Cardiac arrest & resuscitation

3-Dimensional quantification of ischemic brain injury in post-cardiac arrest patients with hypoxic-ischemic brain injury

ResuscitationPublished Retrospective cohort study

Authors' conclusion

Atlas-based segmentation integrated with voxel-intensity ADC analysis, enabled generation of granular data on the pattern and extent of ischemic brain injury following cardiac arrest.

Study context

Population
Post-cardiac arrest patients with hypoxic-ischemic brain injury (HIBI)
Participants
10 patients
Outcome
Relative ischemic lesion volume (ADC <650e-6 mm²/s) by segment, hemisphere and tissue type
Methodological detailssemi-automated analysis pipeline, atlas-based segmentation
  • Semi-automated analysis pipeline
  • Atlas-based segmentation

Main finding

As reported in the abstract

Relative ischemic lesion volume (% of total brain volume)

Overall

28.4

mean · SD 14.1 · % of total brain volume

White matter

33.3

SD 17.8 · %

Gray matter

24.1

SD 11.4 · %

P = 0.005

Observational data: associations, not effects.

Further findings

Overlap of susceptibility-weighted imaging (SWI) and apparent diffusion coefficient (ADC) hypointensities

Minimal overlap, negligible confounding by intraparenchymal blood (% of all voxels)
<1%

Original publication

3-Dimensional quantification of ischemic brain injury in post-cardiac arrest patients with hypoxic-ischemic brain injury. Resuscitation. Published 10 March 2026. doi:10.1016/j.resuscitation.2026.111051

Composed by AI from the published abstract and checked against it. How Briefs are made →

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