Journal of VolgSMU
Quarterly scientific-practical journal

UDK: 616.831-005-071

ALGORITHM FOR THE EMERGENCY BEAM DIAGNOSTICS OF A STROKE UNDER CONDITIONS OF A MODERN HOSPITAL

E.V. Zmeeva2,3, S.A. Zmeev1, E.D. Lyutaya2

ФГБОУ ВО «Волгоградский государственный медицинский университет» Министерства здравоохранения Российской Федерации, 1кафедра лучевой диагностики и лучевой терапии, 2кафедра лучевой, функциональной и лабораторной диагностики Института НМФО, 3ГУЗ «Городская

Abstract

The relevance of the problem of recent diagnosis of stroke has not been reduced last years. The algorithm of using radiological methods for diagnosis acute stroke is developed, but it varies depending on the technical capacities of the specialized agencies. When a patient enters a specialized hospital, a native CT scan of the brain is performed, according of its results is made a decision to perform CT angiography of the arteries of the neck and head, MR studies of the brain, CT or MR perfusion. A team of specialists works in the emergency module, which includes a neurologist in the emergency room, a radiologist in the CT room, a radiolosergion who performs a joint analysis of the results of radiation methods and decide on further treatment tactics, which leads to a significant reduction in time from the moment the patient enters the emergency room to moment of obtaining the necessary medical care. Optimization of the interaction of specialists is carried out by creating a joint chat in the WhatsApp messenger.

Keywords

acute cerebrovascular accident, stroke, radiation diagnostic methods, CT, MRI, angiography, ASPECTS.

Contacts

Змеев Сергей Анатольевич – к. м. н., зав. кафедрой лучевой диагностики и лучевой терапии, Волгоградский государственный медицинский университет, e-mail: zmeev.sergey80@gmail.com