Dual-energy computed tomography (DECT) is a novel method based on the application of radiation with two different energies that allows different materials with similar densities to be distinguished on conventional computed tomography (CT). The larger an infarction is, the more likely it is that there will be haemorrhages later. It is, therefore, important to detect or predict an infarction under these circumstances and estimate it’s size as soon as possible.

Study Design: Twenty patients (nine women and 11 men; with a mean age of 64.45 ± 14.99 years, range: 24 to 89 years) with a major stroke and the need for endovascular therapy were included. All 20 patients received a DECT scan within 1 h after endovascular stroke therapy, and all patients showing 45 blood-brain barrier (BBB) disrupted areas after IAR were assessed and compared with follow-up examinations. Receiver operator…