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| 005 | 20251209092645.0 | ||
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| 037 | _ | _ | |a DZNE-2025-01347 |
| 041 | _ | _ | |a English |
| 082 | _ | _ | |a 610 |
| 100 | 1 | _ | |a von Danwitz, Niklas M |0 P:(DE-2719)9002283 |b 0 |e First author |
| 245 | _ | _ | |a Portable ultra-low-field MRI in acute stroke care: A pilot study. |
| 260 | _ | _ | |a London |c 2025 |b Sage Publishing |
| 336 | 7 | _ | |a article |2 DRIVER |
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| 520 | _ | _ | |a 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. |
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| 650 | _ | 7 | |a Stroke |2 Other |
| 650 | _ | 7 | |a acute care |2 Other |
| 650 | _ | 7 | |a emergency department |2 Other |
| 650 | _ | 7 | |a health equality |2 Other |
| 650 | _ | 7 | |a point of care imaging |2 Other |
| 650 | _ | 7 | |a portable ultra-low-field MRI |2 Other |
| 650 | _ | 2 | |a Humans |2 MeSH |
| 650 | _ | 2 | |a Pilot Projects |2 MeSH |
| 650 | _ | 2 | |a Male |2 MeSH |
| 650 | _ | 2 | |a Female |2 MeSH |
| 650 | _ | 2 | |a Aged |2 MeSH |
| 650 | _ | 2 | |a Magnetic Resonance Imaging: methods |2 MeSH |
| 650 | _ | 2 | |a Magnetic Resonance Imaging: instrumentation |2 MeSH |
| 650 | _ | 2 | |a Middle Aged |2 MeSH |
| 650 | _ | 2 | |a Aged, 80 and over |2 MeSH |
| 650 | _ | 2 | |a Stroke: diagnostic imaging |2 MeSH |
| 650 | _ | 2 | |a Ischemic Stroke: diagnostic imaging |2 MeSH |
| 650 | _ | 2 | |a Neuroimaging: methods |2 MeSH |
| 650 | _ | 2 | |a Neuroimaging: instrumentation |2 MeSH |
| 700 | 1 | _ | |a Lehnen, Nils C |b 1 |
| 700 | 1 | _ | |a Meißner, Julius N |0 0000-0002-8980-9337 |b 2 |
| 700 | 1 | _ | |a Samani, Omid Shirvani |0 P:(DE-2719)9002936 |b 3 |
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| 700 | 1 | _ | |a Stösser, Sebastian |0 P:(DE-2719)9000778 |b 16 |u dzne |
| 773 | _ | _ | |a 10.1177/23969873251344761 |g Vol. 10, no. 4, p. 1430 - 1437 |0 PERI:(DE-600)2851287-X |n 4 |p 1430 - 1437 |t European stroke journal |v 10 |y 2025 |x 2396-9873 |
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