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Clinical uncertainty in large vessel occlusion ischemic stroke: does automated perfusion imaging make a difference? An intra-rater and inter-rater agreement study

Authors

  • Jose Danilo Bengzon Diestro Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, CanadaDivison of Neurology, Department of Medicine, St. Michael's Hospital- Unity Health Toronto, University of Toronto, Toronto, Ontario, CanadaLi Ka Shing Knowledge Insitute, St. Michael's Hospital- Unity Health Toronto, Toronto, Ontario, CanadaDivision of Diagnostic and Therapeutic Neuroradiology, Department of Medical Imaging, St. Michael's Hospital- Unity Health Toronto, University of Toronto, Toronto, Ontario, Canada PubMed articlesGoogle scholar articles
  • Robert Fahed Division Neurology, Department of Medicine, The Ottawa Hospital - Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Ontario, Canada PubMed articlesGoogle scholar articles
  • Abdelsimar Tan Omar Division of Neurosurgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada PubMed articlesGoogle scholar articles
  • Christine Hawkes Division of Neurology, Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada PubMed articlesGoogle scholar articles
  • Eef J Hendriks Division of Interventional Neuroradiology, Joint Department of Medical Imaging (JDMI), Toronto Western Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada PubMed articlesGoogle scholar articles
  • Clare Enriquez Division of Neurology, Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada PubMed articlesGoogle scholar articles
  • Muneer Eesa Department of Radiology, University of Calgary, Calgary, Alberta, Canada PubMed articlesGoogle scholar articles
  • Grant Stotts Division Neurology, Department of Medicine, The Ottawa Hospital - Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Ontario, Canada PubMed articlesGoogle scholar articles
  • Hubert Lee Division of Neurointerventional Neuroradiology, Division of Neurosurgery, Trillium Health Partners, Mississauga, Ontario, Canada PubMed articlesGoogle scholar articles
  • Shashank Nagendra Department of Clinical Neurosciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada PubMed articlesGoogle scholar articles
  • Alexandre Poppe Department of Neurosciences, Faculté de Médecine, Université de Montréal, Montréal, Quebec, Canada PubMed articlesGoogle scholar articles
  • Célina Ducroux Division Neurology, Department of Medicine, The Ottawa Hospital - Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Ontario, Canada PubMed articlesGoogle scholar articles
  • Timothy Lim Division of Diagnostic Neuroradiology, Department of Medical Imaging, Unity Health- St Michael’s Hospital, University of Toronto, Toronto, Ontario, Canada PubMed articlesGoogle scholar articles
  • Karl Narvacan Department of Medical Imaging, St Michael’s Hospital- Unity Health Toronto, University of Toronto, Toronto, Ontario, Canada PubMed articlesGoogle scholar articles
  • Michael Rizzuto Division of Neurosurgery, Department of Surgery, Vancouver General Hospital, University of British Columbia, Vancouver, British Columbia, Canada PubMed articlesGoogle scholar articles
  • Afra Alfalahi Division of Diagnostic and Therapeutic Neuroradiology, Department of Medical Imaging, St. Michael's Hospital- Unity Health Toronto, University of Toronto, Toronto, Ontario, Canada PubMed articlesGoogle scholar articles
  • Hidehisa Nishi Division of Diagnostic and Therapeutic Neuroradiology, Department of Medical Imaging, St. Michael's Hospital- Unity Health Toronto, University of Toronto, Toronto, Ontario, CanadaDepartment of Neurosurgery, Koseikai Takeda hospital, Kyoto, Japan PubMed articlesGoogle scholar articles
  • Pragyan Sarma Division of Diagnostic and Therapeutic Neuroradiology, Department of Medical Imaging, St. Michael's Hospital- Unity Health Toronto, University of Toronto, Toronto, Ontario, Canada PubMed articlesGoogle scholar articles
  • Ze'ev Itsekson Hayosh Division of Diagnostic and Therapeutic Neuroradiology, Department of Medical Imaging, St. Michael's Hospital- Unity Health Toronto, University of Toronto, Toronto, Ontario, CanadaDivision of Interventional Neuroradiology, Joint Department of Medical Imaging (JDMI), Toronto Western Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada PubMed articlesGoogle scholar articles
  • Katrina Ignacio Department of Clinical Neurosciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada PubMed articlesGoogle scholar articles
  • William Boisseau Department of Interventional Neuroradiology, Fondation Rothschild Hospital, Paris, France PubMed articlesGoogle scholar articles
  • Eduardo Pimenta Ribeiro Pontes Almeida University Health Network - Toronto General Hospital, Toronto, Ontario, Canada PubMed articlesGoogle scholar articles
  • Anass Benomar Department of Radiology, Centre Hospitalier de l'Université de Montréal, Montreal, Québec, Canada PubMed articlesGoogle scholar articles
  • Mohammed A Almekhlafi Departments of Clinical Neurosciences, Radiology, and Community Health Sciences, Hotchkiss Brain Institute and O’Brien Institute for Public Health, Cumming School of Medicine at the University of Calgary, Calgary, Alberta, Canada PubMed articlesGoogle scholar articles
  • Genvieve Milot Department of Surgery (Neurosurgery), Centre Hospitalier de Quebec, Université Laval, Laval, Quebec, Canada PubMed articlesGoogle scholar articles
  • Aviraj Deshmukh Division of Clinical Sciences, Health Sciences North, Northern Ontario School of Medicine University, Sudbury, Ontario, Canada PubMed articlesGoogle scholar articles
  • Kislay Kishore Division of Neurosurgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada PubMed articlesGoogle scholar articles
  • Donatella Tampieri Department of Radiology, Kingston Health Sciences Centre, Queen's University, Kingston, Ontario, Canada PubMed articlesGoogle scholar articles
  • Jeffrey Wang Divison of Neurology, Department of Medicine, St. Michael's Hospital- Unity Health Toronto, University of Toronto, Toronto, Ontario, Canada PubMed articlesGoogle scholar articles
  • Abhilekh Srivastava Division of Neurology, Department of Medicine, Hamilton General Hospital, McMaster University, Hamilton, Ontario, Canada PubMed articlesGoogle scholar articles
  • Daniel Roy Département de Radiologie, Radio-Oncologie et Médecine Nucléaire, Université de Montréal, Montréal, Quebec, Canada PubMed articlesGoogle scholar articles
  • Federico Carpani Division of Neurology, Department of Medicine, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada PubMed articlesGoogle scholar articles
  • Nima Kashani Department of Medical Imaging, Royal University Hospital, University of Saskatchewan, Saskatoon, Saskatchewan, Canada PubMed articlesGoogle scholar articles
  • Claudia Candale-Radu Division of Neurology, Department of Internal Medicine, Health Sciences Center, University of Manitoba, Winnipeg, Manitoba, Canada PubMed articlesGoogle scholar articles
  • Nishita Singh Division of Neurology, Department of Internal Medicine, Health Sciences Center, University of Manitoba, Winnipeg, Manitoba, Canada PubMed articlesGoogle scholar articles
  • Maria Bres Bullrich Department of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada PubMed articlesGoogle scholar articles
  • Robert Sarmiento Division of Neurology, Department of Medicine, Vancouver General Hospital- University of British Columbia, Vancouver, British Columbia, Canada PubMed articlesGoogle scholar articles
  • Ryan T Muir Department of Clinical Neurosciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada PubMed articlesGoogle scholar articles
  • Carmen Parra-Fariñas Divisions of Neuroradiology & Neurointervention, Department of Diagnostic & Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada PubMed articlesGoogle scholar articles
  • Stephanie Reiter Division of Neurology, Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada PubMed articlesGoogle scholar articles
  • Yan Deschaintre Department of Neurosciences, Faculté de Médecine, Université de Montréal, Montréal, Quebec, Canada PubMed articlesGoogle scholar articles
  • Ravinder-Jeet Singh Division of Clinical Sciences, Health Sciences North, Northern Ontario School of Medicine University, Sudbury, Ontario, Canada PubMed articlesGoogle scholar articles
  • Vivek Bodani Division of Interventional Neuroradiology, Joint Department of Medical Imaging (JDMI), Toronto Western Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada PubMed articlesGoogle scholar articles
  • Aristeidis Katsanos Division of Neurology, Department of Medicine, Hamilton General Hospital, McMaster University, Hamilton, Ontario, Canada PubMed articlesGoogle scholar articles
  • Ronit Agid Division of Interventional Neuroradiology, Joint Department of Medical Imaging (JDMI), Toronto Western Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada PubMed articlesGoogle scholar articles
  • Atif Zafar Divison of Neurology, Department of Medicine, St. Michael's Hospital- Unity Health Toronto, University of Toronto, Toronto, Ontario, Canada PubMed articlesGoogle scholar articles
  • Vitor M Pereira Li Ka Shing Knowledge Insitute, St. Michael's Hospital- Unity Health Toronto, Toronto, Ontario, CanadaDivision of Diagnostic and Therapeutic Neuroradiology, Department of Medical Imaging, St. Michael's Hospital- Unity Health Toronto, University of Toronto, Toronto, Ontario, CanadaDivision of Neurosurgery, Department of Surgery, St. Michael's Hospital- Unity Health Toronto, University of Toronto, Toronto, Ontario, Canada PubMed articlesGoogle scholar articles
  • Julian Spears Division of Neurosurgery, Department of Surgery, St. Michael's Hospital- Unity Health Toronto, University of Toronto, Toronto, Ontario, Canada PubMed articlesGoogle scholar articles
  • Thomas R Marotta Li Ka Shing Knowledge Insitute, St. Michael's Hospital- Unity Health Toronto, Toronto, Ontario, CanadaDivision of Diagnostic and Therapeutic Neuroradiology, Department of Medical Imaging, St. Michael's Hospital- Unity Health Toronto, University of Toronto, Toronto, Ontario, Canada PubMed articlesGoogle scholar articles
  • Pascal Djiadeu Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, CanadaDepartment of Global Health, McMaster University, Hamilton, Ontario, Canada PubMed articlesGoogle scholar articles
  • Sunjay Sharma Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, CanadaDivision of Neurosurgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada PubMed articlesGoogle scholar articles
  • Forough Farrokhyar Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, CanadaDepartment of Global Health, McMaster University, Hamilton, Ontario, CanadaDepartment of Surgery, McMaster University, Hamilton, Ontario, Canada PubMed articlesGoogle scholar articles
  1. Correspondence to Dr Jose Danilo Bengzon Diestro, Department of Medicine, University of Toronto, Toronto M5B 1W8, Ontario, Canada; danni.diestro{at}gmail.com
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Citation

Diestro JDB, Fahed R, Omar AT, et al
Clinical uncertainty in large vessel occlusion ischemic stroke: does automated perfusion imaging make a difference? An intra-rater and inter-rater agreement study

Publication history

  • Received December 28, 2023
  • Accepted February 18, 2024
  • First published March 7, 2024.

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