Extended Multimodal Flat Detector CT Imaging in Acute Ischemic Stroke: A Pilot Study.
By using Flat detector computed tomography (FD-CT), a one-stop-shop approach in the diagnostic workup of acute ischemic stroke (AIS) might be achieved. Although information on upstream vessels is warranted, dedicated FD-CT protocols which include the imaging of the cervical vasculature are still lac...
| Publicado en: | Journal of Digital Imaging Vol. 36; no. 3; pp. 1198 - 1208 |
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| Autores principales: | , , , , , , |
| Formato: | diagnostic images research tables/charts Journal Article |
| Publicado: |
Springer Nature
Jun2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=164473079&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 164473079 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08971889 DOQ jtl: Journal of Digital Imaging issn: 08971889 maglogo: N pubinfo: dt: Jun2023 vid: 36 iid: 3 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 164473079 161373991 164473079 164473079 10.1007/s10278-022-00699-4 164473079 ppf: 1198 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Extended Multimodal Flat Detector CT Imaging in Acute Ischemic Stroke: A Pilot Study. aug: au: Hoelter, Philip Lang, Stefan Beuscher, Vanessa Kallmuenzer, Bernd Manhart, Michael Schwab, Stefan Doerfler, Arnd affil: Department of Neuroradiology, University Hospital Erlangen, Friedrich-Alexander-Universität (FAU) Erlangen- Nürnberg, Schwabachanlage 6, 91054, Erlangen, Germany sug: subj: Ischemic Stroke Radiography Acute Disease Diagnostic Imaging Methods Tomography, X-Ray Computed Methods Cerebral Ischemia Radiography Stroke Patients Human Male Female Pilot Studies Retrospective Design Prospective Studies Workflow Groin Angiography Cerebral Hemorrhage Perfusion Time Factors Descriptive Statistics Comparative Studies Funding Source Male Female ab: By using Flat detector computed tomography (FD-CT), a one-stop-shop approach in the diagnostic workup of acute ischemic stroke (AIS) might be achieved. Although information on upstream vessels is warranted, dedicated FD-CT protocols which include the imaging of the cervical vasculature are still lacking. We aimed to prospectively evaluate the implementation of a new multimodal FD-CT protocol including cervical vessel imaging in AIS patients. In total, 16 patients were included in this study. Eight patients with AIS due to large vessel occlusion (LVO) prospectively received a fully multimodal FD-CT imaging, including non-enhanced flat detector computed tomography (NE-FDCT), dynamic perfusion flat detector computed tomography (FD-CTP) and flat detector computed tomography angiography (FD-CTA) including cervical imaging. For comparison of time metrics and image quality, eight AIS patients, which received multimodal CT imaging, were included retrospectively. Although image quality of NE-FDCT and FD-CTA was rated slightly lower than NE-CT and CTA, all FD-CT datasets were of diagnostic quality. Intracerebral hemorrhage exclusion and LVO detection was reliably possible. Median door-to-image time was comparable for the FD-CT group and the control group (CT:30 min, IQR27-58; FD-CT:44.5 min, IQR31-55, p = 0.491). Door-to-groin-puncture time (CT:79.5 min, IQR65-90; FD-CT:59.5 min, IQR51-67; p = 0.016) and image-to-groin-puncture time (CT:44 min, IQR30-50; FD-CT:14 min, IQR12-18; p < 0.001) were significantly shorter, when patients were directly transferred to the angiosuite, where FD-CT took place. Our study indicates that using a new fully multimodal FD-CT approach including imaging of cervical vessels for first-line imaging in AIS patients is feasible and comparable to multimodal CT imaging with substantial potential to streamline the stroke workflow. pubtype: Academic Journal doctype: diagnostic images research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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