT alone, ASPECTS becomes somewhat superfluous as we now have rapid, validated, automated infarct core and penumbra volumes with either MRI or perfusion CT.