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Advanced imaging techniques for stroke management. XIX Symposium Neuroradiologicum October 10 th , 2010 Bologna Italy. “When time is Brain”. Why is Stroke important? . WHO –leading causes of burden of disease High income countries. 15 Million strokes annually 5.5 Million deaths

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advanced imaging techniques for stroke management

Advanced imaging techniquesfor stroke management

XIX Symposium Neuroradiologicum

October 10th, 2010

Bologna

Italy

“When time is Brain”

why is stroke important
Why is Stroke important?

WHO –leading causes of burden of disease

High income countries

  • 15 Million strokes annually
  • 5.5 Million deaths
  • Leading cause of disability in many developed markets
    • $2.2 TRILLION US costs projected by 2050
  • Only 1 approved therapy
  • $40M healthcare costs saved for every 1000 strokes prevented
stroke burden to health economies drives policy development
Stroke burden to health economies drives policy development

CHINA

Stroke prevention

initiative

FRANCE

+90 Stroke centers

RUSSIA

23 Stroke centers 08/09

ITALY

Regional Stroke Initiative

SPAIN

National Stroke Plan

UK Stroke Strategy

£170M

Requirement for integrated & coordinated strategy & response

priorities in stroke management
Priorities in Stroke management
  • Primary prevention
    • Risk factor management, community education
  • Secondary prevention especially TIA and Arrhythmia management
  • Acute Stroke Management
    • Optimised system of care
    • Maximize time and resources through networked solutions
    • Expand therapeutic options
    • Expand therapeutic window
  • Recovery & Rehabilitation
    • Seamless integration
      • Hyper-acute -> Acute -> Recovery -> Rehabilitation
    • Patient centric strategies
advanced imaging techniques enabling stroke management
Advanced imaging techniques enabling stroke management.
  • Rehabilitation
  • fMRi
  • Deficit detection
  • Guide recovery strategy
  • DTI
  • Depicts white matter involvement
  • Prognostic indicator
  • Acute Management
  • MRA - CTA
    • Occlusion location
    • Re-canalisation
    • ICH Haematoma expansion

CTP, MR PI-DWI mismatch

    • Penumbra delineation & quantification

Interventional Neurorad

    • i.a. thromobolysis
    • Mechanical thrombectomy

TCD Ultrasound

    • Sonothrombolysis
  • Prevention

Carotid Ultrasound

      • Stenosis
      • IMT

TIA assessment

      • MR–DWI

Interventional Neuroradiology

      • Aneurysm and AVM management
      • Carotid stenting
agenda
Agenda
  • Introduction: What are the challenges and future of stroke management?
  • Marc Barlow, Head of Strategic Disease Marketing
  • GE Healthcare, Chalfont St Giles, UK
  • Interest of CT perfusion for stroke management: Volume Helical Shuttle and Gemstone™ Spectral Imaging
  • Dr Shawn Halpin, University Hospital of Wales, Cardiff, UK
  • Clinical interest of multimodality software "Integrated Registration" - Radiosurgery of brain AVM using CyberKnife
  • Pr René Anxionnat, CHU Nancy, Nancy, France
  • MR for rehabilitation after stroke
  • Pr Steve Williams, Professor of Imaging Sciences, Institute of Psychiatry, London, UK
  • Chairman: Marc Barlow