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037 _ _ |a DZNE-2025-01347
041 _ _ |a English
082 _ _ |a 610
100 1 _ |a von Danwitz, Niklas M
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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
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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
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650 _ 7 |a emergency department
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650 _ 7 |a health equality
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650 _ 7 |a point of care imaging
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650 _ 7 |a portable ultra-low-field MRI
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650 _ 2 |a Humans
|2 MeSH
650 _ 2 |a Pilot Projects
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650 _ 2 |a Male
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650 _ 2 |a Female
|2 MeSH
650 _ 2 |a Aged
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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
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700 1 _ |a Lehnen, Nils C
|b 1
700 1 _ |a Meißner, Julius N
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700 1 _ |a Samani, Omid Shirvani
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700 1 _ |a Asperger, Hannah
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700 1 _ |a Thielscher, Christian
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700 1 _ |a Ebrahimi, Taraneh
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700 1 _ |a Layer, Julia
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700 1 _ |a Nitsch, Louisa
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700 1 _ |a Radbruch, Alexander
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700 1 _ |a Bode, Felix J
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700 1 _ |a Weller, Johannes M
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700 1 _ |a Groteklaes, Anne
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700 1 _ |a Sabir, Hemmen
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700 1 _ |a Stösser, Sebastian
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773 _ _ |a 10.1177/23969873251344761
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