Survey: Many Neuroradiologists Skip ICH Hematoma Volume and Vascular Imaging

Survey of 267 neuroradiologists found gaps in intracerebral hemorrhage reporting: 41.5% did not routinely quantify hematoma volume, only 45% reported routine CT angiography, and just 43.0% routinely assessed non-contrast CT expansion markers, despite 97.3% 24/7 emergency coverag…

• Only 45% reported routine CT angiography for patients with intracerebral hemorrhage, and 30% rarely or only occasionally recommended CTA when not already performed.
• While 91.3% routinely reported a positive CTA spot-sign, only 43.0% almost always assessed non-contrast CT predictors of hematoma expansion.
• 45.8% routinely used the Boston Criteria version 2.0 for MRI-based assessment of cerebral amyloid angiopathy; confidence in hemorrhage localization and etiologic classification was modest.

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