Stroke

Cardiovascular departments are playing a role in stroke interventions at numerous health systems, working as part of the stroke care team with neurologists, radiology and the emergency department. Stroke first has be be classified as ischemic or hemorrhagic. These have very different care pathways. Ischemic strokes are increasingly being treated with neurological-interventional therapy that includes catheter based mechanical thrombectomy to remove the clot. This is a more aggressive treatment compared to traditional IV administration of tissue plasminogen activator (tPA) thrombolytic therapy to dissolve the clot. Subarachnoid hemorrhage (SAH) and  intracerebral hemorrhage (ICH) brain bleeds can also be treated in some cases stent flow diverters and embolization coils. 

Avicenna.AI, a French artificial intelligence (AI) startup co-founded by a radiologist, has received U.S. Food and Drug Administration (FDA) clearance for two new offerings designed to automatically identify cardiovascular findings in CT scans, CINA-iPE and CINA-ASPECTS.

Radiology AI company gains FDA clearance for new CT offerings focused on PE, stroke

The newly approved AI models are designed to improve the detection of pulmonary embolisms and strokes in patients who undergo CT scans.

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Hospital on the hook for $120M jury verdict after residents miss signs of stroke on CT

“I’ve been a lawyer for 40 years now, and I’ve never heard of a malpractice verdict like this,” the plaintiff attorney said. 

AI-powered stroke triage software meaningfully reduces treatment times, randomized trial finds

The investigation also used secure messaging, allowing clinicians to receive real-time alerts via their smartphones to notify them of a possible LVO minutes after the completion of a CT. 

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Radiology Partners proposes best practices for acute stroke care

El Segundo, California-based RP said the recommendations are derived from current guidelines and the “extensive expertise” of its neuroradiology division. 

Male stroke patients undergo CTA at significantly higher rates than women with no impact on outcomes

The disparity appeared concentrated among white, privately insured, higher income, and middle aged (50-79 year-old) men. 

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Industry first: FDA clears device for detecting stroke on noncontrast CT

RapidAI said it aims to give smaller facilities access to tools often only available at comprehensive stroke centers. 

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Explainable stroke AI cleared for US sales

The FDA has OK’d a new artificial intelligence platform for quickly diagnosing stroke on unenhanced CT scans.

An example of artificial intelligence (AI) automated detection of a intracranial hemorrhage (ICH) in. a CT scan used to send alerts to the stroke acute care team before a radiologist even sees the exam. Example shown by TeraRecon at RSNA 2022.

FDA has now cleared more than 500 healthcare AI algorithms

More than 500 clinical AI algorithms have now been cleared by the FDA, with the majority just in the past couple years.

Around the web

The patient, who was being cared for in the ICU, was not accompanied or monitored by nursing staff during his exam, despite being sedated.

The nuclear imaging isotope shortage of molybdenum-99 may be over now that the sidelined reactor is restarting. ASNC's president says PET and new SPECT technologies helped cardiac imaging labs better weather the storm.

CMS has more than doubled the CCTA payment rate from $175 to $357.13. The move, expected to have a significant impact on the utilization of cardiac CT, received immediate praise from imaging specialists.