Modified small vessel disease score as the top predictor of stroke outcome after thrombectomy: a CT-based machine learning study - Takeaways - MDSpire

Modified small vessel disease score as the top predictor of stroke outcome after thrombectomy: a CT-based machine learning study

  • By

  • Thiago Oscar Goulart

  • Rui Kleber do Vale Martins-Filho

  • Millene Rodrigues Camilo

  • Daniel Giansante Abud

  • Octávio Marques Pontes-Neto

  • June 23, 2026

  • 0 min

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  • 1

    Mechanical thrombectomy improves outcomes in ischemic stroke from large vessel occlusion, yet about 50% of patients do not achieve functional autonomy.

  • 2

    The modified Small Vessel Disease score was found to be a significant independent predictor of unfavorable outcomes after thrombectomy.

  • 3

    In a cohort of 351 patients, severe mSVD (score = 3) correlated with an 84.47% likelihood of poor outcomes post-thrombectomy.

  • 4

    The mSVD score outperformed the Brain Frailty Score and individual CT markers in predicting 90-day outcomes, with an AUC of 0.904.

  • 5

    Incorporating mSVD into initial CT assessments may enhance risk stratification and guide treatment decisions for stroke patients.

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