ArticleStroke2024
Moving From CT to MRI Paradigm in Acute Ischemic Stroke: Feasibility, Effects on Stroke Diagnosis and Long-Term Outcomes.
Article in Stroke, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 22 citations in OpenAlex.
- Accelerating Stroke MRI With Diffusion Probabilistic Models Through Large-Scale Pre-Training and Target-Specific Fine-Tuning.Magnetic resonance in medicine · 2026Article
- Cultural bias in large language models' ability to follow neuroradiology guidelines.European radiology · 2026Article
- Stroke-related ipsilateral haemiparesis: a single-centre case series and literature review.European stroke journal · 2026Review
- Adaptive multimodal fusion via Gated Parallel Mamba architecture for ultra-high-precision stroke lesion segmentation in medical imaging.PLOS digital health · 2026Article
- Functional Stroke Mimics: Patient Characteristics, CT-Based Multimodal Imaging and Long-Term Outcome in a Comparative Cohort Study.European journal of neurology · 2026Article
- Primary and Secondary Prevention of Ischemic Stroke in Elderly Patients with Cardiovascular Disease: The Role of Frailty and Care Pathways.Neurology international · 2026Review
- Limitations and Blind Spots of Diffusion-Weighted Imaging in the Evaluation of Acute Brain Ischemia: A Narrative Review.Journal of clinical medicine · 2026Review
- Reducing Door-to-Puncture Time with a Streamlined MRI-First Workflow for Endovascular Thrombectomy.Journal of neuroendovascular therapy · 2026Article
- Workload and diagnostic yield of acute neuroradiology scans during on-call hours: past 15-year trends at a European tertiary care center.European radiology · 2026Article
- The comparison of MRI and CT protocol examination times for mechanical thrombectomy in acute ischemic stroke.Radiological physics and technology · 2025Article
- Prevalence of Stroke and Diagnostic Performance of Emergency MRI in Acute Isolated Dizziness.Annals of clinical and translational neurology · 2025Article
- Low-field and portable MRI technology: advancements and innovations.European radiology experimental · 2025Review
- Moving From CT-First to MRI-First Paradigm in Acute Ischemic Stroke: Treatment Rates, Time Metrics, Safety, and Outcomes.Journal of stroke · 2025Article
- Thrombus perviousness in acute ischemic stroke: a scoping review of methodology, predictive value, and future perspectives.Neuroradiology · 2025Article
- Article
- Delayed treatment of severe stroke: room for thrombectomy?European heart journal supplements : journal of the European Society of Cardiology · 2025Article
- The Necessity of Using MRI as an Imaging Modality in Acute Code Stroke in Indonesia.Vascular health and risk management · 2025Article
- Application Value of Intelligent Quick Magnetic Resonance for Accelerating Brain MR Scanning and Improving Image Quality in Acute Ischemic StrokeCurrent medical imaging · 2025Article
- Effectiveness of computed tomography perfusion imaging in stroke management.Frontiers in neurology · 2024Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe relative value of computed tomography (CT) and magnetic resonance imaging (MRI) in acute ischemic stroke (AIS) is debated. In May 2018, our center transitioned from using CT to MRI as first-line imaging for AIS. This retrospective study aims to assess the effects of this paradigm change on diagnosis and disability outcomes.
methodsWe compared all consecutive patients with confirmed diagnosis of AIS admitted to our center during the MRI-period (May 2018-August 2022) and an identical number of patients from the preceding CT-period (December 2012-April 2018). Univariable and multivariable analyses were performed to evaluate outcomes, including the number and delay of imaging exams, the rate of missed strokes, stroke mimics treated with thrombolysis, undetermined stroke mechanisms, length of hospitalization, and 3-month disability.
resultsThe median age of the 2972 included patients was 76 years (interquartile range, 65-84), and 46% were female. In the MRI-period, 80% underwent MRI as first acute imaging. The proportion of patients requiring a second acute imaging modality for diagnostic ± revascularization reasons increased from 2.1% to 5% (
conclusionsA paradigm shift from CT to MRI as first-line imaging for AIS seems feasible in a comprehensive stroke center, with a minimally increased delay to imaging in thrombolysis candidates. MRI was associated with reduced thrombolysis rates of stroke mimics and subacute neuroimaging needs.
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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.