CT and MRI-based door-needle-times for acute stroke patients a quasi-randomized clinical trial

Christine Krarup Hansen; Anders Christensen; Helen Rodgers; Inger Havsteen; Christina Kruuse; Janus Nybing; Mari-Anne Kaasbøl; Hanne Christensen

doi:10.1016/j.clineuro.2017.05.011

CT and MRI-based door-needle-times for acute stroke patients a quasi-randomized clinical trial

Clin Neurol Neurosurg. 2017 Aug:159:42-49. doi: 10.1016/j.clineuro.2017.05.011. Epub 2017 May 10.

Authors

Christine Krarup Hansen¹, Anders Christensen², Helen Rodgers³, Inger Havsteen², Christina Kruuse⁴, Janus Nybing², Mari-Anne Kaasbøl², Hanne Christensen⁵

Affiliations

¹ Department of Neurology, Bispebjerg Frederiksberg Hospital, University of Copenhagen, Denmark. Electronic address: christinekraruphansen@gmail.dk.
² Department of Radiology, Bispebjerg Frederiksberg Hospital, University of Copenhagen, Denmark.
³ Stroke Research Group, Institute of Neuroscience, Newcastle University, Newcastle, United Kingdom.
⁴ Department of Neurology, Neurovascular Research Unit, Herlev Gentofte Hospital, University of Copenhagen, Denmark.
⁵ Department of Neurology, Bispebjerg Frederiksberg Hospital, University of Copenhagen, Denmark.

PMID: 28531828
DOI: 10.1016/j.clineuro.2017.05.011

Abstract

Door-Needle-times (DNT) of 20min are feasible when Computer Tomography (CT) is used for first-line brain-imaging to assess stroke-patients' eligibility for intravenous-tissue-Plasminogen-Activator (iv-tPA), but the more time-consuming Magnetic Resonance Imaging (MRI)-based-evaluation is superior in detecting acute ischaemia.

Publication types

Randomized Controlled Trial

MeSH terms

Aged
Female
Humans
Magnetic Resonance Imaging / methods*
Magnetic Resonance Imaging / standards
Male
Needles
Stroke / diagnostic imaging*
Stroke / therapy*
Thrombolytic Therapy / methods*
Thrombolytic Therapy / standards
Time-to-Treatment* / standards
Tomography, X-Ray Computed / methods*
Tomography, X-Ray Computed / standards