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@ARTICLE{vonDanwitz:282587,
author = {von Danwitz, Niklas M and Lehnen, Nils C and Meißner,
Julius N and Samani, Omid Shirvani and Asperger, Hannah and
Thielscher, Christian and Ebrahimi, Taraneh and Layer, Julia
and Nitsch, Louisa and Dorn, Franziska and Radbruch,
Alexander and Bode, Felix J and Weller, Johannes M and
Groteklaes, Anne and Petzold, Gabor C and Sabir, Hemmen and
Stösser, Sebastian},
title = {{P}ortable ultra-low-field {MRI} in acute stroke care: {A}
pilot study.},
journal = {European stroke journal},
volume = {10},
number = {4},
issn = {2396-9873},
address = {London},
publisher = {Sage Publishing},
reportid = {DZNE-2025-01347},
pages = {1430 - 1437},
year = {2025},
abstract = {Neuroimaging is a prerequisite for treatment of stroke
patients, but it is not available all over the globe.
Portable ultra-low field (pULF) MRI has the potential to
improve access to neuroimaging and thus stroke care
worldwide. In a pilot study, we were the first to utilise
pULF-MRI in a European tertiary stroke centre and to
evaluate its diagnostic value compared to high-field (HF)
MRI.Consecutive patients admitted for suspected ischaemic
stroke underwent pULF-MRI using the 0.064 Tesla Swoop®
portable MR imaging system in addition to standard imaging.
HF-MRI and pULF-MRI scans were blindly assessed to compare
the diagnostic accuracy and imaging-based therapeutic
decisions based on pULF-MRI to HF-MRI.Seventeen patients
underwent pULF-MRI, 12 of whom had ischaemic lesions on
HF-MRI. Ischaemic lesions were detected on pULF-MRI in 8/12
cases. The four infarcts not identified on pULF-MRI were all
smaller than 6 mm in diameter. In all cases, a virtual
treatment decision based on pULF-MRI by a blinded team
matched the actual clinical decisions.This single-centre
study demonstrates that pULF-MRI is a promising tool in
acute stroke care, providing reliable imaging for treatment
decision and follow-up monitoring. pULF-MRI may support
acute stroke care if HF-MRI is unavailable and may be
particularly helpful in resource-limited settings.
Limitations of pULF-MRI include long acquisition times and
the lack of vessel imaging and haemorrhage-sensitive
sequences.},
keywords = {Humans / Pilot Projects / Male / Female / Aged / Magnetic
Resonance Imaging: methods / Magnetic Resonance Imaging:
instrumentation / Middle Aged / Aged, 80 and over / Stroke:
diagnostic imaging / Ischemic Stroke: diagnostic imaging /
Neuroimaging: methods / Neuroimaging: instrumentation /
Stroke (Other) / acute care (Other) / emergency department
(Other) / health equality (Other) / point of care imaging
(Other) / portable ultra-low-field MRI (Other)},
cin = {Clinical Research Platform (CRP) / AG Petzold / AG Schultze
/ Patient Studies (Bonn) / AG Radbruch / AG Sabir},
ddc = {610},
cid = {I:(DE-2719)1011401 / I:(DE-2719)1013020 /
I:(DE-2719)1013038 / I:(DE-2719)1011101 / I:(DE-2719)5000075
/ I:(DE-2719)5000032},
pnm = {353 - Clinical and Health Care Research (POF4-353) / 354 -
Disease Prevention and Healthy Aging (POF4-354) / 352 -
Disease Mechanisms (POF4-352)},
pid = {G:(DE-HGF)POF4-353 / G:(DE-HGF)POF4-354 /
G:(DE-HGF)POF4-352},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:40515383},
pmc = {pmc:PMC12170540},
doi = {10.1177/23969873251344761},
url = {https://pub.dzne.de/record/282587},
}