ArticleJournal of neuroimaging : official journal of the American Society of Neuroimaging2018
Interpretation of Brain CT Scans in the Field by Critical Care Physicians in a Mobile Stroke Unit.
Article in Journal of neuroimaging : official journal of the American Society of Neuroimaging, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 29 citations in OpenAlex.
- Rural Computed Tomography - a model for access to rapid stroke care in sparsely populated areas?BMC health services research · 2026Article
- Emergency medical services providers' perspectives on the use of artificial intelligence in prehospital identification of stroke- a qualitative study in Norway and Sweden.BMC emergency medicine · 2025Article
- Telephone triage and dispatch of ambulances to patients with suspected and verified acute stroke - a descriptive study.BMC emergency medicine · 2024Article
- Article
- Mobile Stroke Units: Current Evidence and Impact.Current neurology and neuroscience reports · 2022Review
- Diagnostic Accuracy of Glial Fibrillary Acidic Protein and Ubiquitin Carboxy-Terminal Hydrolase-L1 Serum Concentrations for Differentiating Acute Intracerebral Hemorrhage from Ischemic Stroke.Neurocritical care · 2020Article
- Template for documenting and reporting data in physician-staffed pre-hospital services: a consensus-based update.Scandinavian journal of trauma, resuscitation and emergency medicine · 2020Article
- Translating genomic testing results for pediatric critical care: Opportunities for genetic counselors.Journal of genetic counseling · 2020Article
- Impact of mobile radiography services in nursing homes on the utilisation of diagnostic imaging procedures.BMC health services research · 2019Article
- Pre-hospital thrombolysis of ischemic stroke in the emergency service system-A case report from the Treat-NASPP trial.Acta anaesthesiologica Scandinavica · 2019Article
- Improving Prehospital Stroke Services in Rural and Underserved Settings With Mobile Stroke Units.Frontiers in neurology · 2019Review
- Anticipating uncertainty and irrevocable decisions: provider perspectives on implementing whole-genome sequencing in critically ill children with heart disease.Genetics in medicine : official journal of the American College of Medical Genetics · 2018Article
Corrections and comments
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Authors and funding
11 authors at 4 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeIn acute stroke, thromboembolism or spontaneous hemorrhage abruptly reduces blood flow to a part of the brain. To limit necrosis, rapid radiological identification of the pathological mechanism must be conducted to allow the initiation of targeted treatment. The aim of the Norwegian Acute Stroke Prehospital Project is to determine if anesthesiologists, trained in prehospital critical care, may accurately assess cerebral computed tomography (CT) scans in a mobile stroke unit (MSU).
methodsIn this pilot study, 13 anesthesiologists assessed unselected acute stroke patients with a cerebral CT scan in an MSU. The scans were simultaneously available by teleradiology at the receiving hospital and the on-call radiologist. CT scan interpretation was focused on the radiological diagnosis of acute stroke and contraindications for thrombolysis. The aim of this study was to find inter-rater agreement between the pre- and in-hospital radiological assessments. A neuroradiologist evaluated all CT scans retrospectively. Statistical analysis of inter-rater agreement was analyzed with Cohen's kappa.
resultsFifty-one cerebral CT scans from the MSU were included. Inter-rater agreement between prehospital anesthesiologists and the in-hospital on-call radiologists was excellent in finding radiological selection for thrombolysis (kappa .87). Prehospital CT scans were conducted in median 10 minutes (7 and 14 minutes) in the MSU, and median 39 minutes (31 and 48 minutes) before arrival at the receiving hospital.
conclusionThis pilot study shows that anesthesiologists trained in prehospital critical care may effectively assess cerebral CT scans in an MSU, and determine if there are radiological contraindications for thrombolysis.
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