Description

Sembill et al reported simplified Edinburgh criteria for the diagnosis of lobar intracerebral hemorrhage (ICH) associated with cerebral amyloid angiopathy (CAA) based on MRI findings. The authors are from University of Erlangen-Nuremberg and Shanghai Jiaotong University.


Exam: brain MRI with 3-dimensional reconstruction

 

Parameters from MRI exam:

(1) hematoma shape: regular (round or ellipsoid) or other (irregular or multilobular)

(2) subarachnoid hemorrhage (SAH)

(3) finger-like projections (FLP; longer than wide elongated extensions from the hematoma)

 

SAH

Finger-Like Projections

CAA Risk Category

absent

absent

low

present

absent

medium

absent

present

medium

present

present

high

 

Performance:

• The area under the ROC curve is 0.74.


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