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ASPECT Score for 

Assessment in Acute Stroke

  • Alberta Stroke Program Early CT score (ASPECTS) is a 10-point quantitative score used to assess early ischemic changes on non-contrast CT head.

 

  • ASPECTS is intended to provide a reliable and reproducible grading system on non-contrast CT examinations of the head for detection of early ischemic changes in patients suspected of having acute large vessel anterior circulation occlusion. It is used as part of the assessment for eligibility in receiving interventional mechanical thrombectomy treatment.

 

  • ASPECTS score is a simple and reliable tool for detection of early ischemic changes on non-contrast CT scans of the brain.
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Easily Applicable

Easily Applicable

Based on the Plain/Non-contrast CT Head. The ASPECT Score can be used to assess early ischemic changes in acute stroke on any modern CT scanner without the need for additional processing steps making it easily applicable in many settings worldwide.

Imaging Based

Imaging Based

As the initial imaging modality to both screen for and establish the diagnosis of acute stroke, the ASPECT Score provides an opportunity to quantify the degree of ischemic changes in the brain parenchyma and serve as the basis for subsequent decision making. 

Easily Communicated

Easily Communicated

A score out of 10, the ASPECT Score is an easy and widely understood means of communicating the extent of ischemic changes amongst care teams and physicians.

Data Driven

Data Driven

The score was developed in consideration of a multitude of imaging data of patients who presented with symptoms of acute stroke with proven vascular occlusion. The scale is used in clinical trials worldwide to quantify and classify the extent of early ischemic changes on a quantitative scale. 

Backed by Research

Backed by Research

Cited in stroke journals and publications as the standardized means of communication of early ischemic changes, the ASPECTS is used in a multitude of articles and scientific journals.

Applicable Worldwide

Applicable Worldwide

A simple score used to communicate findings of a life-threatening and potentially disabling condition, ASPECT Score could be used in a multitude of resource settings and on most basic scanners worldwide to accurately detect and quantify early ischemic changes in acute stroke.

Easily Applicable

Easily Applicable

Based on the Plain/Non-contrast CT Head. The ASPECT Score can be used to assess early ischemic changes in acute stroke on any modern CT scanner without the need for additional processing steps making it easily applicable in many settings worldwide.

Imaging Based

Imaging Based

As the initial imaging modality to both screen for and establish the diagnosis of acute stroke, the ASPECT Score provides an opportunity to quantify the degree of ischemic changes in the brain parenchyma and serve as the basis for subsequent decision making. 

Easily Communicated

Easily Communicated

A score out of 10, the ASPECT Score is an easy and widely understood means of communicating the extent of ischemic changes amongst care teams and physicians.

Learn to Calculate the ASPECT Score:

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Acute Stroke Case Reports:


     

    Latest Research and Publications:

    Desired Qualities of Endovascular Tools and Barriers to Treating Medium Vessel Occlusion MeVO : Insights from the MeVO-FRONTIERS International Survey

    CONCLUSION: The majority of surveyed neurointerventionalists felt that dedicated MeVO EVT tools can be substantially improved upon. Different regions face various challenges in adoption of MeVO EVT, but overall, physicians are mostly awaiting better MeVO EVT tools.

    Read more...


    Challenges and opportunities in research funding for neurovascular diseases from a clinical researcher's perspective

    CONCLUSION: The gap between required and available funding was perceived to be a major problem in neurovascular research, with high competitiveness, time-consuming funding processes and excessive administrative requirements being the key obstacles to obtaining funding. Traditional funding agencies were perceived to be most capable of closing this funding gap.

    Read more...


    Association of Stent-Retriever Characteristics in Establishing Successful Reperfusion During Mechanical Thrombectomy : Results from the ESCAPE-NA1 Trial

    CONCLUSION: The presence of bypass effect and thrombus positioning within the proximal and middle third of the stent-retriever were strongly associated with successful reperfusion.

    Read more...


    Interrater Agreement and Detection Accuracy for Medium-Vessel Occlusions Using Single-Phase and Multiphase CT Angiography

    CONCLUSIONS: Interrater agreement for medium-vessel occlusions is moderate when using single-phase CTA and almost perfect with multiphase CTA. Detection accuracy is substantially higher with multiphase CTA compared with single-phase CTA, suggesting that multiphase CTA might be a valuable tool for assessment of medium-vessel occlusion stroke.

    Read more...


     

     

    CLINICAL NEUROSCIENCES

    DIAGNOSTIC & INTERVENTIONA

    NEURORADIOLOGY

    UNIVERSITY OF CALGARY