Publication Name	World Journal of Radiology
Manuscript ID	114449
Country	Italy

Category	Radiology, Nuclear Medicine & Medical Imaging
Manuscript Type	Letter to the Editor
Article Title	Toward rapid, practical risk stratification in spontaneous intracerebral hemorrhage
Manuscript Source	Invited Manuscript
All Author List	Arosh S Perera Molligoda Arachchige
Funding Agency and Grant Number
Corresponding Author	Arosh S Perera Molligoda Arachchige, MD, Faculty of Medicine, Humanitas University, Via Rita Levi Montalcini 4, Pieve Emanuele 20072, Lombardy, Italy. aroshperera@outlook.it
Key Words	Intracerebral hemorrhage; Non-contrast computed tomography; Stroke; Hematoma expansion
Core Tip	Early prediction of hematoma expansion is critical to improving outcomes in spontaneous intracerebral hemorrhage. While the computed tomography (CT) angiography “spot sign” is a strong predictor of hematoma expansion, its routine use is limited. Non-contrast CT markers such as the swirl, black hole, and island signs offer a practical alternative. Parry et al introduce a simple, five-point non-contrast CT grading system that integrates these imaging signs with hematoma volume and intraventricular hemorrhage. This easy-to-apply score can guide rapid risk stratification, inform blood-pressure management and anticoagulation reversal, and help select candidates for anti-expansion therapies, even in resource-limited settings.
Citation	Perera Molligoda Arachchige AS. Toward rapid, practical risk stratification in spontaneous intracerebral hemorrhage. World J Radiol 2025; In press

Received	2025-09-19 08:05
Peer-Review Started	2025-09-19 08:05
To Make the First Decision
Return for Revision	2025-09-30 08:43
Revised	2025-10-03 08:35
Second Decision	2025-10-20 02:53
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief	2025-10-21 00:58
Articles in Press	2025-10-21 00:58
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1949-8470 (online)
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