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Advanced imaging techniques for stroke management

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

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  1. Advanced imaging techniquesfor stroke management XIX Symposium Neuroradiologicum October 10th, 2010 Bologna Italy “When time is Brain”

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

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