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Priorities for Advancements in Neuroimaging in the Diagnostic Workup of Acute Stroke
Journal article   Open access   Peer reviewed

Priorities for Advancements in Neuroimaging in the Diagnostic Workup of Acute Stroke

Edgar A. Samaniego, Johannes Boltze, Patrick D. Lyden, Michael D. Hill, Bruce C.V. Campbell, Gisele Sampaio Silva, Kevin N. Sheth, Marc Fisher, Argye E. Hillis, Thanh N. Nguyen, …
Stroke (1970), Vol.54(12), pp.3190-3201
12/01/2023
DOI: 10.1161/STROKEAHA.123.044985
PMCID: PMC10841844
PMID: 37942645
url
https://doi.org/10.1161/STROKEAHA.123.044985View
Published (Version of record) Open Access

Abstract

STAIR XII (12th Stroke Treatment Academy Industry Roundtable) included a workshop to discuss the priorities for advancements in neuroimaging in the diagnostic workup of acute ischemic stroke. The workshop brought together representatives from academia, industry, and government. The participants identified 10 critical areas of priority for the advancement of acute stroke imaging. These include enhancing imaging capabilities at primary and comprehensive stroke centers, refining the analysis and characterization of clots, establishing imaging criteria that can predict the response to reperfusion, optimizing the Thrombolysis in Cerebral Infarction scale, predicting first-pass reperfusion outcomes, improving imaging techniques post-reperfusion therapy, detecting early ischemia on noncontrast computed tomography, enhancing cone beam computed tomography, advancing mobile stroke units, and leveraging high-resolution vessel wall imaging to gain deeper insights into pathology. Imaging in acute ischemic stroke treatment has advanced significantly, but important challenges remain that need to be addressed. A combined effort from academic investigators, industry, and regulators is needed to improve imaging technologies and, ultimately, patient outcomes.

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