{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T14:15:41Z","timestamp":1789740941289,"version":"4.0.1"},"reference-count":31,"publisher":"Elsevier BV","issue":"7","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["academicradiology.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Academic Radiology"],"published-print":{"date-parts":[[2026,7]]},"DOI":"10.1016\/j.acra.2026.03.003","type":"journal-article","created":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T12:46:41Z","timestamp":1774442801000},"page":"3023-3033","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"title":["Combined CTP and QDSA Assessment Predicts Postoperative Cerebral Hyperperfusion Syndrome in Moyamoya Disease"],"prefix":"10.1016","volume":"33","author":[{"given":"Xiguang","family":"Fu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mengyuan","family":"Yuan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaochen","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sihui","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tong","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuening","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Yan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lingxu","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chuhan","family":"Jiang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5024-145X","authenticated-orcid":false,"given":"Shengjun","family":"Sun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.acra.2026.03.003_bib1","doi-asserted-by":"crossref","first-page":"747","DOI":"10.1016\/S1474-4422(22)00165-X","article-title":"Moyamoya disease: diagnosis and interventions","volume":"21","author":"Ihara","year":"2022","journal-title":"Lancet Neurol"},{"key":"10.1016\/j.acra.2026.03.003_bib2","doi-asserted-by":"crossref","first-page":"1226","DOI":"10.1056\/NEJMra0804622","article-title":"Moyamoya disease and moyamoya syndrome","volume":"360","author":"Scott","year":"2009","journal-title":"N Engl J Med"},{"key":"10.1016\/j.acra.2026.03.003_bib3","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1001\/jama.2025.7225","article-title":"Long-term follow-up of extracranial-intracranial bypass surgery for symptomatic cerebral artery occlusion","volume":"334","author":"Ma","year":"2025","journal-title":"JAMA"},{"key":"10.1016\/j.acra.2026.03.003_bib4","doi-asserted-by":"crossref","DOI":"10.3171\/foc.1998.5.5.8","article-title":"Long-term outcome after STA-MCA anastomosis for moyamoya disease","volume":"5","author":"Miyamoto","year":"1998","journal-title":"Neurosurg Focus"},{"key":"10.1016\/j.acra.2026.03.003_bib5","doi-asserted-by":"crossref","first-page":"927","DOI":"10.3171\/2009.4.JNS081649","article-title":"Clinical outcome after 450 revascularization procedures for moyamoya disease. Clinical article","volume":"111","author":"Guzman","year":"2009","journal-title":"J Neurosurg"},{"key":"10.1016\/j.acra.2026.03.003_bib6","doi-asserted-by":"crossref","DOI":"10.1097\/RLU.0000000000005850","article-title":"Prediction of cerebral hyperperfusion syndrome after combined bypass surgery in moyamoya disease using hemodynamic and clinical data","author":"Jung","year":"2025","journal-title":"Clin Nucl Med"},{"key":"10.1016\/j.acra.2026.03.003_bib7","doi-asserted-by":"crossref","first-page":"2610","DOI":"10.1161\/STROKEAHA.112.654723","article-title":"Predictors and clinical features of postoperative hyperperfusion after surgical revascularization for moyamoya disease: a serial single photon emission CT\/positron emission tomography study","volume":"43","author":"Uchino","year":"2012","journal-title":"Stroke"},{"key":"10.1016\/j.acra.2026.03.003_bib8","doi-asserted-by":"crossref","first-page":"1021","DOI":"10.1177\/0271678X18757621","volume":"38","author":"Sato","year":"2018","journal-title":"J Cereb Blood Flow Metab"},{"key":"10.1016\/j.acra.2026.03.003_bib9","doi-asserted-by":"crossref","first-page":"826","DOI":"10.1136\/neurintsurg-2021-017832","article-title":"Using angiographic parametric imaging-derived radiomics features to predict complications and embolization outcomes of intracranial aneurysms treated by pipeline embolization devices","volume":"14","author":"Liang","year":"2022","journal-title":"J Neurointerv Surg"},{"key":"10.1016\/j.acra.2026.03.003_bib10","doi-asserted-by":"crossref","first-page":"1339","DOI":"10.1161\/STROKEAHA.123.045456","article-title":"Rupture-related features of cerebral arteriovenous malformations and their utility in predicting hemorrhage","volume":"55","author":"Zhang","year":"2024","journal-title":"Stroke"},{"key":"10.1016\/j.acra.2026.03.003_bib11","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1007\/s00234-022-03030-8","article-title":"Quantitative evaluation of the hemodynamic differences between ruptured and unruptured cerebral arteriovenous malformations using angiographic parametric imaging\u2013derived radiomics features","volume":"65","author":"Zhu","year":"2023","journal-title":"Neuroradiology"},{"key":"10.1016\/j.acra.2026.03.003_bib12","doi-asserted-by":"crossref","DOI":"10.1007\/s12975-025-01346-0","article-title":"Higher time to peak after stent implantation in symptomatic high-grade intracranial atherosclerotic stenosis is related to in-stent restenosis","author":"Zhang","year":"2025","journal-title":"Transl. Stroke Res. [Internet]."},{"key":"10.1016\/j.acra.2026.03.003_bib13","doi-asserted-by":"crossref","first-page":"1524","DOI":"10.1177\/0271678X221086408","article-title":"Prediction of the trans-stenotic pressure gradient with arteriography-derived hemodynamic features in patients with idiopathic intracranial hypertension","volume":"42","author":"Zhang","year":"2022","journal-title":"J Cereb Blood Flow Metab"},{"key":"10.1016\/j.acra.2026.03.003_bib14","doi-asserted-by":"crossref","first-page":"307","DOI":"10.2176\/jns-nmc.2022-0072","article-title":"Diagnostic criteria for moyamoya disease - 2021 revised version","volume":"62","author":"Kuroda","year":"2022","journal-title":"Neurol. Med. Chir. ((Tokyo))"},{"key":"10.1016\/j.acra.2026.03.003_bib15","doi-asserted-by":"crossref","first-page":"1304","DOI":"10.3171\/2016.11.JNS162403","article-title":"Correlation between reduction in microvascular transit time after superficial temporal artery-middle cerebral artery bypass surgery for moyamoya disease and the development of postoperative hyperperfusion syndrome","volume":"128","author":"Yang","year":"2018","journal-title":"J Neurosurg"},{"key":"10.1016\/j.acra.2026.03.003_bib16","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1161\/STROKEAHA.121.035296","article-title":"Angiographic and hemodynamic features in asymptomatic hemispheres of patients with moyamoya disease","volume":"53","author":"Sun","year":"2022","journal-title":"Stroke"},{"key":"10.1016\/j.acra.2026.03.003_bib17","doi-asserted-by":"crossref","first-page":"2837","DOI":"10.1161\/STROKEAHA.118.022628","article-title":"A novel staging system to evaluate cerebral hypoperfusion in patients with moyamoya disease","volume":"49","author":"Yin","year":"2018","journal-title":"Stroke"},{"key":"10.1016\/j.acra.2026.03.003_bib18","doi-asserted-by":"crossref","DOI":"10.1212\/WNL.0000000000213617","article-title":"Noninvasive assessment of the risk features of hemorrhage in moyamoya disease using 7T MRI","volume":"104","author":"Duan","year":"2025","journal-title":"Neurology"},{"key":"10.1016\/j.acra.2026.03.003_bib19","doi-asserted-by":"crossref","first-page":"2906","DOI":"10.1161\/STROKEAHA.121.038066","article-title":"Association of RNF213 variants with periventricular anastomosis in moyamoya disease","volume":"53","author":"Xue","year":"2022","journal-title":"Stroke"},{"key":"10.1016\/j.acra.2026.03.003_bib20","doi-asserted-by":"crossref","first-page":"877","DOI":"10.1016\/S1474-4422(05)70251-9","article-title":"Cerebral hyperperfusion syndrome","volume":"4","author":"van Mook","year":"2005","journal-title":"Lancet Neurol"},{"key":"10.1016\/j.acra.2026.03.003_bib21","doi-asserted-by":"crossref","DOI":"10.1177\/20406223231181492","article-title":"Designing a flow-controlled STA-MCA anastomosis based on the Hagen\u2013Poiseuille law for preventing postoperative hyperperfusion in adult moyamoya disease","volume":"14","author":"Hu","year":"2023","journal-title":"Ther Adv Chronic Dis"},{"key":"10.1016\/j.acra.2026.03.003_bib22","doi-asserted-by":"crossref","first-page":"596","DOI":"10.1227\/neu.0000000000002905","article-title":"Impact of cerebral revascularization on pial collateral flow in patients with unilateral moyamoya disease using quantitative magnetic resonance angiography","volume":"95","author":"Santhumayor","year":"2024","journal-title":"Neurosurgery"},{"key":"10.1016\/j.acra.2026.03.003_bib23","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1136\/svn-2017-000067","article-title":"Cerebral misery perfusion due to carotid occlusive disease","volume":"2","author":"Maddula","year":"2017","journal-title":"Stroke Vasc Neurol"},{"key":"10.1016\/j.acra.2026.03.003_bib24","doi-asserted-by":"crossref","first-page":"1054","DOI":"10.1161\/STROKEAHA.121.035850","article-title":"New insights into cerebrovascular pathophysiology and hypertension","volume":"53","author":"Webb","year":"2022","journal-title":"Stroke"},{"key":"10.1016\/j.acra.2026.03.003_bib25","doi-asserted-by":"crossref","first-page":"2352","DOI":"10.1007\/s00330-023-10209-x","article-title":"Angiography-based hemodynamic features predict recurrent ischemic events after angioplasty and stenting of intracranial vertebrobasilar atherosclerotic stenosis","volume":"34","author":"Huang","year":"2024","journal-title":"Eur Radiol"},{"key":"10.1016\/j.acra.2026.03.003_bib26","doi-asserted-by":"crossref","first-page":"962","DOI":"10.1227\/NEU.0000000000000139","article-title":"Combined direct and indirect bypass for moyamoya","volume":"73","author":"Amin-Hanjani","year":"2013","journal-title":"Neurosurgery"},{"key":"10.1016\/j.acra.2026.03.003_bib27","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1016\/j.wneu.2019.11.065","article-title":"Cerebral hyperperfusion syndrome after revascularization surgery in patients with moyamoya disease: systematic review and meta-analysis","volume":"135","author":"Yu","year":"2020","journal-title":"World Neurosurg"},{"key":"10.1016\/j.acra.2026.03.003_bib28","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1227\/NEU.0000000000000238","article-title":"Minocycline prevents focal neurological deterioration due to cerebral hyperperfusion after extracranial-intracranial bypass for moyamoya disease","volume":"74","author":"Fujimura","year":"2014","journal-title":"Neurosurgery"},{"key":"10.1016\/j.acra.2026.03.003_bib29","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1016\/j.ejvs.2010.10.016","article-title":"Hypertension and the post-carotid endarterectomy cerebral hyperperfusion syndrome","volume":"41","author":"Bouri","year":"2011","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"10.1016\/j.acra.2026.03.003_bib30","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1007\/s00234-015-1623-4","article-title":"Prediction of cerebral hyperperfusion syndrome after carotid artery stenting by CT perfusion imaging with acetazolamide challenge","volume":"58","author":"Yoshie","year":"2016","journal-title":"Neuroradiology"},{"key":"10.1016\/j.acra.2026.03.003_bib31","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1007\/s00701-025-06545-0","article-title":"Investigation of the hyperperfusion phenomenon following carotid artery stenting using preoperative computed tomography perfusion imaging","volume":"167","author":"Yamamoto","year":"2025","journal-title":"Acta Neurochir (Wien)"}],"container-title":["Academic Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1076633226001716?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1076633226001716?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T15:40:05Z","timestamp":1780501205000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1076633226001716"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":31,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["S1076633226001716"],"URL":"https:\/\/doi.org\/10.1016\/j.acra.2026.03.003","relation":{},"ISSN":["1076-6332"],"issn-type":[{"value":"1076-6332","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Combined CTP and QDSA Assessment Predicts Postoperative Cerebral Hyperperfusion Syndrome in Moyamoya Disease","name":"articletitle","label":"Article Title"},{"value":"Academic Radiology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.acra.2026.03.003","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Association of Academic Radiology. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}