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Identification of imaging selection patterns in acute ischemic stroke patients and the influence on treatment and clinical trial enrollment decision making.

Identifieur interne : 002244 ( PubMed/Corpus ); précédent : 002243; suivant : 002245

Identification of imaging selection patterns in acute ischemic stroke patients and the influence on treatment and clinical trial enrollment decision making.

Auteurs : Marie Luby ; Steven J. Warach ; Gregory W. Albers ; Jean-Claude Baron ; Christophe Cognard ; Antoni Dávalos ; Geoffrey A. Donnan ; Jochen B. Fiebach ; Jens Fiehler ; Werner Hacke ; Maarten G. Lansberg ; David S. Liebeskind ; Heinrich P. Mattle ; Catherine Oppenheim ; Peter D. Schellinger ; Joanna M. Wardlaw ; Max Wintermark

Source :

RBID : pubmed:26783309

English descriptors

Abstract

For the STroke Imaging Research (STIR) and VISTA-Imaging Investigators The purpose of this study was to collect precise information on the typical imaging decisions given specific clinical acute stroke scenarios. Stroke centers worldwide were surveyed regarding typical imaging used to work up representative acute stroke patients, make treatment decisions, and willingness to enroll in clinical trials.

DOI: 10.1177/1747493015616634
PubMed: 26783309

Links to Exploration step

pubmed:26783309

Le document en format XML

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<name sortKey="Oppenheim, Catherine" sort="Oppenheim, Catherine" uniqKey="Oppenheim C" first="Catherine" last="Oppenheim">Catherine Oppenheim</name>
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<term>Stroke (therapy)</term>
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<div type="abstract" xml:lang="en">For the STroke Imaging Research (STIR) and VISTA-Imaging Investigators The purpose of this study was to collect precise information on the typical imaging decisions given specific clinical acute stroke scenarios. Stroke centers worldwide were surveyed regarding typical imaging used to work up representative acute stroke patients, make treatment decisions, and willingness to enroll in clinical trials.</div>
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<DateCreated>
<Year>2016</Year>
<Month>01</Month>
<Day>19</Day>
</DateCreated>
<DateCompleted>
<Year>2017</Year>
<Month>05</Month>
<Day>03</Day>
</DateCompleted>
<DateRevised>
<Year>2017</Year>
<Month>05</Month>
<Day>03</Day>
</DateRevised>
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<ISSN IssnType="Electronic">1747-4949</ISSN>
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<Volume>11</Volume>
<Issue>2</Issue>
<PubDate>
<Year>2016</Year>
<Month>Feb</Month>
</PubDate>
</JournalIssue>
<Title>International journal of stroke : official journal of the International Stroke Society</Title>
<ISOAbbreviation>Int J Stroke</ISOAbbreviation>
</Journal>
<ArticleTitle>Identification of imaging selection patterns in acute ischemic stroke patients and the influence on treatment and clinical trial enrollment decision making.</ArticleTitle>
<Pagination>
<MedlinePgn>180-90</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1177/1747493015616634</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND AND PURPOSE" NlmCategory="OBJECTIVE">For the STroke Imaging Research (STIR) and VISTA-Imaging Investigators The purpose of this study was to collect precise information on the typical imaging decisions given specific clinical acute stroke scenarios. Stroke centers worldwide were surveyed regarding typical imaging used to work up representative acute stroke patients, make treatment decisions, and willingness to enroll in clinical trials.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">STroke Imaging Research and Virtual International Stroke Trials Archive-Imaging circulated an online survey of clinical case vignettes through its website, the websites of national professional societies from multiple countries as well as through email distribution lists from STroke Imaging Research and participating societies. Survey responders were asked to select the typical imaging work-up for each clinical vignette presented. Actual images were not presented to the survey responders. Instead, the survey then displayed several types of imaging findings offered by the imaging strategy, and the responders selected the appropriate therapy and whether to enroll into a clinical trial considering time from onset, clinical presentation, and imaging findings. A follow-up survey focusing on 6 h from onset was conducted after the release of the positive endovascular trials.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">We received 548 responses from 35 countries including 282 individual centers; 78% of the centers originating from Australia, Brazil, France, Germany, Spain, United Kingdom, and United States. The specific onset windows presented influenced the type of imaging work-up selected more than the clinical scenario. Magnetic Resonance Imaging usage (27-28%) was substantial, in particular for wake-up stroke. Following the release of the positive trials, selection of perfusion imaging significantly increased for imaging strategy.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Usage of vascular or perfusion imaging by Computed Tomography or Magnetic Resonance Imaging beyond just parenchymal imaging was the primary work-up (62-87%) across all clinical vignettes and time windows. Perfusion imaging with Computed Tomography or Magnetic Resonance Imaging was associated with increased probability of enrollment into clinical trials for 0-3 h. Following the release of the positive endovascular trials, selection of endovascular only treatment for 6 h increased across all clinical vignettes.</AbstractText>
<CopyrightInformation>© 2016 World Stroke Organization.</CopyrightInformation>
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<LastName>Luby</LastName>
<ForeName>Marie</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>National Institute of Neurological Disorders and Stroke (NINDS), National Institutes of Health (NIH), Bethesda, MD, USA Department of Neurology and Neurotherapeutics, Seton/UT Southwestern Clinical Research Institute of Austin, UT Southwestern Medical Center, Austin, TX, USA lubym@ninds.nih.gov.</Affiliation>
</AffiliationInfo>
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<Affiliation>Dell Medical School, University of Texas Austin, Austin, TX, USA.</Affiliation>
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<LastName>Baron</LastName>
<ForeName>Jean-Claude</ForeName>
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<Affiliation>INSERM U894, Centre Hospitalier Sainte-Anne, Sorbonne Paris Cité, Paris, France Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK.</Affiliation>
</AffiliationInfo>
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<ForeName>Christophe</ForeName>
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</AffiliationInfo>
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<ForeName>Antoni</ForeName>
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<Affiliation>Hospital Universitari Germans Trias I Pujol, Badalona, Spain.</Affiliation>
</AffiliationInfo>
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<LastName>Donnan</LastName>
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</AffiliationInfo>
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<ForeName>Jochen B</ForeName>
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<Affiliation>Academic Neuroradiology, Center for Stroke Research Berlin, Charité - Universitätsmedizin Berlin, Berlin, Germany.</Affiliation>
</AffiliationInfo>
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<LastName>Fiehler</LastName>
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<Initials>J</Initials>
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<Affiliation>University Medical Center Hamburg-Eppendorf, Hamburg, Germany.</Affiliation>
</AffiliationInfo>
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<LastName>Hacke</LastName>
<ForeName>Werner</ForeName>
<Initials>W</Initials>
<AffiliationInfo>
<Affiliation>Department of Neurology, University of Heidelberg, Heidelberg, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Lansberg</LastName>
<ForeName>Maarten G</ForeName>
<Initials>MG</Initials>
<AffiliationInfo>
<Affiliation>Stanford University School of Medicine, Stanford, CA, USA.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Liebeskind</LastName>
<ForeName>David S</ForeName>
<Initials>DS</Initials>
<AffiliationInfo>
<Affiliation>UCLA Stroke Center, Los Angeles, CA, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Mattle</LastName>
<ForeName>Heinrich P</ForeName>
<Initials>HP</Initials>
<AffiliationInfo>
<Affiliation>Inselspital, University of Bern, Bern, Switzerland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Oppenheim</LastName>
<ForeName>Catherine</ForeName>
<Initials>C</Initials>
<AffiliationInfo>
<Affiliation>Université Paris-Descartes, Sorbonne Paris Cité, Hôpital Sainte-Anne, INSERM U 894, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Schellinger</LastName>
<ForeName>Peter D</ForeName>
<Initials>PD</Initials>
<AffiliationInfo>
<Affiliation>Johannes Wesling Medical Center Minden, Minden, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Wardlaw</LastName>
<ForeName>Joanna M</ForeName>
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<AffiliationInfo>
<Affiliation>Division of Neuroimaging Sciences, Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y">
<LastName>Wintermark</LastName>
<ForeName>Max</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>Stanford University School of Medicine, Stanford, CA, USA Department of Radiology, Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland.</Affiliation>
</AffiliationInfo>
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<Language>eng</Language>
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<Grant>
<GrantID>Z99 NS999999</GrantID>
<Agency>Intramural NIH HHS</Agency>
<Country>United States</Country>
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