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pubmed-article:10884471pubmed:abstractTextThis study had 2 goals: (1) to assess interrater reliability of academic neuroradiologists when classifying acute infarction by CT scan as >1/3 middle cerebral artery (MCA) involvement, <1/3 MCA involvement, or no infarction and (2) to determine the sensitivity of physicians potentially involved in acute stroke treatment in detecting >1/3 MCA acute infarctions. Studies of tissue plasminogen activator show an association between early signs of major infarction and poor outcome. The American Academy of Neurology and the American Heart Association recommend avoiding thrombolysis if early signs of major infarction are present.lld:pubmed
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pubmed-article:10884471pubmed:articleTitleDetection of early CT signs of >1/3 middle cerebral artery infarctions : interrater reliability and sensitivity of CT interpretation by physicians involved in acute stroke care.lld:pubmed
pubmed-article:10884471pubmed:affiliationScripps Clinic, Division of Neurology, La Jolla, CA, USA. mkalafut@scrippsclinic.comlld:pubmed
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