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In light of recently published clinical trials and their implication for clinical practice, does a large catchment area acute hospital require 24  hour CT neck and head angiography and/or neuro-interventional services in the setting of acute ischaemic stroke?
ConclusionUHL should provide routine CT angiography to all patients presenting with acute ischaemic stroke in line with current guidelines. The need for provision of neuro-interventional services on-site proved more difficult to assess and requires further analysis.
Source: Irish Journal of Medical Science - August 15, 2017 Category: General Medicine Source Type: research

A quantitative analysis of CT angiography, large vessel occlusion, and thrombectomy rates in acute ischaemic stroke
To determine the workload of acute computed tomography angiography (CTA) in patients presenting with suspected acute ischaemic stroke (AIS) and rate of large vessel occlusion (LVO) and thrombectomy relative to suspected and confirmed stroke diagnoses across three stroke centres within the Republic of Ireland.
Source: Clinical Radiology - May 20, 2019 Category: Radiology Authors: E. Griffin, D. Herlihy, R. Hayden, M. Murphy, J. Walsh, S. Murphy, J. Shanahan, P. O'Brien, S. Power, P. Brennan, R. Motyer, J. Thornton Source Type: research

Survey of Image Quality in Irish Stroke CT Protocols
Non-contrast computed tomography (NCCT) of the brain is a critical tool in the investigation of suspected acute ischaemic stroke. The recognition of subtle differences in attenuation values between normal brain parenchyma and regions of ischaemic tissue may be crucial to accurate and timely diagnosis. Radiologists at MMUH have been concerned with inconsistencies in image quality received from the various scanners and hospitals. Our study aimed to investigate the variation in imaging protocols for suspected acute stroke at different institutions in the regional hospital network using an objective measure of low contrast detectability (LCD).
Source: Physica Medica: European Journal of Medical Physics - April 1, 2021 Category: General Medicine Authors: David Caldwell, John Hynes, Peter MacMahon, Patrick Kenny Source Type: research

57 The Workload Distribution and Response Times of FAST Scans in a Level 3 Hospital in Ireland
ConclusionStroke CT will continue to increase the out of hours work load for CT departments across the country especially with our ageing population. It is vital that services, particularly in level 3 stroke centres, are adequately equipped in terms of staffing to meet the highest standard of care in the management of acute stroke.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research