Nationwide questionnaire survey on neuroimaging strategy for acute ischemic stroke in Japan
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- Okada Takashi
- Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center
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- Inoue Manabu
- Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center Division of Stroke Care Unit, National Cerebral and Cardiovascular Center
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- Yamagami Hiroshi
- Division of Stroke Medicine, National Hospital Organization Osaka National Hospital
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- Tanaka Kanta
- Division of Stroke Care Unit, National Cerebral and Cardiovascular Center
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- Shiozawa Masayuki
- Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center
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- Sonoda Kazutaka
- Department of Neurology, Saiseikai Fukuoka General Hospital
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- Ikenouchi Hajime
- Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center
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- Fukuda Tetsuya
- Department of Radiology, National Cerebral and Cardiovascular Center
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- Satow Tetsu
- Department of Neurosurgery, National Cerebral and Cardiovascular Center
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- Ihara Masafumi
- Department of Neurology, National Cerebral and Cardiovascular Center
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- Kudo Kohsuke
- Division of Diagnostic and Interventional Radiology, Hokkaido University
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- Itabashi Ryo
- Division of Neurology and Gerontology, Iwate Medical University
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- Toyoda Kazunori
- Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center
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- Koga Masatoshi
- Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center
Bibliographic Information
- Other Title
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- 急性期脳梗塞における画像診断の現状─全国アンケート調査─
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Abstract
<p>Background and Purpose: Acute ischemic stroke is treatable with acute reperfusion therapy. Imaging evaluation by CT or MRI is essential for the diagnosis of acute ischemic stroke. Recently, the effectiveness of imaging-based selection for reperfusion therapy has been proved in various clinical trials. To clarify the current status of neuroimaging strategy for acute ischemic stroke in Japan, we conducted a nationwide survey. Methods: A web questionnaire on neuroimaging strategy from January to December 2017 was mailed to neurosurgeons and neurologists in 2112 institutes in August 2018. Results: Of 2112 institutes, 556 sites (26%) were responded. Within 556 respondents, 507 (91%) sites were performing medical treatment for acute stroke. Of the 507 respondents, 311 (61%) performed diagnostic imaging of acute stroke with both CT and MRI, and door to imaging time was within 20 minutes in 312 respondents (61%). Three hundred and twenty-two (322) sites were performing endovascular treatment (EVT) for acute ischemic stroke and of these 263 respondents were performing EVT to late presenting cases. Within 263 respondents, only 30 (12%) used perfusion imaging to determine the indication of EVT in late presenting cases. Conclusions: In Japan, diagnosis of acute ischemic stroke using both CT and MRI was mostly common, and perfusion imaging for patient selection was rarely used.</p>
Journal
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- Japanese Journal of Stroke
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Japanese Journal of Stroke 42 (6), 502-508, 2020
The Japan Stroke Society
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Details 詳細情報について
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- CRID
- 1390004951538196224
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- NII Article ID
- 130007942498
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- ISSN
- 18831923
- 09120726
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed