Evidence mapPaperPMID 41302118Full record

ReviewLife (Basel, Switzerland)2025

The Role of CT Perfusion in the Evaluation and Management of Acute Ischemic Stroke-A Systematic Review.

Rares C Bobe, Roxana E Coroiu, Adelina E Cirstian, Camelia I Cristescu, Diana A Pepelea, Rosana M Manea

Abstract readReview
In one paragraph

Review in Life (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Rares C BobeClinical Laboratory of Radiology and Medical Imaging, Brasov's Emergency County Hospital, Calea Bucuresti, Nr. 25-27, 500326 Brașov, Romania.
Roxana E CoroiuClinical Laboratory of Radiology and Medical Imaging, Brasov's Emergency County Hospital, Calea Bucuresti, Nr. 25-27, 500326 Brașov, Romania.
Adelina E CirstianClinical Laboratory of Radiology and Medical Imaging, Brasov's Emergency County Hospital, Calea Bucuresti, Nr. 25-27, 500326 Brașov, Romania.
Camelia I CristescuClinical Laboratory of Radiology and Medical Imaging, Brasov's Emergency County Hospital, Calea Bucuresti, Nr. 25-27, 500326 Brașov, Romania.
Diana A PepeleaClinical Laboratory of Radiology and Medical Imaging, Brasov's Emergency County Hospital, Calea Bucuresti, Nr. 25-27, 500326 Brașov, Romania.
Rosana M ManeaClinical Laboratory of Radiology and Medical Imaging, Brasov's Emergency County Hospital, Calea Bucuresti, Nr. 25-27, 500326 Brașov, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCT perfusion (CTP) is increasingly used in the evaluation of acute ischemic stroke (AIS) and may complement non-contrast CT (NCCT) and CT angiography (CTA). This review aimed to assess the role of CTP in patient selection for reperfusion therapy, its prognostic value, and the influence of technical factors, collateral assessment, and post-processing software.

methodsA literature search of PubMed, DOAJ, and Google Scholar (2014-2025) identified 119 articles; after screening, 39 met inclusion criteria. Only studies on adult AIS patients investigated with CTP were included. Data were synthesized across eight thematic categories: core/penumbra estimation, prognosis, treatment selection, collateral assessment, software validation, technical parameters, reliability, and safety.

resultsCTP improved identification of infarct core, penumbra, and collateral status, aiding patient selection for endovascular therapy, particularly beyond 6 h. Limitations included variability in tissue thresholds, "ghost infarct core," and differences across software. Technical advances, such as "one-stop-shop" protocols and low-kV acquisition, reduced treatment delays and radiation. Reliability studies showed CTP to be less accurate than diffusion-weighted MRI, while safety analyses confirmed a low risk of contrast-induced nephropathy.

conclusionsCTP enhances patient stratification and outcome prediction, supporting individualized treatment strategies. Standardization of protocols and validation of software remain necessary before CTP can serve as a reliable alternative to MRI-DWI.

Indexed as

acute ischemic strokecollateral circulationcore and penumbraCT perfusionendovascular treatmentimaging validationpatient selectionprognosis

Identifiers

PMID41302118
PMCPMC12653270

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.