Haemin Go / Tuesday, June 8, 2021 / Categories: ED First Patient Contact, Care Team, EM, Neuro, Stroke Team, Topics, CT Image, Tx Approach, Types Of Content, Podcast, Testing, Triage & Disability Assessment, Care Team, EM, Neuro, Neurorad, Stroke Team, Topics, Imaging, Stroke Teams, Types Of Content, Podcast, Imaging & Diagnostics, Care Team, EM, Neurorad, Stroke Team, Topics, Best Practices, Controversies, Diagnostics, Types of Content, Podcast, Endovascular Therapy, Care Team, EM, Neuro, Neurorad, Stroke Team, Diagnosis, IS, Topics, Controversies, Types of Content, Podcast, ICU & Critical Care, Care Team, Critical Care, Stroke Team, Diagnosis, IS, Topics, Controversies, Types of Content, Podcast, Content Types, Podcast CT Angiography - What Should the Rest of Us Know? Moderator: William A. Knight IV, MD, FACEP, FNCS Other Participants: Achala Vagal, MD, MS Neuroradiologist Achala Vagal, MD, discusses the fundamentals of CT Angiography for non-radiologists in podcast recorded with Dr. William Knight. Dr. Vagal decribes her techniques and approach to efficiently reviewing and interpreting a CT Angiogram of the head and neck in suspected stroke patients. Drs. Vagal and Knight review the checklist approach to minimize errors of omission, MIPS, and the challenges of difficult lesions such as M2 occlusions. They agree on optimal communication with the consulting radiologist, and discuss the benefits and pitfalls of artifical intelligence radiology software. Previous Article “Gaming the Conversation”: What Really Happens in Your Mind When You Are Evaluating a Patient for Acute Stroke Diagnosis and Treatment? Next Article Keys to the Neurologic Exam From a Stroke Neurologist Who Trains Non-Neurologists to Be Stroke Doctors Print 12036 Rate this article: No rating 2 comments on article "CT Angiography - What Should the Rest of Us Know?" Mohammad Kassem I'd love to hear what your personal checklists are that you have found successful when reading a CTA. Thanks! 7/16/2021 8:24 PM William Knight Great question! Here is Dr. Vagal's approach to having a systematic evaluation of CTAs - particularly for a non-radiologist: 1. Look for the LVO (ICA/M1/basilar). 2. Check the MIPs for smaller vessels such as M2 3. Check the MIPs for collaterals/decreased branching of M2 (as we know M2 occlusions are hard and easy to miss) 4. Check CTA source images for ASPECTS, especially if NCCT is normal. Hope this helps! 8/11/2021 6:20 PM Please login or register to post comments.
Mohammad Kassem I'd love to hear what your personal checklists are that you have found successful when reading a CTA. Thanks! 7/16/2021 8:24 PM
William Knight Great question! Here is Dr. Vagal's approach to having a systematic evaluation of CTAs - particularly for a non-radiologist: 1. Look for the LVO (ICA/M1/basilar). 2. Check the MIPs for smaller vessels such as M2 3. Check the MIPs for collaterals/decreased branching of M2 (as we know M2 occlusions are hard and easy to miss) 4. Check CTA source images for ASPECTS, especially if NCCT is normal. Hope this helps! 8/11/2021 6:20 PM