General: Spotty Science: Everything You Need to Know About ICH and the "Spot Sign"

Matthew Flaherty, MD; Richard I. Aviv, MRCP, FRCR, MBChB

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Target Audience:

The ASNR 53rd Annual Meeting is the premier Neuroradiology meeting in the world. The target audience includes:

  • Neuroradiologists in practice and research
  • General radiologists who read Neuroradiology studies
  • Young professionals and trainees
  • Brain, Spine, and Head and Neck imaging Scientists
  • Clinicians from related disciplines

About This Module:

This module is composed of two parts:
  • Intracranial Hemorrhage: Clinical Perspective - Scope of the Problem Matthew Flaherty, MD
  • CTA Spot Sign: Boot Camp Richard I. Aviv, MRCP, FRCR, MBChB


Upon completion of this module, participants should be able to:

Part I:

  1. Discuss the natural history of ICH
  2. Describe prior trials of hemostatic therapy for ICH
  3. Review data regarding blood pressure control for acute ICH

Part II:

  1. Non invasive vascular Imaging ICH
  2. Defining the 'Spot sign'
    • Illustrative interactive cases
    • Spots vs Mimics
  3. CTA Spot Sign Performance for HE
    • Limitations, insights
  4. Getting Personal
    • Why do we care?

Commercial Support

No commercial support was received for this activity.

Accreditation Statement

The American Society of Neuroradiology (ASNR) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Designation Statement

ASNR designates this enduring material for a maximum of AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Method of Physician Participation:

Each physician will listen to each audio self-directed module while following along with the visual slides. Upon completion, each physician will answer evaluation questions and pass a post test with at least a score of 80% to receive their CME certificate.

Disclosures: All individuals in control of content have disclosed the following relevant financial relationships. All of these relationships were treated as a conflict of interest, and have been resolved (C7 SCS 6.1-6.2, 6.5)


  • Laurie A. Loevner, MD, 2015 Program Chair/President-Elect, has no relevant financial relationships.
  • C. Douglas Philips, MD, FACR, Chair, Web and Online Education Subcommittee of ASNR Education Committee, has no relevant financial relationships.
  • Angelo Artemakis, ASNR staff, has no relevant financial relationships.


  • Matthew Flaherty, MD:

    Principal Investigator of a phase II, NINDS-funded trial testing recombinant activated factor VII for treatment of intracerebral hemorrhage. Study drug is provided by Novo Nordisk.
    Speaker's bureau, CSL Behring and Janssen

  • Richard I. Aviv, MRCP, FRCR, MBChB:

    Work supported by grants from:
    - Heart and Stroke Foundation of Canada
    - Canadian Institute for Health Research
    - Canadian Stroke Network

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