Evaluation methods of leptomeningeal collateral circulation in patients with acute ischemic stroke

doi:10.3877/cma.j.issn.2095-5782.2022.02.013

Abstract

Abstract:

Acute ischemic stroke is the most common cerebrovascular disease, which is characterized by high mortality and high recurrence rate, and seriously endangers human health. Multiple studies have shown that the lateral branching of the leptomeningeal after ischemic stroke is a strong predictor of the prognosis of ischemic stroke. In other words, patients with good collateral circulation have a good clinical prognosis, while those with poor collateral circulation have a bad clinical prognosis. In recent years, many scholars at home and abroad have conducted in-depth studies on the formation mechanism and imaging evaluation of collateral circulation.In this review, several methods of neuroimaging assessment around collateral circulation are reviewed as follows.

Key words: Acute ischemic stroke, Leptomeningeal collateral circulation, Imaging evaluation, Review

Xin Liang, Lanxiang Liu. Evaluation methods of leptomeningeal collateral circulation in patients with acute ischemic stroke[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2022, 10(02): 196-201.

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References 38

[1]	Jansen I, Berkhemer O, Yoo A, et al. Comparison of CTA- and DSA-based collateral flow assessment in patients with anterior circulation stroke[J]. AJNR Am J Neuroradiol, 2016, 37(11): 2037-2042.
[2]	Okyere B, Mills W, Wang X, et al. EphA4/Tie2 crosstalk regulates leptomeningeal collateral remodeling following ischemic stroke[J]. J Clin Invest, 2020, 130(2): 1024-1035.
[3]	王柳仙, 娄昕. 颅内动脉前向血流与侧支循环的影像评估[J]. 中国卒中杂志, 2020, 15(10): 1048-1051.
[4]	尚凯, 张晓星, 魏小二, 等. 毛细血管指数评分在CTA评估急性缺血性卒中侧支循环和预后中的应用[J]. 介入放射学杂志, 2019, 28(10): 930-933.
[5]	Labeyrie P, Redjem H, Blanc R, et al. The capillary index score before thrombectomy: an angiographic correlate of favorable outcome[J]. J Neurointerv Surg, 2016, 8(11): 1119-1122.
[6]	Menon B, Smith E, Modi J, et al. Regional leptomeningeal score on CT angiography predicts clinical and imaging outcomes in patients with acute anterior circulation occlusions[J]. AJNR Am J Neuroradiol, 2011, 32(9): 1640-1645.
[7]	Liu Z, Han C, Wang H, et al. Clinical characteristics and leptomeningeal collateral status in pediatric and adult patients with ischemic moyamoya disease[J]. CNS Neurosci Ther, 2020, 26(1): 14-20.
[8]	Antunes D, Castro-Afonso L, Zanon Z, et al. Collateral scores and outcomes after endovascular treatment for basilar artery occlusion[J]. Cerebrovasc Dis, 2019, 47(5-6): 285-290.
[9]	Menon B, d'Esterre C, Qazi E, et al. Multiphase CT angiography: a new tool for the imaging triage of patients with acute ischemic stroke[J]. Radiology, 2015, 275(2): 510-520.
[10]	Nambiar V, Sohn S, Almekhlafi M, et al. CTA collateral status and response to recanalization in patients with acute ischemic stroke[J]. AJNR Am J Neuroradiol, 2014, 35(5): 884-890.
[11]	Park J, Kwak H, Chung G, et al. The prognostic value of CT-angiographic parameters after reperfusion therapy in acute ischemic stroke patients with internal carotid artery terminus occlusion: Leptomeningeal collateral status and clot burden score[J]. J Stroke Cerebrovasc Dis, 2018, 27(10): 2797-2803.
[12]	Lima F, Furie K, Silva G, et al. The pattern of leptomeningeal collaterals on CT angiography is a strong predictor of long-term functional outcome in stroke patients with large vessel intracranial occlusion[J]. Stroke, 2010, 41(10): 2316-2322.
[13]	Tan B, Wan-Yee K, Paliwal P, et al. Good intracranial collaterals trump poor aspects(alberta stroke program early CT score) for intravenous thrombolysis in anterior circulation acute ischemic stroke[J]. Stroke, 2016, 47(9): 2292-2298.
[14]	Byrne D, Sugrue G, Stanley E, et al. Improved detection of anterior circulation occlusions: the "delayed vessel sign" on multiphase CT angiography[J]. AJNR Am J Neuroradiol，2017, 38(10): 1911-1916.
[15]	Menon B, O'Brien B, Bivard A, et al. Assessment of leptomeningeal collaterals using dynamic CT angiography in patients with acute ischemic stroke[J]. J Cereb Blood Flow Metab, 2013, 33(3): 365-371.
[16]	Nannoni S, Sirimarco G, Cereda CW, et al. Determining factors of better leptomeningeal collaterals: a study of 857 consecutive acute ischemic stroke patients[J]. J Neurol, 2019, 266(3): 582-588.
[17]	Liebeskind D, Tomsick T, Foster L, et al. Collaterals at angiography and outcomes in the interventional management of stroke (ims) Ⅲ trial[J]. Stroke, 2014, 45(3): 759-764.
[18]	Ahn S, Suh S, Lee K, et al. Hyperintense vessels on T2-propeller-flair in patients with acute MCA stroke: prediction of arterial stenosis and perfusion abnormality[J]. AJNR Am J Neuroradiol, 2015, 36(11): 2042-2047.
[19]	祁宇, 薛静, 高培毅. 急性缺血性卒中侧支循环建立的影像学评估[J]. 临床荟萃, 2017, 32(9): 742-746.
[20]	Lee KY, Suh SH, Ahn SJ. Significance of hyperintense arteries on Gd-enhanced 3D T1W black-blood imaging in acute stroke[J]. Eur Radiol, 2019, 29(3): 1329-1337.
[21]	McVerry F, Liebeskind D, Muir K. Systematic review of methods for assessing leptomeningeal collateral flow[J]. AJNR Am J Neuroradiol,2012,33(3):576-582.
[22]	王盛磊, 朱幼玲, 唐敏, 等. 液体衰减反转恢复序列高信号征联合灌注加权成像对急性前循环脑梗死的预后评估[J]. 中华老年心脑血管病杂志, 2019, 21(10): 1023-1027.
[23]	Kanoke A, Akamatsu Y, Nishijima Y, et al. The impact of native leptomeningeal collateralization on rapid blood flow recruitment following ischemic stroke[J]. J Cereb Blood Flow Metab, 2020, 40(11): 2165-2178.
[24]	Dezhi L, MD, Fabien S, et al. FLAIR vascular hyperintensity topography, novel imaging marker for revascularization in middle cerebral artery occlusion[J]. Stroke, 2016, 47(11): 2763-2769.
[25]	Jiang L, Chen Y, Zhang H, et al. FLAIR vascular hyperintensity in acute stroke is associated with collateralization and functional outcome[J]. Eur Radiol, 2019, 29(9): 4879-4888.
[26]	Dong X, Nao J. Fluid-attenuated inversion recovery vascular hyperintensities in anterior circulation acute ischemic stroke: associations with cortical brain infarct volume and 90-day prognosis[J]. Neurol Sci, 2019, 40(8): 1675-1682.
[27]	Tsushima Y, Endo K. Significance of hyperintense vessels on flair MRI in acute stroke[J]. Neurology, 2001, 56(9): 1248-1249.
[28]	Nam K, Kwon H, Park S, et al. Distal hyperintense vessel sign is associated with neurological deterioration in acute ischaemic stroke[J]. Eur J Neurol, 2017, 24(4): 617-623.
[29]	Havsteen I, Willer L, Ovesen C，et al. Significance of arterial spin labeling perfusion and susceptibility weighted imaging changes in patients with transient ischemic attack: a prospective cohort study[J]. BMC Med Imaging, 2018, 18(1): 24.
[30]	Seiler A, Lauer A, Deichmann R, et al. Signal variance-based collateral index in DSC perfusion: a novel method to assess leptomeningeal collateralization in acute ischaemic stroke[J]. J Cereb Blood Flow Metab, 2020, 40(3): 574-587.
[31]	Bang O, Saver J, Kim S, et al. Collateral flow predicts response to endovascular therapy for acute ischemic stroke[J]. Stroke, 2011, 42(3): 693-699.
[32]	张渺娜, 闫呈新. 急性缺血性脑卒中侧支循环的影像学研究进展[J]. 中国继续医学教育, 2020, 12(13): 82-85.
[33]	Fahlström M, Lewén A, Enblad P, et al. High intravascular signal arterial transit time artifacts have negligible effects on cerebral blood flow and cerebrovascular reserve capacity measurement using single postlabel delay arterial spin-labeling in patients with moyamoya disease[J]. AJNR Am J Neuroradiol, 2020, 41(3): 430-436.
[34]	周建国, 孟云, 马先军, 等. 动脉内穿行伪影对急性脑梗死灌注评估的临床应用价值[J]. 实用医学杂志, 2017, 33(7): 1047-1049.
[35]	Lou X, Yu S, Scalzo F, et al. Multi-delay ASL can identify leptomeningeal collateral perfusion in endovascular therapy of ischemic stroke[J]. Oncotarget, 2017, 8(2): 2437-2443.
[36]	Yang L, Luo S. Clinical application of susceptibility-weighted imaging in the evaluation of leptomeningeal collateralization[J]. Medicine (Baltimore), 2018, 97(51): e13345.
[37]	许开喜, 马先军, 陈新建, 等. SWI对脑梗死侧支循环的诊断及临床意义[J]. 中国中西医结合影像学杂志, 2016, 14(2): 153-155+159.
[38]	Verma R, Hsieh K, Gratz P, et al. Leptomeningeal collateralization in acute ischemic stroke: impact on prominent cortical veins in susceptibility-weighted imaging[J]. Eur J Radiol, 2014, 83(8): 1448-1454.

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