Table 2.
MRI impact on diagnostic category, diagnostic confidence and management in 70 patients with spontaneous ICH (average of 2 observers)
Etiology of spontaneous ICH | MRI changed diagnostic category (n = 11.5) | MRI changed diagnostic confidence (n = 15.5) | MRI changed management (n = 14.5) |
---|---|---|---|
Hypertension (n = 25) | 1 (4%) | 5.5 (22%) | 1.5 (6%) |
CAA (n = 10) | 2.5 (25%) | 2 (20%) | 4 (40%) |
Vascular malformation (n = 7) | 2 (29%) | 2 (29%) | 3.5 (50%) |
Neoplasm (n = 3) | 2 (67%) | 0.5 (17%) | 2 (67%) |
Hemorrhagic transformation of an ischemic stroke (n = 3) | 2 (67%) | 1.5 (50%) | 2 (67%) |
Illicit drug use (n = 3) | 0.5 (17%) | 0.5 (17%) | 0 |
Coagulopathy (n = 2) | 0.5 (25%) | 0.5 (25%) | 0.5 (25%) |
Other identified cause (n = 9) | 0 | 3 (33%) | 0.5 (6%) |
Unknown cause (n = 8) | 1 (13%) | 0 | 0.5 (6%) |
Total (n = 70) | 16% | 22% | 21% |