Acute Stroke Imaging Research Roadmap IV: Imaging Selection and Outcomes in Acute Stroke Clinical Trials and Practice.


Journal

Stroke
ISSN: 1524-4628
Titre abrégé: Stroke
Pays: United States
ID NLM: 0235266

Informations de publication

Date de publication:
08 2021
Historique:
pubmed: 9 7 2021
medline: 5 1 2022
entrez: 8 7 2021
Statut: ppublish

Résumé

The 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. This 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. The 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. Recent 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.

Sections du résumé

BACKGROUND AND PURPOSE
The 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.
METHODS
This 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.
RESULTS
The 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.
CONCLUSIONS
Recent 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.

Identifiants

pubmed: 34233464
doi: 10.1161/STROKEAHA.121.035132
pmc: PMC8316368
mid: NIHMS1714765
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

2723-2733

Subventions

Organisme : NINDS NIH HHS
ID : U10 NS086487
Pays : United States
Organisme : NINDS NIH HHS
ID : U01 NS092076
Pays : United States
Organisme : NINDS NIH HHS
ID : R01 NS103824
Pays : United States
Organisme : NINDS NIH HHS
ID : RF1 NS117643
Pays : United States
Organisme : NINDS NIH HHS
ID : U01 NS086872
Pays : United States
Organisme : NINDS NIH HHS
ID : U01 NS100699
Pays : United States
Organisme : NINDS NIH HHS
ID : R01 NS100417
Pays : United States
Organisme : NINDS NIH HHS
ID : U01 NS110772
Pays : United States
Organisme : NINDS NIH HHS
ID : R01 NS075209
Pays : United States

Investigateurs

Opeolu Adeoye (O)
Saeed Ansari (S)
Johannes Boltze (J)
Alastair Buchan (A)
Napasri Chaisinanunkul (N)
Christopher Chen (C)
Thomas P Davis (TP)
Tatiana Ermakova (T)
Marc Fisher (M)
Walid Haddad (W)
Michael D Hill (MD)
Gary Houser (G)
Ashutosh P Jadhav (AP)
W Taylor Kimberly (WT)
Jaren W Landen (JW)
David S Liebeskind (DS)
Patrick Lyden (P)
John Lynch (J)
Chris Mansi (C)
J Mocco (J)
Raul G Nogueira (RG)
Sean I Savitz (SI)
Lee H Schwamm (LH)
Kevin N Sheth (KN)
Yoram Solberg (Y)
Chitra Venkatasubramanian (C)
Steven Warach (S)
Lawrence R Wechsler (LR)
Bin Zhu (B)
Nikolaos K Ziogas (NK)

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Auteurs

Bruce C V Campbell (BCV)

Department of Medicine and Neurology, Melbourne Brain Centre at the Royal Melbourne Hospital (B.C.V.C.), University of Melbourne, Parkville, Victoria, Australia.
Florey Institute of Neuroscience and Mental Health (B.C.V.C.), University of Melbourne, Parkville, Victoria, Australia.

Maarten G Lansberg (MG)

Department of Neurology & Stanford Stroke Center, Stanford University School of Medicine, CA (M.G.L., G.W.A.).

Joseph P Broderick (JP)

Department of Neurology (J.P.B., P.K.), University of Cincinnati, OH.

Colin P Derdeyn (CP)

Department of Radiology, Iowa Institute of Biomedical Imaging, University of Iowa Hospitals and Clinics (C.P.D.).

Pooja Khatri (P)

Department of Neurology (J.P.B., P.K.), University of Cincinnati, OH.

Amrou Sarraj (A)

UT McGovern Medical School, Department of Neurology, Houston (A.S.).

Jeffrey L Saver (JL)

Department of Neurology and Comprehensive Stroke Center, David Geffen School of Medicine, University of California Los Angeles (J.L.S.).

Achala Vagal (A)

Department of Radiology (A.V.), University of Cincinnati, OH.

Gregory W Albers (GW)

Department of Neurology & Stanford Stroke Center, Stanford University School of Medicine, CA (M.G.L., G.W.A.).

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