Evidence map›Paper›PMID 41289216›Full record

ArticleCerebrovascular diseases (Basel, Switzerland)2026

Marine Mobile Stroke Unit: A Pilot Study on the Feasibility and Quality of Brain Imaging.

Yongchai Nilanont, Gustavo Saposnik, Pongsathorn Ampornjarut, Ronnachai Sirovetnukul, Pipat Chiewvit, Chanon Ngamsombat, Jutakarn Choterattanasiri, Jirapong Vongsfak, Saowalak Hunnangkul, Kanokkarn Wongmayurachat and 4 more

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Article in Cerebrovascular diseases (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Yongchai NilanontDivision of Neurology, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand, yongchai.nil@mahidol.ac.th.
Gustavo SaposnikSiriraj Stroke Center, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Pongsathorn AmpornjarutDivision of Neurology, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Ronnachai SirovetnukulDepartment of Industrial Engineering, Faculty of Engineering, Mahidol University, Nakhon Prathom, Thailand.
Pipat ChiewvitDepartment of Radiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Chanon NgamsombatDepartment of Radiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Jutakarn ChoterattanasiriSiriraj Stroke Center, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Jirapong VongsfakDepartment of Radiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Saowalak HunnangkulDepartment of Research and Development, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Kanokkarn WongmayurachatSiriraj Stroke Center, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Pornchai ChanyagornDepartment of Electrical Engineer, Faculty of Engineering, Mahidol University, Nakhon Prathom, Thailand.
Bundid KungwannarongkunDepartment of Electrical Engineer, Faculty of Engineering, Mahidol University, Nakhon Prathom, Thailand.
Chadchai SrisurangkulNational Metals and Materials Technology Center, National Science and Technology Development Agency, Khlong Nueng, Thailand.
Setthaluth PangkreungNational Metals and Materials Technology Center, National Science and Technology Development Agency, Khlong Nueng, Thailand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

<p>Introduction: Timely early reperfusion therapies improve stroke outcomes, but geographic barriers often limit patient access to these essential treatments. Innovative care models emerged as potential solutions to overcome these accessibility constraints. We introduce a new paradigm in stroke care: the marine mobile stroke units (MSUs).

methodsThis is a prospective study to evaluate the feasibility, image quality, and inter-rater reliability of images produced by portable brain computerized tomography (CT) scanner on a catamaran while exposed to winds, waves, and tides. We performed non-contrast brain portable CT scanning in healthy volunteers hourly, while the catamaran was docked on the river over 7 consecutive days. Six raters (3 neurologists and 3 radiologists) evaluated brain imaging. Twenty-three anatomical regions were assessed and categorized as ganglionic, supra-ganglionic, and posterior fossa. A quality imaging score ranges from 0 (lowest quality) to 5 (highest quality), with scores of 4 or 5 considered adequate image quality. We used Gwet's AC1 to assess inter-rater agreement. Radiation dose, safety data, and axis rotation data from catamaran were also collected.

resultsOf the 168 recruited participants, all completed the study. There were 3,864 anatomical locations included in the analysis. Adequate image quality was demonstrated in 94.9%, 93.0%, and 45.7% of anatomical items at the ganglionic, supra-ganglionic, and posterior fossa regions. Inter-rater agreement was substantial at the ganglionic level (Gwet's AC1 0.62, 95% CI: 0.54-0.70) and the supra-ganglionic level (Gwet's AC1 0.80, 95% CI: 0.74-0.85). The agreement at the posterior fossa level was fair (Gwet's AC1 0.21, 95% CI: 0.13-0.29). No adverse events occurred throughout the duration of the study.

conclusionsOur study shows the feasibility and safety of a portable brain CT on a catamaran under real-world marine conditions. Our findings pave the way for testing the role of marine MSU for acute stroke management. </p>.

Indexed as

BrainMobile Health UnitsStrokeTomography, X-Ray ComputedAdultFeasibility StudiesFemaleHumansMaleObserver VariationPilot ProjectsPortable X-RayPredictive Value of TestsProspective StudiesRadiation DosageRadiation ExposureFeasibility of computerized tomography scan in marine mobile stroke unitMarine mobile stroke unitQuality of computerized tomography scan in marine mobile stroke unit

Identifiers

PMID41289216
PMCPMC13270195

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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.