Minds treating brains: understanding the interpretation of non-contrast CT ASPECTS in acute ischemic stroke. (1st February 2018)

• Record Type: Journal Article
• Authors: Wilson, Alexis T.; Dey, Sadanand; Evans, James W.; Najm, Mohamed; Qiu, Wu; Menon, Bijoy K.
• Is Part Of: Expert review of cardiovascular therapy. Volume 16:Number 2(2018)
• Page Start: 143
• Page End: 153
• Publication Date: 2018-02-01
• Subjects: Stroke -- computed tomography -- medical imaging -- brain imaging -- image interpretation; Cardiovascular agents -- Research -- Periodicals; 616.12061
• DOI: 10.1080/14779072.2018.1421069
• Languages: English
• ISSNs: 1477-9072

Abstract

ABSTRACT: Introduction : The Alberta Stroke Program Early CT Score on non-contrast CT is a key component of prognostication and treatment selection in acute stroke care. Previous findings show that the reliability of this scale must be improved to maximize its clinical utility. Areas covered : This review discusses technical, patient-level, and reader-level sources of variability in ASPECTS reading; relevant concepts in the psychology of medical image perception; and potential interventions likely to improve inter- and intra-rater reliability. Expert commentary : Approaching variability in medical decision making from a psychological perspective will afford cognitively informed insights into the development of interventions and training techniques aimed at improving this issue.