The Role of MRI in the Early Diagnosis and Management of Acute Stroke and Its Impact on Turnaround Time (TAT) in Emergency Settings
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 136
- 试验地点
- 1
- 主要终点
- Sensitivity of magnetic resonance imaging for acute stroke
研究概览
简要总结
This study aims to evaluate the role of stroke protocol in the early diagnosis and management of acute stroke and its effect on turnaround time (TAT) in emergency settings.
详细描述
Acute stroke is a common and often devastating disorder; however, acute treatments that reduce long-term disability are available if patients present within the time window for treatment.
Computed tomography (CT) or magnetic resonance imaging (MRI) has been used in comprehensive stroke centers, although the role of advanced imaging in the improvement of stroke outcome remains controversial.
MRI offers advantages for the assessment of acute stroke. Changes of acute ischaemic injury are detectable sooner with MRI than with CT, especially with diffusion-weighted imaging, and ischaemic stroke diagnosis with MRI has greater interobserver and intraobserver reliability than CT, even in readers with little experience.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age ≥18 years.
- •Both sexes.
- •Patients with acute stroke who are admitted to the emergency department.
排除标准
- •Contraindications to magnetic resonance imaging (MRI) or computed tomography (CT).
- •Symptoms strongly suggestive of subarachnoid hemorrhage.
- •Initiation of antithrombotic or thrombolytic treatment before the completion of both scans.
- •Inability to complete both scans in time to allow thrombolytic treatment within three h of the onset of symptoms.
- •Uncontrollable hypertension.
- •Pregnant or lactating women.
结局指标
主要结局
Sensitivity of magnetic resonance imaging for acute stroke
时间窗: Immediately post-procedure (Up to 1 hour)
Sensitivity of magnetic resonance imaging for acute stroke will be recorded.
次要结局
未报告次要终点
研究者
Hend Mohammed Mansour
Lecturer of Emergency Medicine and Trauma, Faculty of Medicine, Tanta University, Tanta, Egypt.
Tanta University