Publication Name	World Journal of Radiology
Manuscript ID	114449
Country	Italy

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	2025-10-23 08:30
Publish the Manuscript Online	2025-10-28 04:25

ISSN	1949-8470 (online)
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: http://creativecommons.org/Licenses/by-nc/4.0/
Copyright	© The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
Article Reprints	For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions	For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher	Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website	http://www.wjgnet.com

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.
Publish Date	2025-10-28 04:25
Citation	<p>Perera Molligoda Arachchige AS. Toward rapid, practical risk stratification in spontaneous intracerebral hemorrhage. <i>World J Radiol</i> 2025; 17(10): 114449</p>
URL	https://www.wjgnet.com/1949-8470/full/v17/i10/114449.htm
DOI	https://dx.doi.org/10.4329/wjr.v17.i10.114449

Full Article (PDF)	WJR-17-114449-with-cover.pdf
Manuscript File	114449_Auto_Edited_014651.docx
Answering Reviewers	114449-answering-reviewers.pdf
Audio Core Tip	114449-audio.mp3
Conflict-of-Interest Disclosure Form	114449-conflict-of-interest-statement.pdf
Copyright License Agreement	114449-copyright-assignment.pdf
Non-Native Speakers of English Editing Certificate	114449-non-native-speakers.pdf
Peer-review Report	114449-peer-reviews.pdf
Scientific Misconduct Check	114449-scientific-misconduct-check.png
Scientific Editor Work List	114449-scientific-editor-work-list.pdf
CrossCheck Report	114449-crosscheck-report.pdf