Copyright
©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Radiol. Sep 28, 2025; 17(9): 112983
Published online Sep 28, 2025. doi: 10.4329/wjr.v17.i9.112983
Published online Sep 28, 2025. doi: 10.4329/wjr.v17.i9.112983
Predicting hematoma growth in spontaneous intracerebral hemorrhage: A simplified non-contrast computed tomography based five-point grading approach
Arshed Hussain Parry, Mahrukh Wani, Majid Jehangir, Mohmed Imran Wagay, Obaid Ashraf, Aijaz Ahmad Hakeem, Department of Radiodiagnosis and Imaging, Government Medical College, Srinagar 190010, Jammu and Kashmir, India
Syeed Aalishan Fatima, Cardiovascular Radiology and Endovascular Interventions, All India Institute of Medical Sciences, New Delhi 110029, India
Omar Farooq, General Medicine, Government Medical College, Srinagar 190010, Jammu and Kashmir, India
Co-first authors: Arshed Hussain Parry and Syeed Aalishan Fatima.
Author contributions: Parry AH, Fatima SA, Wani M, Jehangir M, Farooq O designed the research study; Parry AH, Fatima SA, Wani M, Jehangir M, Farooq O performed the research; Parry AH, Fatima SA, Jehangir M, Farooq O, Wagay MI, Ashraf O, Hakeem AA collected and analyzed the data; Parry AH, Fatima SA, Wani M, Jehangir M, Wagay MI, Ashraf O, Hakeem AA wrote the manuscript; Parry AH, Fatima SA, Jehangir M revised the manuscript. All authors have read and approved the final manuscript. Parry AH and Fatima SA contributed equally to this work as co-first authors.
Institutional review board statement: Ethical approval for this study was obtained from the Institutional Ethical Committee of Government Medical College, Srinagar, India.
Informed consent statement: This study was conducted in accordance with the ethical standards of the institutional review board. Informed consent was obtained from all participants.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Data sharing statement:
The datasets generated and/or analyzed during the current study are available from the corresponding author upon reasonable request. Access to data will be provided following a formal request outlining the intended use of the data and subject to ethical approval and data protection regulations.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Arshed Hussain Parry, MD, Assistant Professor, Department of Radio
Received: August 13, 2025
Revised: August 20, 2025
Accepted: September 9, 2025
Published online: September 28, 2025
Processing time: 46 Days and 1.5 Hours
Revised: August 20, 2025
Accepted: September 9, 2025
Published online: September 28, 2025
Processing time: 46 Days and 1.5 Hours
Core Tip
Core Tip: Hematoma expansion (HE) in spontaneous intracerebral hemorrhage (ICH) is a major predictor of short-term mortality and long-term morbidity. Early identification of patients at risk for HE allows timely initiation of targeted anti-expansion therapies to limit hematoma growth. In this study, we evaluated non-contrast computed tomography (NCCT) markers for predicting HE after ICH and developed a simple five-point predictive scoring system. This score, based solely on NCCT findings, is practical, easy to use, and particularly valuable in resource-limited settings for guiding the manage