ArticleTherapeutic advances in neurological disorders2021
MRI as a first-line imaging modality in acute ischemic stroke: a sustainable concept.
Article in Therapeutic advances in neurological disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 18 citations in OpenAlex.
- Article
- Motion artifacts and image quality in stroke MRI: associated factors and impact on AI and human diagnostic accuracy.European radiology · 2026Article
- Prevalence of Stroke and Diagnostic Performance of Emergency MRI in Acute Isolated Dizziness.Annals of clinical and translational neurology · 2025Article
- Article
- Volumetry as a Criterion for Suboccipital Craniectomy after Cerebellar Infarction.Journal of clinical medicine · 2024Article
- Article
- Patient flow analysis with fast-track MRI for suspected stroke in the emergency department and associated non-comprehensive stroke center.Therapeutic advances in neurological disorders · 2024Article
- The essential role of neuroimaging in diagnosing and managing cerebrovascular disease in Africa: a review.Annals of medicine · 2023Review
- A Prospective Validation Study of the Functional Bedside Aspiration Screen with Endoscopy: Is It Clinically Applicable in Acute Stroke?Journal of clinical medicine · 2022Article
- Magnetic Resonance Imaging in Acute Ischemic Stroke.Cureus · 2022Review
- Andexanet Alfa for Reversal of Factor Xa Inhibitors in Intracranial Hemorrhage: Observational Cohort Study.Journal of clinical medicine · 2022Article
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Authors and funding
6 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundComputed tomography (CT) scans are the first-line imaging technique in acute stroke patients based on the argument of rapid feasibility. Using magnetic resonance imaging (MRI) as the first-line imaging technique is the exception to the rule, although it provides much more diagnostic information and avoids exposure to radiation. We evaluated whether an MRI-based acute stroke concept is fast, suitable, and useful to improve recanalization rates and patient outcomes.
methodsWe performed a retrospective observational cohort study comparing patients treated at a comprehensive stroke center (Ulm/Germany) applying an MRI-based acute stroke concept with patients recorded in a large comprehensive stroke registry in Baden-Württemberg (Germany). We analyzed the quality indicators of acute stroke treatment, patient's outcome, and the rate of transient ischemic attack (TIA) at discharge.
resultsA total of 2182 patients from Ulm and 82,760 patients from the Baden-Württemberg (BW) stroke registry (including 29,575 patients of comprehensive stroke centers (BWc)) were included. Intravenous thrombolysis rate was higher in Ulm than in BW or the BWc stroke centers (Ulm 27.4%
conclusionsThe MRI-based acute stroke concept is suitable, fast and seems to be beneficial. The time-dependent quality indicators were better both in comparison to all stroke units and to the comprehensive stroke units in the area. Based on the MRI concept, high rates of recanalization procedures and fewer TIA diagnoses could be observed. In addition, there was a clear trend towards an improved clinical outcome. A clinical trial comparing the effects of CT and MRI as the primary imaging technique in otherwise identical stroke unit settings is warranted.
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