I67.88 I63.0 R58
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - patients of the emergency department of the Ludwig-Maximilians-University (LMU) Munich-Großhadern (minimum age 18 years) - suspected intracranial pathologies (hemorrhage, ischemia, tumor, signs of inflammation, edema, increased intracranial pressure (ICP)) - insufficient explanation of symptoms after examination using the cranial computed tomography
Exclusion criteria
Exclusion criteria: - patients with MRI-incompatible intracorporeal material (e.g. pacemaker, bladder pacemaker, nerve stimulators) - lacking capability of giving consent - minors - claustrophobia - unstable general condition - pregnancy - sufficient explanation of symptoms by the cranial computed tomography
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome of this study will be accomplished after the examination results have been assessed by a specialist and the sensitivities and specificities of the CT examination, accelerated MRI protocol and standard MRI protocol have been determined. The sensitivities and specificities of the CT examination, accelerated MRI protocol and standard MRI protocol (reference standard) will be compared and evaluated. We assume that the results of the standard and accelerated protocols will be virtually identical and the accelerated protocol will prove to be superior to CT. | — |
Secondary
| Measure | Time frame |
|---|---|
| Two blinded, independent readers will analyze all pseudonymised records. All pathologies/observations detected in the accelerated and standard MRI protocols will be recorded. Additionally, examination quality of the accelerated and standard MRI protocols will be assessed analogous to Prakkamukal et al. (J Neuroimaging 2016;26:503-510) (1 - nondiagnostic, 2 - poor image quality and substantial artifacts, 3 - satisfactory, 4 - good image quality and minor artifacts, 5 - excellent image quality without artifacts). Gray-white matter differentiation will also be assessed analogous to Prakkamukal et al. (0 – no visible gray-white matter differentiation, 1 - unclear but recognizable borders, 2 - clear differentiation). | — |
Countries
Germany
Contacts
Klinik und Poliklinik für Radiologie Klinikum der Universität München Campus Großhadern