Association of Pretreatment Perfusion Imaging Parameters with 90-Day Excellent Functional Outcomes in Anterior Circulation Distal Medium Vessel Occlusion Stroke

Hamza Adel Salim; Vaibhav Vagal; Dhairya A. Lakhani; Janet Mei; Licia Luna; Yasmin Aziz; Aneri Balar; Adam A. Dmytriw; Adrien Guenego; Basel Musmar; Nimer Adeeb; Victor C. Urrutia; Elisabeth B. Marsh; Raf Llinas; Argye E. Hillis; Hanzhang Lu; Risheng Xu; Dylan Wolman; Benjamin Pulli; Kambiz Nael; Max Wintermark; Jeremy J. Heit; Gregory W. Albers; Tobias D. Faizy; Vivek Yedavalli

doi:10.3174/ajnr.A8584

Research ArticleNEUROVASCULAR/STROKE IMAGING

Association of Pretreatment Perfusion Imaging Parameters with 90-Day Excellent Functional Outcomes in Anterior Circulation Distal Medium Vessel Occlusion Stroke

Hamza Adel Salim, Vaibhav Vagal, Dhairya A. Lakhani, Janet Mei, Licia Luna, Yasmin Aziz, Aneri Balar, Adam A. Dmytriw, Adrien Guenego, Basel Musmar, Nimer Adeeb, Victor C. Urrutia, Elisabeth B. Marsh, Raf Llinas, Argye E. Hillis, Hanzhang Lu, Risheng Xu, Dylan Wolman, Benjamin Pulli, Kambiz Nael, Max Wintermark, Jeremy J. Heit, Gregory W. Albers, Tobias D. Faizy and Vivek Yedavalli

American Journal of Neuroradiology May 2025, DOI: https://doi.org/10.3174/ajnr.A8584

Hamza Adel Salim

aFrom the Department of Radiology, Division of Neuroradiology (H.A.S., J.M., L.L., V.C.U., E.B.M., R.L., A.E.H., H.L., R.X., V.Y.), Johns Hopkins Medical Center, Baltimore, Maryland

bDepartment of Neuroradiology (H.A.S., M.W.), MD Anderson Medical Center, Houston, Texas

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Vaibhav Vagal

cRenaissance School of Medicine at Stony Brook University (V.V.), Stony Brook, New York

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Dhairya A. Lakhani

dDepartment of Radiology (D.A.L., A.B.), West Virginia University, Morgantown, West Virginia

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Janet Mei

aFrom the Department of Radiology, Division of Neuroradiology (H.A.S., J.M., L.L., V.C.U., E.B.M., R.L., A.E.H., H.L., R.X., V.Y.), Johns Hopkins Medical Center, Baltimore, Maryland

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Licia Luna

aFrom the Department of Radiology, Division of Neuroradiology (H.A.S., J.M., L.L., V.C.U., E.B.M., R.L., A.E.H., H.L., R.X., V.Y.), Johns Hopkins Medical Center, Baltimore, Maryland

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Yasmin Aziz

eDepartment of Neurology (Y.A.), University of Cincinnati Medical Center, Cincinnati, Ohio

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Aneri Balar

dDepartment of Radiology (D.A.L., A.B.), West Virginia University, Morgantown, West Virginia

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Adam A. Dmytriw

fNeuroendovascular Program (A.A.D.), Massachusetts General Hospital & Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts

gNeurovascular Centre, Department of Neuroradiology (A.A.D.), Oxford University Hospitals NHS Foundation Trust, Nuffield Departments of Clinical Neurosciences and Surgical Sciences, University of Oxford, United Kingdom

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Adrien Guenego

hDepartment of Diagnostic and Interventional Neuroradiology (A.G.), Erasme University Hospital, Brussels, Belgium

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Basel Musmar

jDepartment of Neurosurgery (B.M.), Thomas Jefferson University, Philadelphia, Pennsylvania

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Nimer Adeeb

iDepartment of Neurosurgery and Interventional Neuroradiology (N.A.), Baton Rouge, Louisiana State University, Louisiana

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Victor C. Urrutia

aFrom the Department of Radiology, Division of Neuroradiology (H.A.S., J.M., L.L., V.C.U., E.B.M., R.L., A.E.H., H.L., R.X., V.Y.), Johns Hopkins Medical Center, Baltimore, Maryland

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Elisabeth B. Marsh

aFrom the Department of Radiology, Division of Neuroradiology (H.A.S., J.M., L.L., V.C.U., E.B.M., R.L., A.E.H., H.L., R.X., V.Y.), Johns Hopkins Medical Center, Baltimore, Maryland

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Raf Llinas

aFrom the Department of Radiology, Division of Neuroradiology (H.A.S., J.M., L.L., V.C.U., E.B.M., R.L., A.E.H., H.L., R.X., V.Y.), Johns Hopkins Medical Center, Baltimore, Maryland

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Argye E. Hillis

aFrom the Department of Radiology, Division of Neuroradiology (H.A.S., J.M., L.L., V.C.U., E.B.M., R.L., A.E.H., H.L., R.X., V.Y.), Johns Hopkins Medical Center, Baltimore, Maryland

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Hanzhang Lu

aFrom the Department of Radiology, Division of Neuroradiology (H.A.S., J.M., L.L., V.C.U., E.B.M., R.L., A.E.H., H.L., R.X., V.Y.), Johns Hopkins Medical Center, Baltimore, Maryland

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Risheng Xu

aFrom the Department of Radiology, Division of Neuroradiology (H.A.S., J.M., L.L., V.C.U., E.B.M., R.L., A.E.H., H.L., R.X., V.Y.), Johns Hopkins Medical Center, Baltimore, Maryland

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Dylan Wolman

kDepartment of Radiology (D.W.), Brown University, Providence, Rhode Island

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Benjamin Pulli

lDepartment of Interventional Neuroradiology (B.P.), Stanford Medical Center, Palo Alto, California

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Kambiz Nael

nDepartment of Radiology & Biomedical Imaging (K.N.), University of California, San Francisco, California

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Max Wintermark

bDepartment of Neuroradiology (H.A.S., M.W.), MD Anderson Medical Center, Houston, Texas

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Jeremy J. Heit

mDepartment of Neuroimaging and Neurointervention (J.J.H., G.W.A.), Stanford Medical Center, Palo Alto, California

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Gregory W. Albers

mDepartment of Neuroimaging and Neurointervention (J.J.H., G.W.A.), Stanford Medical Center, Palo Alto, California

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Tobias D. Faizy

oDepartment of Radiology (T.D.F), Neuroendovascular Program, University Medical Center Münster, Germany.

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Vivek Yedavalli

aFrom the Department of Radiology, Division of Neuroradiology (H.A.S., J.M., L.L., V.C.U., E.B.M., R.L., A.E.H., H.L., R.X., V.Y.), Johns Hopkins Medical Center, Baltimore, Maryland

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Association of Pretreatment Perfusion Imaging Parameters with 90-Day Excellent Functional Outcomes in Anterior Circulation Distal Medium Vessel Occlusion Stroke

American Journal of Neuroradiology May 2025, DOI: 10.3174/ajnr.A8584

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Perfusion Imaging and Excellent Recovery in DMVOs

American Journal of Neuroradiology May 2025, DOI: 10.3174/ajnr.A8584

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