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Telestroke Imaging: A Review. | LitMetric

Telestroke Imaging: A Review.

J Neuroimaging

Stroke Institute, Department of Neurology, University of Pittsburgh Medical Center (UPMC), Pittsburgh, PA.

Published: January 2017

AI Article Synopsis

  • Telemedicine, specifically telestroke, has evolved over the years, using telecommunications technology since the 1860s to provide healthcare services, including care for patients in remote locations and astronaut health monitoring.
  • Neurological examinations conducted via teleneurology, especially for stroke patients, have proven reliable and help mitigate delays caused by transferring patients from rural hospitals to larger medical centers.
  • Telestroke utilizes various vascular imaging techniques, such as CT scans and MRIs, to assist in diagnosing strokes and administering timely treatments, addressing both the challenges of distance and a shortage of neurologists.

Article Abstract

The use of telecommunications technology to provide the healthcare services, telemedicine, has been in use since the 1860s. The use of technology has ranged from providing medical care to far-off places during wartimes to monitoring physiological measurements of astronauts in space. Since the 1990s, reports have been published on diagnoses of neurological diseases with the use of video links. Studies confirm that the neurological examinations, including the National Institutes of Health Stroke Scale, performed during teleneurology are dependable. The transfer of stroke patients in rural hospitals to bigger medical centers delays treatment while there exists current and projected shortage of neurologists. Telestroke provides the solution. Patients suspected of acute stroke need a noncontrast computerized tomography (CT) scan for tissue plasminogen activator administration. Vascular imaging such as CT angiography, magnetic resonance angiography, and digital subtraction angiography can help show large-vessel occlusion or critical stenosis responsive to endovascular therapy. A standard protocol can be followed to decide a vascular modality of choice, considering advantages and disadvantages of each imaging modality. Telestroke solves the problems of distance and of shortage of neurologists. Neuroimaging plays a vital role in the delivery of telestroke, and the telestroke doctor should be comfortable with making a decision on selecting an appropriate vascular imaging modality.

Download full-text PDF

Source
http://dx.doi.org/10.1111/jon.12402DOI Listing

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