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Intermediate Technical IVT

ASPECT score

Pronunciation: AS-pekt

Also written as: ASPECTS — Alberta Stroke Program Early CT Score

A 10-point scoring system for assessing early ischemic changes on non-contrast CT in acute stroke.

Full Definition

The Alberta Stroke Program Early CT Score is a systematic method for quantifying early ischemic changes in the middle cerebral artery territory on non-contrast CT scans. The score ranges from 0-10, with 1 point subtracted for each region showing early ischemic changes. Scores ≥6 generally indicate candidacy for endovascular therapy, while lower scores suggest large established infarcts with poor prognosis.

Usage

Usage note: ASPECTS is the preferred acronym; specify imaging modality (CT-ASPECTS vs DWI-ASPECTS)

In Context

  • "The admission CT showed an ASPECT score of 8, supporting endovascular intervention." — Stroke alert documentation
  • "Low ASPECT score of 4 indicated extensive early ischemic changes." — Radiology interpretation

Also known as

ASPECTS Alberta stroke score

Don't confuse with

NIHSS mRS score DWI-ASPECTS

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