Role of MRI in the Early Diagnosis and Management of Acute Stroke and Its Impact on Turnaround Time in Emergency Settings

Tanta University

Status

Enrolling

Conditions

Emergency Settings

Diagnosis

Acute Stroke

Turnaround Time

Management

Magnetic Resonance Imaging

Treatments

Device: Magnetic Resonance Imaging

Study type

Observational

Funder types

Other

Identifiers

NCT07138768

36264PR1258/6/25

Details and patient eligibility

About

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.

Full description

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.

Enrollment

136 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Age ≥18 years.
Both sexes.
Patients with acute stroke who are admitted to the emergency department.

Exclusion criteria

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.