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Abstract #4452

Limited MRI protocol for ischemic stroke

CC Tchoyoson Lim1,2, Wai Yung Yu1,2, Francis Hui1,2, Wing Lok Au2,3, and Yih Yian Sitoh1,2

1National Neuroscience Institute, Singapore, Singapore, 2Duke-NUS School of Medicine, Singapore, 3Neurology, National Neuroscience Institute, Singapore, Singapore

We describe adapting a Limited Stroke Protocol of unenhanced MRI pulse sequences (including diffusion-weighted images to diagnose recent cerebral infarction and TOF MR angiography to detect large intracranial vessel stenosis/occlusion), for hospital inpatients and the Emergency Room patients with suspected recent ischemic stroke. Although this abbreviated, targeted limited MRI protocol may be challenging in subtle diagnosis, it improves patient access, enables image-guided decision-making, and results in rapid throughput.

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