Background
CAD concept spectrum
Classical and modern CAD algorithms
Processing steps of CAD systems
Commercial CAD applications in stroke field
Company | Software | Description |
---|---|---|
Aidoc | Aidoc Head | triages stroke patients using non-contrast CT scans by flagging suspected intracranial haemorrhages and highlights cases that require immediate attention in worklist |
Apollo Medical Imaging Technology | CT Perfusion: Stroke | CTP stroke module is a part of MIStar software package. It generates brain perfusion maps using deconvolution algorithms together with Apollo’s noise reduction and motion artefact correction technologies |
DSC-MRI: Stroke | DSC-MRI perfusion module is a part of MIStar software. It features both parametric curve analysis and deconvolution algorithm for perfusion maps with easy identification of arterial input function | |
Brainomix | e-ASPECTS | assess the ASPECTSa score and volume of ischemia in non-contrast CT images |
e-CTA | standardizes the assessment of collaterals in CTA scans | |
inferVISION | AI-CT (head) | gets information about type of stroke (haemorrhagic or ischemic), determines location, volume and severity of haemorrhagic strokes |
iSchemaView | RAPID CTA | automatically provides CTA maps and identifies brain regions with reduced blood vessel density |
RAPID CTP | provides cerebral perfusion maps | |
RAPID MRI | provides fully automated diffusion and perfusion maps | |
RAPID ASPECTS | automatically identifies and scores regions with early ischemic changes using ASPECTS | |
JLK Inspection | JBS-01 K | Ischemic stroke subtype (TOASTb) classification solution based on MR images and clinical information data |
JBS-02 K | Ischemic stroke severity (NIHSSc) prediction solution based on MR images, clinical information data and 3D hybrid artificial neural network technology | |
JBS-03 K | Ischemic stroke prognosis (3-month mRSd) prediction solution based on MR images, clinical information data and 3D hybrid artificial neural network technology | |
JBS-04 K | Haemorrhagic stroke detection and classification solution based on CT images and 3D hybrid artificial neural network technology | |
JBS-05 K | Hyperacute ischemic stroke detection solution based on CT images and clinical information data | |
JBS-06 K | Hyperacute ischemic stroke detection solution based on MRI, clinical information data and 3D hybrid artificial neural network technology | |
JBA-01 K | Aneurysm detection solution based on MR angiography, clinical information data and 3D hybrid artificial neural network technology | |
Max-Q AI | AccipioDx | diagnostic tool that rules out the presence of intracranial haemorrhage in non-contrast CT scans |
mbits | mRay-Modul veocore | Perfusion analysis tool |
Nico.lab | StrokeViewer | provides analysis of relevant biomarkers from stroke imaging (NCCT, CTA, dynamic CTA and follow-up imaging). The following have been clinically validated: Haemorrhage detection and quantification, thrombus identification and evaluation, collateral assessment, follow-up infarct volume quantification, ASPECTS (in development) |
Olea Medical | Olea Sphere | automatically computes core, penumbra and mismatch ratio in CT and MR perfusion images |
qER | detects critical abnormalities such as bleeds, fractures mass effect and midline shift, localizes them and quantifies their severity in head CT | |
qQuant | suite of quantification and progression monitoring products for CT and MRI scans (e.g. brain tumour volume) | |
Viz LVO | automatically identifies and triages suspected large vessel occlusion (LVO) strokes | |
Viz CTP | automatically analyse CT perfusion images | |
Zebra Medical Vision | AI1 | All-In-One (AI1) Application with included algorithm for intracranial haemorrhage detection. AI1 detects also other medical conditions like low bone mineral density, vertebral fractures and more |
Non-contrast enhanced computed tomography
Signs of infarction
Hyperdense vessel sign
CT angiography
Collateral assessment
Large vessel occlusion
Perfusion imaging
Perfusion imaging parameters
Perfusion imaging pitfalls
Defining the ‘ischemic core’ and ‘tissue at risk’ using DWI, MR-perfusion (MRP) and CTP
Computerised assessment of perfusion imaging
Perfusion imaging softwares in clinical trials
Trial Name | RAPID | Number of Patients | Status | Reference |
---|---|---|---|---|
DWI or CTP Assessment with Clinical Mismatch in the Triage of Wake-Up and Late Presenting Strokes Undergoing Neurointervention with Trevo (DAWN) | imaging selection for 100% of patients | 206 | Completed | [72] |
The diffusion and perfusion imaging evaluation for understanding stroke evolution (DEFUSE) study | imaging selection for 100% of patients | 74 | Completed | [61] |
The diffusion and perfusion imaging evaluation for understanding stroke evolution 3(DEFUSE 3) study | imaging selection for 100% of patients | 182 | Completed | [38] |
Extending the Time for Thrombolysis in Emergency Neurological Deficits (International) (EXTEND) | imaging selection for 100% of patients | 225 | Completed | [73] |
Extending the Time for Thrombolysis in Emergency Neurological Deficits - Intra-Arterial (EXTEND-IA) | imaging selection for 100% of patients | 70 | Completed | [74] |
FRench Acute Cerebral Multimodal Imaging to Select Patient for MEchanical Thrombectomy (FRAME) | imaging selection for 100% of patients | Estimated Enrollment: 220 participants | Enrolling | ClinicalTrials.gov Identifier: NCT03045146 |
Solitaire™ With the Intention For Thrombectomy as PRIMary Endovascular Treatment (SWIFT PRIME) Trial | imaging selection for 100% of patients | 196 | Completed | [75] |