Stroke Clinical Trial
Official title:
Computed Tomography Perfusion (CTP) to Predict Response to Recanalization in Ischemic Stroke Project
The overall goal of the CTP to predict Response to recanalization in Ischemic Stroke Project
(CRISP) is to develop a practical tool to identify acute stroke patients who are likely to
benefit from endovascular therapy.
The project has two main parts. During the first part, the investigators propose to develop
a fully automated system (RAPID) for processing of CT Perfusion (CTP) images that will
generate brain maps of the ischemic core and penumbra. There will be no patient enrollment
in part one of this project.
During the second part, the investigators aim to demonstrate that physicians in the
emergency setting, with the aid of a fully automated CTP analysis program (RAPID), can
accurately predict response to recanalization in stroke patients undergoing
revascularization. To achieve this aim the investigators will conduct a prospective cohort
study of 240 consecutive stroke patients who will undergo a CTP scan prior to endovascular
therapy. The study will be conducted at four sites (Stanford University, St Luke's Hospital,
University of Pittsburgh Medical Center, and Emory University/Grady Hospital). Patients will
have an early follow-up MRI scan within 12+/-6 hours to assess reperfusion and a late
follow-up MRI scan at day 5 to determine the final infarct.
n/a
Observational Model: Cohort, Time Perspective: Prospective
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