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. 

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.

VIDEO: Radiology AI aids acute care and other departments

Sanjay Parekh, PhD, senior market analyst with Signify Research, explains how some radiology AI is being adopted outside of radiology departments to improve care.

December 15, 2022
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Neuroimaging recedes behind other cost compilers in stroke care

Contrary to older research that showed neuroimaging emerging as the single most dominating cost contributor in ischemic stroke care for older Americans, a new study shows treatment and other line items account for bigger slices of the bill.

November 8, 2022
Ischemic stroke shown in CT scans. Image courtesy of RSNA

VIDEO: AI for stroke detection on CT imaging

Bibb Allen, MD, FACR, chief medical officer of the American College of Radiology (ACR) Data Science Institute, explains the trend of using AI for the automated detection of stroke on computed tomography (CT) imaging and the need to include radiologists on the stroke care team.

August 30, 2022
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70% of ‘mini-stroke’ patients imaged incompletely, risking full-on stroke

Emergency patients diagnosed with transient ischemic attack are supposed to receive, per multiple society guidelines, a complete imaging workup as soon as possible—preferably within 48 hours of ED discharge.

June 22, 2022
Ischemic stroke CT scan showing color coded blood flow for early and later arterial and venous contrast phases and areas of blocked blood flow. Image courtesy of RSNA

Disparities evident as CT stroke imaging rises sharply over 7-year period

Utilization of head CT perfusion (CTP) for imaging stroke patients spiked 428% between 2012 and 2019. Curiously, the uptrend was associated with higher mortality up to a year after discharge.

April 25, 2022
Stroke - head with text

FDA warns providers about potential misuse of imaging-based software for stroke triage

Physicians may not be aware of such devices' intended use, with potential for misdiagnosis resulting in patient injury or death, the agency announced. 

April 12, 2022
Stroke - head with text

Stroke thrombectomy outcomes similar between radiologists, fellowship-trained neurointerventionalists

Increased volume has led to stress among endovascular stroke physicians, with some hospitals relying on interventional rads to relieve the strain. 

February 10, 2022
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Mobile stroke units improve patient outcomes, reduce risk of disability

Researchers tracked data from more than 1,000 patients who received care from 2014 to 2020. 

March 19, 2021

Around the web

"This was an unneeded burden, which was solely adding to the administrative hassles of medicine," said American Society of Nuclear Cardiology President Larry Phillips.

SCAI and four other major healthcare organizations signed a joint letter in support of intravascular ultrasound. 

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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