Edinburgh Imaging

Edinburgh Criteria for CAA-associated ICH Training (ECCITING)

ECCITING may help you to learn about how to read & rate CT brain scans in which haemorrhage is a finding. Participation also helps validate the Edinburgh criteria & collect data on its prognostic value.

LOGIN TO ECCITING

  • The ECCITING lectures launched on 07 Sep 2018
  • The ECCITING cases launched in Dec 2018
  • Set aside six (6) hours to work through all materials

 

Background

The Edinburgh CT & genetic criteria for cerebral amyloid angiopathy (CAA)-associated lobar intracerebral haemorrhage (ICH) were developed in 2018.

The simple criteria were shown to be accurate in ruling out, or ruling in, CAA-associated lobar ICH in the development setting.

Our ongoing research aims to:

  • Validate the Edinburgh criteria
  • Assess its prognostic value

The results from the initial study are described in this paper:

 

ECCITING is a series of online training resources to help you learn how to implement the Edinburgh CT & genetic criteria for CAA-associated lobar ICH.

The training is designed to improve observer reliability & is currently aimed at researchers who plan to use the Edinburgh criteria.

Participation increases the amount of observer reliability data.

 

Creation of this tool was supported by educational development grants from UK Medical Research Council, The Stroke Association, & The Wellcome Trust.

 

Content

  • Three (3) didactic lectures
    1. Criteria overview
    2. Determining ICH location
    3. Identifying SAH & finger-like projections
  • MCQs to test your learning from the didactic lectures
  • A series of 30 validated, plain CT brain haemorrhage cases for practice
  • A five (5) question feedback survey to help us improve the training tool
  • A certificate of completion, downloadable after you complete all MCQs, all cases & all feedback survey questions
    • You will see the link to the certificate once you complete the feedback survey

 

Participation

Participation is eligible for CPD / CME.

  • We expect each lecture & MCQ to take 40 minutes to complete i.e. set aside 2 hours for all of them.
  • We expect the 30 cases to take 5 hours to complete.
  • This course provides 6 CPD credits in accordance with the CPD Scheme of the Royal College of Radiologists.
  • The exit certificate states this credit allocation & is downloadable after you complete all MCQs, all cases & all feedback survey questions.
    • You will see the link to the certificate once you complete the feedback survey

 

Learning objectives

Lecture 1: Criteria overview. 

Overview of Edinburgh CT & genetic diagnostic criteria for lobar ICH associated with cerebral amyloid angiopathy.

Learning objectives:
  • List the different causes of non-traumatic ICH
  • State the importance of differentiating the underlying causes of non-traumatic ICH
  • Discuss approaches for identifying CAA-associated ICH
  • Explain the Edinburgh CT & genetic criteria for CAA-associated lobar ICH
  • Describe key steps for implementing the Edinburgh criteria

 

Lecture 2: Determining ICH location. 

How to determine the location of intracerebral haemorrhage on brain CT reliably.

Learning objectives:
  • State why intracerebral haemorrhage location is important
  • List key steps for implementing the Edinburgh CT & genetic diagnostic criteria for cerebral amyloid angiopathy-associated lobar intracerebral haemorrhage
  • Define “lobar” & “non-lobar” in the context of intracerebral haemorrhage
  • Describe how to determine intracerebral haemorrhage anatomical location
  • Discuss example intracerebral haemorrhage cases

 

Lecture 3: Identifying SAH & finger-like projections. 

Methods which allow reliable identification of SAH & finger-like projections on brain CT.

Learning objectives:
  • On a brain CT scan with ICH:
  • Describe how to assess for SAH
  • Describe how to identify finger-like projections
  • Describe how to distinguish lobulations
  • State why SAH & finger-like projections are important
  • Include key implementation steps for the Edinburgh CT & genetic diagnostic criteria for CAA-associated lobar ICH
  • Discuss example ICH cases