Neurology Minute
Bridging Therapy With Tenecteplase or Alteplase in Patients With Large Ischemic Core - Part 2
Aug 13, 2024
Dr. Dan Ackerman, a leader in stroke care, teams up with Dr. Gaspard Gerschenfeld, a specialist in international stroke practices, to unveil fascinating contrasts in stroke treatment. They dive into how American and French centers differ in their imaging protocols, particularly the use of MRI in emergencies. Expect insights into the benefits and challenges of these approaches, highlighting how they can impact patient outcomes. The duo’s expertise sheds light on why these variances matter in critical stroke management.
03:19
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Quick takeaways
- MRI is the preferred imaging choice for stroke patients in France, highlighting a major divergence from American practices.
- Utilizing MRI in stroke protocols does not delay treatment times, enabling efficient prioritization of stroke cases in emergency settings.
Deep dives
MRI as the Preferred Imaging Modality
In France, MRI is widely used as the first-line imaging choice for stroke patients, with 80 to 90% of patients undergoing this type of imaging. This shift towards utilizing MRI, particularly diffusion-weighted imaging (DWI), has been incorporated into clinical practice guidelines, showcasing a significant divergence from the approach taken by many American Stroke Centers. DWI helps quantify aspects of brain imaging, although it does present challenges like inter-observer variability. This preference for MRI is often influenced by the specific patient population and the resources available at each center, which further drives the conversation about optimizing imaging strategies.
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