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  4. When stroke strikes, be ahead of your time.
Be ahead of your time

When stroke strikes, be ahead of your time.

Advance stroke care – and deliver outcomes that matter to patients
Larger time window for mechanical thrombectomy

Timely and optimal stroke treatment is crucial

In stroke management, latest studies1) opened the time window for mechanical thrombectomy to 24 hours. This improves stroke treatment for a larger part of the 15 million people suffering a stroke each year.2) For you, however, it means that stroke care turns into a double challenge: Besides having to treat each stroke patient as fast as possible, you also have to be ready to treat more patients.

 

From stroke to soccer in just one week

See how precision imaging with optimal image quality and sharp images of small moving objects, coupled with an optimally adapted in-hospital stroke workflow allowed a young stroke sufferer to go on as if nothing had happened.

Stroke Treatment Patient Pathway

What do you think?

How many patients who received endovascular thrombectomy within 24 hours after the onset of an ischemic stroke suffered less disability than patients receiving standard medical care? Make your pick!

Solutions for stroke treatment

As your partner in stroke management, we keep you ahead of your time. Our industry-leading technologies let you speed up stroke care and transform care delivery – from diagnosis and triaging to treatment and follow-up.

Explore our portfolio for stroke!

  • Mobile stroke unit
  • Standard workflow
  • Nexaris Angio-CT suite
  • Angio-only solution
  • Mobile CT solution
Contact Us

Mobile stroke unit

Start acute stroke care at the earliest possible

In stroke care, it’s crucial to differentiate ischemic and hemorrhagic stroke at the earliest possible stage. With our solutions for mobile stroke units, you can transform care delivery by ruling out bleeding in the ambulance, and triaging patients to the appropriate clinical institution faster.

Your benefits:

  • Industry-leading comprehensive solution that is taking standard of care for stroke to the streets
  • Reach, diagnose, and treat potential stroke patients faster by bringing the CT scanner to the patient at the point of care

Did you know?
Images can be sent to the hospital before the ambulance arrives, which helps determine the optimal treatment method early on

“We find higher than expected rates of large vessel occlusions in the field since we perform CTA in all patients regardless of severity of stroke symptoms. In turn, we bring those patients directly to cath labs at CSC [Comprehensive Stroke Center] without the need for further imaging or triage via the nearest hospital.”
Andrei V. Alexandrov, MD

Semmes-Murphey Professor and Chairman

Department of Neurology

University of Tennessee Health Science Center

Standard workflow

See clearly to confidently classify stroke

  1. Our CT scanners provide:

    Our CT scanners provide:

    • A highly precise visualization of the penumbra 
    • Automated 5-step workflow, available 24/7 
    • Neuro Perfusion as routine with zero-click calculation and archiving of perfusion maps
    Native head scan

    Native head scan

    Aid in or support differential diagnosis of acute stroke with excellent gray-white matter differentiation and contrast enhancement

    Courtesy of University Hospital Grosshadern, Munich, Germany
    Perfusion scan

    Native head scan

    Evaluation of infarct core and penumbra by automatically providing perfusion maps for further treatment decisions

    Courtesy of University Hospital Grosshadern, Munich, Germany
    Angiography

    Angiography

    CT planning of the following treatment with definition of occlusion length and collateral status and automated bone removal

    Courtesy of University Hospital Grosshadern, Munich, Germany
    syngo.CT DE Brain Hemorrhage

    syngo.CT DE Brain Hemorrhage

    Discriminate hemorrhage from iodine up taking lesions

    Cinematic VRT

    Cinematic VRT

    Clearly visualize clots and get photorealistic, easy-to-understand material for education, publication, and communication

    Bone removal solutions

    Bone removal solutions

    Available for different acquisition techniques for automatic case preparation, image pre-processing, and prior studies pre-fetching

  2. With our MRI scanners, you can:

    With our MRI scanners, you can:

    • Reduce the need for sedation, rescans, and call-backs – with GOBrain 
    • Reduce imaging time for diffusion MRI by up to 68 percent 1)
    • Get advanced neuro applications for clinical routine 

      1) Data on file

    GOBrain allows push-button brain exams in 5 minutes

    GOBrain1) allows push-button brain exams in 5 minutes2)

    Courtesy: Mass. General Hospital and Athinoula A. Martinos Center for Biomedical Imaging


      1) Prakkamakul et al. “Ultrafast brain MRI: Clinical deployment and comparison to conventional brain MRI at 3T.” J Neuroimaging 2016 

    2) MAGNETOM Skyra, Head 32 coil. Exam times will vary.

    MAGNETOM Sola: T1 contrast sagittal MPRAGE

    GMAGNETOM Sola1): T1 contrast sagittal MPRAGE

    Courtesy: Prof. Schoenberg, MD, University Medicine Mannheim, Germany
    MAGNETOM Vida: Standard stroke protocol as an example of hemorrhage visualization

    MAGNETOM Vida: Standard stroke protocol as an example of hemorrhage visualization

    Courtesy: Prof. Staebler, MD, Radiology in Munich Harlaching, Germany
  3. Our Artis Q or zee biplane offering:

    Our Artis Q or zee biplane offering:

    • Same image resolution on both planes due to same detector size and two equally powerful tubes 
    • Intra-procedural syngoIntra-procedural 
    •  Live pixel shift during DSA and roadmap for movement compensation in planes A + B
    Native syngo DynaCT

    Native syngo DynaCT

    • Check for bleeding right in the angio suite with no need to transfer the patient to a CT

    Courtesy: Prof. Martin Skalej, MD, Neuroradiology, Universitätsklinikum Magdeburg, Germany
    DSA imaging

    DSA imaging

    • image quality even with patients under conscious sedation only

    Courtesy: Prof. Martin Skalej, MD, University Medicine Magdeburg, Germany
    Roadmap

    Roadmap

    • Broad spectrum of roadmap features for device guidance
    • Live pixel shift during DSA and roadmap for movement compensation

    Courtesy: Prof. Schroth, MD, Inselspital Bern, Switzerland
    Our ARTIS pheno is ideal for hemorrhagic stroke treatment:

    Our ARTIS pheno is ideal for hemorrhagic stroke treatment:

    • syngo Needle‐guidance software allows planning of trajectory from skin entry to bleeding for suctioning out the hemorrhage 
    • syngo DynaCT provides intra‐operative confirmation of procedural success
    Our ARTIS pheno is ideal for hemorrhagic stroke treatment:

    • Follow-up syngo DynaCT after clipping, with intravenous contrast media injection
    • Axial maximum intensity projection of the clipped aneurysm
    Follow-up syngo DynaCT after clipping, with intravenous contrast media injection

    • Follow-up syngo DynaCT after clipping, with intravenous contrast media injection
    • Dual‐volume vessel presentation of the clipped aneurysm
To confirm ischemic stroke, detect the location of the vessel occlusion, and evaluate the brain damage, you need to rely on excellent diagnostic imaging. CT or MR imaging is considered the gold standard per international stroke guidelines. Our dedicated CT and MR stroke protocols provide the relevant information on the severity of the damage so you can make confident diagnostic decisions fast.

Your benefits:
  • Uncompromised image quality throughout the CT scanner portfolio – with optimized signal-to-noise and contrast-to-noise ratio for excellent gray-white matter differentiation and contrast enhancement
  • Standardized scanning and post-processing workflow – as well as fully automated or semi-automated perfusion post-processing to enhance precision medicine
  • Fast scan, analysis, and decision support for endovascular mechanical thrombectomy planning, ongoing triage, and treatment pathway. Every second counts in stroke, because “time is brain”

Did you know?
With our post-processing application bundle CT Neurology Package, you will get all the relevant post-processing tools for stroke evaluation: syngo .CT Neuro Perfusion, syngo .CT Neuro DSA, syngo .CT Dynamic Angio, and many more.

Nexaris Angio-CT suite

Save time with a 2-in-1 stroke solution

Reducing door-to-groin time for stroke patients at your institution is critical. Optimize clinical processes and perform CT diagnostics and angio stroke treatment in the same room. In our Nexaris Angio-CT suite, patients can even stay on the same table for diagnostics and treatment – translating into time savings and enhanced safety. In a two-room set-up, you can even use the systems independently.

Your benefits:

  • System combination that shares one table for diagnostics and treatment, making patient transfer unnecessary
  • Optimized, faster, and easier stroke management that supports enhanced patient outcomes
  • Potential cost savings thanks to reduced workflow time and improved neurological outcomes
  • High‐end care for centers of excellence

Did you know?

  • You can dramatically reduce time to reperfusion in the endovascular treatment of acute stroke patients by eliminating time spent on transporting and transferring patients
  • You can maximize system utilization: The CT and angio system can be used separately for daily business when installed in a two‐room setup with a sliding door in between
  • It’s an ideal solution for emergency departments with stroke specialization

Learn more about the Nexaris Angio-CT Suite!

Ludo F. M. Beenen, MDEmergency radiologist AMC Amsterdam, Netherlands
“In a dual-room solution you can adapt at any time to the changing circumstances.”
Ludo F. M. Beenen, MD
Emergency radiologist
AMC Amsterdam, Netherlands
nexaris Angio‐CT suite – One‐room combination of Artis Q biplane and CT scanner for interventional stroke treatment

Nexaris Angio‐CT suite: A smart combination of an Artis Q biplane and a CT scanner in one room to speed up diagnostics and interventional stroke treatment.

Angio-only solution

Fast angio-only stroke solution

Perform stroke care in the fast lane

Stroke patients need medical help extremely fast. Advance therapy outcomes with our groundbreaking angio‐only solution ARTIS icono.The system delivers fast and precise cone-beam CT images. And by combining pre-procedural imaging and treatment in your angio suite for stroke patients, you can save up to one hour in stroke care.4)

Your benefits:

  • Transfer potential LVO stroke patients directly to the angio suite
  • With syngo DynaCT Multiphase it is for the first time possible to visualize cerebral collateral vessels with time resolved DynaCT, depicting 10 different time points within a period of 60 seconds
  • Bleeding visualization and stroke classification can be done right in the angio suite
  • Perform both diagnostic imaging and stroke treatment with one system

Did you know?

  • With syngo DynaCT Sine Spin5), artefacts in the skull base are reduced, to visualize bleedings in the whole brain
  • According to peers at Göttingen, the angio-only solution leads to a door-to-groin time reduction of approximately 30 minutes: Find out more at onestopinstroke.eu

Learn more about ARTIS icono!

Marios Psychogios, MDDepartment of Neuroradiology University Hospital Goettingen, Germany
“One stop management of stroke patients with suspected large vessel occlusion (NIHSS > 6) is feasible and can save 30 to 60 minutes of in-hospital time.”

Marios Psychogios, MD

Department of Neuroradiology

University Hospital Goettingen, Germany

MSCT imageMSCT
DynaCT imageDynaCT

Courtesy: Prof. Martin Skalej, MD, Neuroradiology, University Medicine Magdeburg, Germany

Experience the CT-like image quality of syngo DynaCT

Slide between the two images and see for yourself the marginal difference in image quality between syngo DynaCT and CT images

11 days time difference between the acquisition of the MSCT and the DynaCT image.

Highlights from the Goettingen approach

The University Medical Center Goettingen in Germany significantly reduced door‐to‐groin time.

Mobile CT solution

somatom on.site

Bring critical care imaging to your patient

One important element in the care of hospitalized stroke patients is follow-up CT imaging. This becomes a time-intensive process if the patient is lying in an intensive care unit (ICU) due to her or his severe condition. Under these circumstances you want your staff to be able to perform diagnostics quickly and make treatment decisions right away and with confidence. Our mobile head CT scanner SOMATOM On.site provides access to consistent and reliable SOMATOM image quality, right at your patient’s bedside.

Your benefits:

  • Reduce patient transports for CT imaging throughout the hospital. This has various benefits reaching from less potential for clinical complications during patient transport or decreased risks for hospital-acquired infections.
  • Optimize staff deployment by letting ICU staff stay at their ward and continue care for ICU patients. With our mobile CT scanner, there is no need for them to accompany patient transports for head CT examinations.
  • Achieve high image quality at the point of care and rely on SOMATOM components e.g. Stellar detector and SAFIRE iterative reconstruction.

Did you know?

SOMATOM On.site is completely self-shielded which enables in-room scanning. Due to that, staff can stay next to the patient during the examination and other patients can stay in the room.

Learn more about SOMATOM On.site!

1

Including Defuse 3 and DAWN studies

2

www.strokecenter.org/patients/about-stroke/stroke-statistics/ [last visited July 05, 2019]

3

www.nejm.org/doi/full/10.1056/NEJMoa1706442 [last visited July 05, 2018]

4

US National Library of Medicine National Institutes of Health, “One‐stop management of acute stroke patients: minimizing door to reperfusion times.” (2017) Available from: https://www.ncbi.nlm.nih.gov/pubmed/29018132 [last visited July 05, 2019]

5

Optional

6

The New England Journal of Medicine, “Randomized Assessment of Rapid Endovascular Treatment of Ischemic Stroke.” (2015) Available from: https://www.nejm.org/doi/full/10.1056/nejmoa1414905

7

The New England Journal of Medicine, “Thrombectomy 6 to 24 Hours after Stroke with a Mismatch between Deficit and Infarct.” (2018) Available from: https://www.nejm.org/doi/full/10.1056/nejmoa1706442

8

The New England Journal of Medicine, “Thrombectomy for Stroke at 6 to 16 Hours with Selection by Perfusion Imaging.” (2018) Available from: https://www.nejm.org/doi/full/10.1056/NEJMoa1713973