Evidence map›Paper›PMID 30705072›Full record

ArticleAJNR. American journal of neuroradiology2019

Imaging of Patients with Suspected Large-Vessel Occlusion at Primary Stroke Centers: Available Modalities and a Suggested Approach.

M A Almekhlafi, W G Kunz, B K Menon, R A McTaggart, M V Jayaraman, B W Baxter, D Heck, D Frei, C P Derdeyn, T Takagi and 5 more

Abstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Diagnosis of Ischemic Stroke: As Simple as Possible.Diagnostics (Basel, Switzerland) · 2022
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. AJNR. American journal of neuroradiology · 2020
    Article
  17. Article
  18. Article
  19. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

M A AlmekhlafiFrom the Departments of Radiology and Clinical Neurosciences (M.A.A., B.K.M., M.D.H., A.M.D., M.G.), University of Calgary, Calgary, Alberta, Canada.ORCID 0000-0001-9550-8197
W G KunzDepartment of Radiology (W.G.K.), University Hospital, Ludwig Maximilian University of Munich, Munich, Germany.ORCID 0000-0002-5021-1952
B K MenonFrom the Departments of Radiology and Clinical Neurosciences (M.A.A., B.K.M., M.D.H., A.M.D., M.G.), University of Calgary, Calgary, Alberta, Canada.ORCID 0000-0002-3466-496X
R A McTaggartDepartments of Neurology, Diagnostic Imaging, and Neurosurgery (R.A.M., M.V.J.), Warren Alpert Medical School of Brown University, Providence, Rhode Island.ORCID 0000-0001-5853-5161
M V JayaramanDepartments of Neurology, Diagnostic Imaging, and Neurosurgery (R.A.M., M.V.J.), Warren Alpert Medical School of Brown University, Providence, Rhode Island.ORCID 0000-0002-4588-5135
B W BaxterDepartment of Radiology (B.W.B.), Erlanger Medical Center, Chattanooga, Tennessee.ORCID 0000-0002-3403-428X
D HeckDepartment of Radiology (D.H.), Forsyth Medical Center, Winston Salem, North Carolina.ORCID 0000-0002-9287-1991
D FreiSwedish Medical Center (D.F.), Denver, Colorado.ORCID 0000-0003-2630-0848
C P DerdeynDepartment of Radiology (C.P.D.), University of Iowa Hospitals and Clinics, Iowa City, Iowa.ORCID 0000-0002-5932-2683
T TakagiDepartment of Neurosurgery (T.T.), Hyogo College of Medicine, Nishinomiya, Hyögo, Japan.ORCID 0000-0002-6375-9941
A H AamodtDepartment of Neurology (A.H.A.), Oslo University Hospital, Oslo, Norway.ORCID 0000-0002-2824-2760
I M R FragataDepartment of Neuroradiology (I.M.R.F.), Centro Hospitalar Lisboa Central, Lisbon, Portugal.ORCID 0000-0002-7037-7458
M D HillFrom the Departments of Radiology and Clinical Neurosciences (M.A.A., B.K.M., M.D.H., A.M.D., M.G.), University of Calgary, Calgary, Alberta, Canada.ORCID 0000-0002-6269-1543
A M DemchukFrom the Departments of Radiology and Clinical Neurosciences (M.A.A., B.K.M., M.D.H., A.M.D., M.G.), University of Calgary, Calgary, Alberta, Canada.ORCID 0000-0002-4930-7789
M GoyalFrom the Departments of Radiology and Clinical Neurosciences (M.A.A., B.K.M., M.D.H., A.M.D., M.G.), University of Calgary, Calgary, Alberta, Canada mgoyal@ucalgary.ca.ORCID 0000-0001-9060-2109

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The overwhelming benefit of endovascular therapy in patients with large-vessel occlusions suggests that more patients will be screened than treated. Some of those patients will be evaluated first at primary stroke centers; this type of evaluation calls for standardizing the imaging approach to minimize delays in assessing, transferring, and treating these patients. Here, we propose that CT angiography (performed at the same time as head CT) should be the minimum imaging approach for all patients with stroke with suspected large-vessel occlusion presenting to primary stroke centers. We discuss some of the implications of this approach and how to facilitate them.

Indexed as

Hospital UnitsAgedComputed Tomography AngiographyEndovascular ProceduresFemaleHumansMaleMiddle AgedNeuroimagingPatient TransferStrokeTime-to-TreatmentTomography, X-Ray ComputedWorkflow

Identifiers

PMID30705072
PMCPMC7028672

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.