{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T10:37:23Z","timestamp":1793356643879,"version":"4.5.0"},"reference-count":62,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T00:00:00Z","timestamp":1766361600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Neuroradiol J"],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Spontaneous intracerebral hemorrhage (ICH) has a poor prognosis. Early imaging &lt;72 hours is essential for etiological and prognosis assessment. We aimed to describe early imaging practices and evaluate their etiological relevance, before adopting standardized protocols.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Acute spontaneous ICH patients from two university centers (2021\u20132022) were retrospectively included. Data included imaging, lesion, and associated vascular lesions parameters. Etiologies were classified into six categories based on imaging and clinical criteria: arteriolosclerosis, cerebral amyloid angiopathy (CAA), mixed cerebral small vessel disease (cSVD: arteriolosclerosis + CAA), vascular malformation, tumor, or undetermined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 450 patients (71 \u00b1 16 years; 52% male), initial imaging was CT in 58.5%; 53% had MRI &lt;72\u00a0hours. 46% of baseline imaging comprised contrast-injection. CT-only patients were older, with larger hematomas and higher in-hospital mortality (all&lt;0.05). ICH (48 \u00b1 47\u00a0mL) was predominantly supratentorial (90%), with deep (52%) or lobar (frontal 28%) locations. MRI detected white matter hyperintensities (76%), lacunes (43%), infarcts (14%), acute ischemias (6%), and microbleeds (65%). CT identified an etiology in 50% vs. 80% for MRI (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; .001), mainly mixed cSVD (34%), arteriolosclerosis (23%), CAA (14%), and vascular malformations (7%) when based on MRI. Follow-up imaging &lt;72 h was done in 42%, mostly CT.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Although CT was more frequent, MRI was superior for early etiological assessment of spontaneous ICH, mainly identifying cSVD-related causes. Broader use of early cerebral MRI could contribute to optimizing ICH care by improving identification of mixed cSVD patients and might help prevent secondary bleeding. Prospective and standardized MRI use in the early phase of ICH will clarify its role.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19714009251409304","type":"journal-article","created":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T09:47:58Z","timestamp":1766396878000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Early imaging in spontaneous intracranial hemorrhage: Practices and etiological diagnosis"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-1146-2680","authenticated-orcid":false,"given":"Olivier","family":"Curtinot","sequence":"first","affiliation":[{"name":"University Hospital of Orl\u00e9ans"},{"name":"Tours University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-4822-9597","authenticated-orcid":false,"given":"Tasnym","family":"Maghfour","sequence":"additional","affiliation":[{"name":"University Hospital of Tours"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1342-1873","authenticated-orcid":false,"given":"Simon","family":"Nataf","sequence":"additional","affiliation":[{"name":"University Hospital of Orl\u00e9ans"},{"name":"Tours University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreea","family":"Aignatoaie","sequence":"additional","affiliation":[{"name":"University Hospital of Orl\u00e9ans"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Canan","family":"Ozsancak","sequence":"additional","affiliation":[{"name":"University Hospital of Orl\u00e9ans"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camille","family":"Maudry","sequence":"additional","affiliation":[{"name":"University Hospital of Orl\u00e9ans"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gr\u00e9goire","family":"Boulouis","sequence":"additional","affiliation":[{"name":"Tours University Hospital"},{"name":"Tours University Hospital"},{"name":"Universit\u00e9 de Tours"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9166-212X","authenticated-orcid":false,"given":"Jean-Philippe","family":"Cottier","sequence":"additional","affiliation":[{"name":"Tours University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6618-1842","authenticated-orcid":false,"given":"Quentin","family":"Beaufort","sequence":"additional","affiliation":[{"name":"Tours University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nourou Dine Adeniran","family":"Bankole","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Tours"},{"name":"University Hospital of Tours"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H\u00e9lo\u00efse","family":"Ifergan","sequence":"additional","affiliation":[{"name":"Tours University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Pasi","sequence":"additional","affiliation":[{"name":"University Hospital of Tours"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8200-2784","authenticated-orcid":false,"given":"Clara","family":"Cohen","sequence":"additional","affiliation":[{"name":"University Hospital of Orl\u00e9ans"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,12,22]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(09)70340-0"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000000519"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0000000000000407"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1080\/14737175.2022.2104157"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.nic.2021.02.003"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.113.003701"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000004797"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)31878-6"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/ana.26519"},{"key":"e_1_3_4_11_2","first-page":"239698732513408","article-title":"European stroke organisation (ESO) and European association of neurosurgical societies (EANS) guideline on stroke due to spontaneous intracerebral haemorrhage","author":"Steiner T","year":"2025","unstructured":"Steiner T, Purrucker JC, Aguiar de Sousa D, et al. 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