Role of MRI in the Early Diagnosis and Management of Acute Stroke and Its Impact on Turnaround Time in Emergency Settings
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Magnetic Resonance Imaging.
- Who it may be relevant to
- Registry conditions: Magnetic Resonance Imaging, Diagnosis, Management, Acute Stroke. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Egypt
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
The Role of MRI in the Early Diagnosis and Management of Acute Stroke and Its Impact on Turnaround Time (TAT) in Emergency Settings
Overview
This study aims to evaluate the role of stroke protocol in the early diagnosis and management of acute stroke and its effect on turnaround time (TAT) in emergency settings.
Detailed description
Acute stroke is a common and often devastating disorder; however, acute treatments that reduce long-term disability are available if patients present within the time window for treatment.
Computed tomography (CT) or magnetic resonance imaging (MRI) has been used in comprehensive stroke centers, although the role of advanced imaging in the improvement of stroke outcome remains controversial.
MRI offers advantages for the assessment of acute stroke. Changes of acute ischaemic injury are detectable sooner with MRI than with CT, especially with diffusion-weighted imaging, and ischaemic stroke diagnosis with MRI has greater interobserver and intraobserver reliability than CT, even in readers with little experience.
Interventions
- Device Magnetic Resonance Imaging
Magnetic Resonance Imaging will be performed to all patients
Primary outcome measures
- Sensitivity of magnetic resonance imaging for acute stroke [Time frame: Immediately post-procedure (Up to 1 hour)]
Eligibility criteria
Inclusion criteria
- Age ≥18 years.
- Both sexes.
- Patients with acute stroke who are admitted to the emergency department.
Exclusion criteria
- Contraindications to magnetic resonance imaging (MRI) or computed tomography (CT).
- Symptoms strongly suggestive of subarachnoid hemorrhage.
- Initiation of antithrombotic or thrombolytic treatment before the completion of both scans.
- Inability to complete both scans in time to allow thrombolytic treatment within three h of the onset of symptoms.
- Uncontrollable hypertension.
- Pregnant or lactating women.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Cohort
Study locations
Egypt · 1 center
- Tanta University — Tanta
Identifiers
NCT: NCT07138768 · 36264PR1258/6/25