학술논문

Acute Stroke Imaging Research Roadmap IV: Imaging Selection and Outcomes in Acute Stroke Clinical Trials and Practice.
Document Type
article
Source
Stroke. 52(8)
Subject
Neurosciences
Stroke
Clinical Research
Brain Disorders
Clinical Trials and Supportive Activities
Biomedical Imaging
Clinical Trials as Topic
Computed Tomography Angiography
Consensus Development Conferences as Topic
Endovascular Procedures
Humans
Magnetic Resonance Imaging
Tomography
X-Ray Computed
Treatment Outcome
angiography
clinical trials
ischemic stroke
perfusion imaging
tomography
STAIR XI Consortium
Cardiorespiratory Medicine and Haematology
Clinical Sciences
Neurology & Neurosurgery
Language
Abstract
Background and purposeThe Stroke Treatment Academic Industry Roundtable (STAIR) sponsored an imaging session and workshop during the Stroke Treatment Academic Industry Roundtable XI via webinar on October 1 to 2, 2020, to develop consensus recommendations, particularly regarding optimal imaging at primary stroke centers.MethodsThis forum brought together stroke neurologists, neuroradiologists, neuroimaging research scientists, members of the National Institute of Neurological Disorders and Stroke, industry representatives, and members of the US Food and Drug Administration to discuss imaging priorities in the light of developments in reperfusion therapies, particularly in an extended time window, and reinvigorated interest in brain cytoprotection trials.ResultsThe imaging session summarized and compared the imaging components of recent acute stroke trials and debated the optimal imaging strategy at primary stroke centers. The imaging workshop developed consensus recommendations for optimizing the acquisition, analysis, and interpretation of computed tomography and magnetic resonance acute stroke imaging, and also recommendations on imaging strategies for primary stroke centers.ConclusionsRecent positive acute stroke clinical trials have extended the treatment window for reperfusion therapies using imaging selection. Achieving rapid and high-quality stroke imaging is therefore critical at both primary and comprehensive stroke centers. Recommendations for enhancing stroke imaging research are provided.