scholarly journals Magnetic Resonance Imaging Selection for Endovascular Stroke Therapy

Stroke ◽  
2018 ◽  
Vol 49 (6) ◽  
pp. 1402-1406 ◽  
Author(s):  
Claus Z. Simonsen ◽  
Albert J. Yoo ◽  
Mads Rasmussen ◽  
Kristina E. Sørensen ◽  
Thabele Leslie-Mazwi ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Stroke Therapy ◽  
Resonance Imaging ◽  
Selection For ◽  
Endovascular Stroke Therapy

scholarly journals Cost Analysis of the Addition of Hyperacute Magnetic Resonance Imaging for Selection of Patients for Endovascular Stroke Therapy

2017 ◽  
Vol 6 (3-4) ◽  
pp. 183-190 ◽  
Author(s):  
Seby John ◽  
Nicolas R. Thompson ◽  
Terry Lesko ◽  
Nancy Papesh ◽  
Nancy Obuchowski ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Magnetic Resonance ◽  
Direct Costs ◽  
Stroke Therapy ◽  
Resonance Imaging ◽  
Mri Protocol ◽  
Selection Of Patients ◽  
Selection Of ◽  
Endovascular Stroke Therapy

Background and Purpose: Patient selection is important to determine the best candidates for endovascular stroke therapy. In application of a hyperacute magnetic resonance imaging (MRI) protocol for patient selection, we have shown decreased utilization with improved outcomes. A cost analysis comparing the pre- and post-MRI protocol time periods was performed to determine if the previous findings translated into cost opportunities. Materials and Methods: We retrospectively identified individuals considered for endovascular stroke therapy from January 2008 to August 2012 who were ≤8 h from stroke symptoms onset. Patients prior to April 30, 2010 were selected based on results of the computed tomography/computed tomography angiography alone (pre-hyperacute), whereas patients after April 30, 2010 were selected based on results of MRI (post-hyperacute MRI). Demographic, outcome, and financial information was collected. Log-transformed average daily direct costs were regressed on time period. The regression model included demographic and clinical covariates as potential confounders. Multiple imputation was used to account for missing data. Results: We identified 267 patients in our database (88 patients in pre-hyperacute MRI period, 179 in hyperacute MRI protocol period). Patient length of stay was not significantly different in the hyperacute MRI protocol period as compared to the pre-hyperacute MRI period (10.6 vs. 9.9 days, p < 0.42). The median of average daily direct costs was reduced by 24.5% (95% confidence interval 14.1-33.7%, p < 0.001). Conclusions: Use of the hyperacute MRI protocol translated into reduced costs, in addition to reduced utilization and better outcomes. MRI selection of patients is an effective strategy, both for patients and hospital systems.

scholarly journals Comparison of Magnetic Resonance Imaging Mismatch Criteria to Select Patients for Endovascular Stroke Therapy

Stroke ◽  
2014 ◽  
Vol 45 (5) ◽  
pp. 1369-1374 ◽  
Author(s):  
Nishant K. Mishra ◽  
Gregory W. Albers ◽  
Søren Christensen ◽  
Michael Marks ◽  
Scott Hamilton ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Stroke Therapy ◽  
Resonance Imaging ◽  
Endovascular Stroke Therapy

scholarly journals MP16-11 ROUTINE USE OF MAGNETIC RESONANCE IMAGING IN PROSTATE CANCER FACILITATES BETTER CANDIDATE SELECTION FOR ACTIVE SURVEILLANCE

2016 ◽  
Vol 195 (4S) ◽  
Author(s):  
Arjun Sivaraman ◽  
Youness Ahallal ◽  
Rafael Sanchez-Salas ◽  
Estefania Linares Espinos ◽  
Jose I. Perez-Reggeti ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Prostate Cancer ◽  
Magnetic Resonance ◽  
Active Surveillance ◽  
Candidate Selection ◽  
Resonance Imaging ◽  
Selection For
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