Transcranial Doppler versus CT angiography: a comparative analysis for the diagnosis of ischaemic cerebrovascular disease

Yang, R.; Wang, M.; Dong, Qiang; Zhou, Xiaoshuang

doi:10.1016/j.crad.2022.12.014

Cited by 2 publications

(1 citation statement)

References 22 publications

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“…Due to its small size, comparably low prize, easy portability and the possibility of repeated measurements, TCD has already been investigated prehospitally for the use of prehospital LVO detection (for further review see [58,59]). Even though studies continue to underscore the excellent diagnostic metrics of non-contrast TCD [60] and new sonographic biomarkers are being evaluated [61], prehospital validation is largely missing and could be challenging to achieve, as performing and interpreting a TCD measurement reliably and swiftly in a prehospital emergency setting requires a correspondingly high level of examiner expertise. On the other hand, efforts made in automated and contrast-enhanced ultrasound examinations, show promising results.…”

Section: New Technologiesmentioning

confidence: 99%

Pre-Hospital Stroke Care beyond the MSU

Röhrs,

Audebert

2024

Curr Neurol Neurosci Rep

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Purpose of review Mobile stroke units (MSU) have established a new, evidence-based treatment in prehospital stroke care, endorsed by current international guidelines and can facilitate pre-hospital research efforts. In addition, other novel pre-hospital modalities beyond the MSU are emerging. In this review, we will summarize existing evidence and outline future trajectories of prehospital stroke care & research on and off MSUs. Recent findings The proof of MSUs' positive effect on patient outcomes is leading to their increased adoption in emergency medical services of many countries. Nevertheless, prehospital stroke care worldwide largely consists of regular ambulances. Advancements in portable technology for detecting neurocardiovascular diseases, telemedicine, AI and large-scale ultra-early biobanking have the potential to transform prehospital stroke care also beyond the MSU concept. Summary The increasing implementation of telemedicine in emergency medical services is demonstrating beneficial effects in the pre-hospital setting. In synergy with telemedicine the exponential growth of AI-technology is already changing and will likely further transform pre-hospital stroke care in the future. Other promising areas include the development and validation of miniaturized portable devices for the pre-hospital detection of acute stroke. MSUs are enabling large-scale screening for ultra-early blood-based biomarkers, facilitating the differentiation between ischemia, hemorrhage, and stroke mimics. The development of suitable point-of-care tests for such biomarkers holds the potential to advance pre-hospital stroke care outside the MSU-concept. A multimodal approach of AI-supported telemedicine, portable devices and blood-based biomarkers appears to be an increasingly realistic scenario for improving prehospital stroke care in regular ambulances in the future.

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Section: New Technologiesmentioning

confidence: 99%

Pre-Hospital Stroke Care beyond the MSU

Röhrs,

Audebert

2024

Curr Neurol Neurosci Rep

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Modern Prehospital Screening Technology for Emergent Neurovascular Disorders

Guo

Dye

2023

Advanced Biology

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Stroke is a serious neurological disease and a significant contributor to disability worldwide. Traditional in‐hospital imaging techniques such as computed tomography (CT) and magnetic resonance imaging (MRI) remain the standard modalities for diagnosing stroke. The development of prehospital stroke detection devices may facilitate earlier diagnosis, initiation of stroke care, and ultimately better patient outcomes. In this review, the authors summarize the features of eight stroke detection devices using noninvasive brain scanning technology. The review summarizes the features of stroke detection devices including portable CT, MRI, transcranial Doppler ultrasound , microwave tomographic imaging, electroencephalography, near‐infrared spectroscopy, volumetric impedance phaseshift spectroscopy, and cranial accelerometry. The technologies utilized, the indications for application, the environments indicated for application, the physical features of the eight stroke detection devices, and current commercial products are discussed. As technology advances, multiple portable stroke detection instruments exhibit the promising potential to expedite the diagnosis of stroke and enhance the time taken for treatment, ultimately aiding in prehospital stroke triage.

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Transcranial Doppler versus CT angiography: a comparative analysis for the diagnosis of ischaemic cerebrovascular disease

Cited by 2 publications

References 22 publications

Pre-Hospital Stroke Care beyond the MSU

Pre-Hospital Stroke Care beyond the MSU

Modern Prehospital Screening Technology for Emergent Neurovascular Disorders

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