Guo Xiaofan, Dye Justin
Department of Neurology, Loma Linda University, Loma Linda, CA, 92354, USA.
Department of Neurosurgery, Loma Linda University, Loma Linda, CA, 92354, USA.
Adv Biol (Weinh). 2023 Oct;7(10):e2300174. doi: 10.1002/adbi.202300174. Epub 2023 Jun 25.
Stroke is a serious neurological disease and a significant contributor to disability worldwide. Traditional in-hospital imaging techniques such as computed tomography (CT) and magnetic resonance imaging (MRI) remain the standard modalities for diagnosing stroke. The development of prehospital stroke detection devices may facilitate earlier diagnosis, initiation of stroke care, and ultimately better patient outcomes. In this review, the authors summarize the features of eight stroke detection devices using noninvasive brain scanning technology. The review summarizes the features of stroke detection devices including portable CT, MRI, transcranial Doppler ultrasound , microwave tomographic imaging, electroencephalography, near-infrared spectroscopy, volumetric impedance phaseshift spectroscopy, and cranial accelerometry. The technologies utilized, the indications for application, the environments indicated for application, the physical features of the eight stroke detection devices, and current commercial products are discussed. As technology advances, multiple portable stroke detection instruments exhibit the promising potential to expedite the diagnosis of stroke and enhance the time taken for treatment, ultimately aiding in prehospital stroke triage.
中风是一种严重的神经系统疾病，也是全球致残的重要原因。传统的院内成像技术，如计算机断层扫描（CT）和磁共振成像（MRI），仍然是诊断中风的标准方式。院前中风检测设备的发展可能有助于早期诊断、启动中风治疗，并最终改善患者预后。在这篇综述中，作者总结了八种使用非侵入性脑扫描技术的中风检测设备的特点。该综述总结了中风检测设备的特点，包括便携式CT、MRI、经颅多普勒超声、微波断层成像、脑电图、近红外光谱、体积阻抗相移光谱和颅骨加速度测量。讨论了所使用的技术、应用指征、适用环境、这八种中风检测设备的物理特性以及当前的商业产品。随着技术的进步，多种便携式中风检测仪器展现出加快中风诊断和缩短治疗时间的潜力，最终有助于院前中风分诊。
