Journal article Open Access

Magnetic Resonance Imaging and X-rays in Emergency Assessment of Patients with suspected Acute Stroke: A Randomized Comparison

Syed Nasir Shah; Walayat Shah; Dr. Muhammad Shoaib; Dr. Nowsherwan; Dr. Anila Basit; Bakth Jamal

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    <subfield code="u">District Specialists and Consultant Neurosurgeon, DHQ Hospital, Mardan</subfield>
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    <subfield code="u">District Specialist and Consultant Neurosurgeon, DHQ Hospital, Mardan</subfield>
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    <subfield code="a">Magnetic Resonance Imaging and X-rays in Emergency Assessment of Patients with suspected Acute Stroke: A Randomized Comparison</subfield>
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    <subfield code="a">&lt;p&gt;&lt;strong&gt;&lt;em&gt;Background:&lt;/em&gt;&lt;/strong&gt; Timely diagnosis has become important because the safety and efficacy of acute cerebral ischemia depend on rapid and accurate assessment and treatment within a few hours of the onset of symptoms. The overall incidence of stroke is about 2.4 per thousand people, with a small geographical difference. Studies have shown that the echo MRI gradient is as accurate as CT within 6 hours of the onset of symptoms in patients with acute stroke. &lt;strong&gt;&lt;em&gt;Methodology:&lt;/em&gt;&lt;/strong&gt; This study is a one-time prospective comparison of CT and MRI in acute stroke assessment. The study was conducted from Jan 2020 to July 2021 at the Department of Neurosurgery Dhq hospital Mardan, with the ethical approval of the hospital ethical review committee. Regardless of the onset date, the severity of symptoms, or final clinical diagnosis, a series of patients suspected of further referral to a stroke staff at the hospital are eligible. &lt;strong&gt;&lt;em&gt;Results:&lt;/em&gt;&lt;/strong&gt; Results showed that out of 112 patients referred for clinical suspicion of stroke, acute stroke corresponds to almost two-thirds of the final clinical diagnosis. MRI found 70 out of 112 acute strokes and 29 out of 112 CT. According to study results, the MRI has a higher frequency for detecting any acute stroke (ischemic or hemorrhagic) compared with CT (p &amp;lt;0.0001). All four readers agreed that 92 patients with MRI and 22 patients with CT respectively, 112 patients (96%, 79&amp;ndash;16%) had an acute stroke. &lt;strong&gt;&lt;em&gt;Conclusion:&lt;/em&gt;&lt;/strong&gt; MRI is better for detecting acute ischemia than CT and can detect both acute and chronic bleeding. This should therefore be the preferred test method for accurate diagnosis of patients with suspected acute stroke. Samples of patients cover a variety of diseases that may arise in an emergency with a suspected stroke so thatthe results can be applied immediately in the clinic&lt;/p&gt;</subfield>
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