Ann: Australian Stoke Alliance Successful in Frontiers Bid, page-241

Summary of Geoff Donnan's presentation to the joint European Stroke Organisation and World Stroke Organisation conference.

Just shows how important the EMV contribution is to the Golden Hour aspirations!

Fiehler, Germany and Raul G. Nogueira, United States of America
Session Description:  Joint session with European Society of Neuroradiology (ESNR)
By Rajiv Advani MD PhD FESO, Norway  Twitter: @rajeroni
The final day of the ESO-WSO 2020 Congress and a live joint ESO-ESNR session on Mechanical Thrombectomy (MT) and Imaging Selection.

Imaging in The Pre-Hospital Phase – A Look to The Future

Prof. Geoffrey Donnan from Australia kicked off the session with a presentation on new technologies in the development of diagnostics in acute ischemic stroke. The Golden Hours of Ischemic stroke; the first hour since the onset of symptoms in the setting of intravenous thrombolysis (IVT) and the first two hours in the case of MT. This time window yields the best results in terms of clinical outcomes. But the question remains, how do we access the Golden Hours? The answer – improved pre-hospital care, new technology incorporated into new transport options and improved data linkage. Around 30 Mobile Stroke Units (MSU) are currently operating around the world. MSU results in Melbourne, Australia have shown IVT treatment rates around 50% and MT treatment rates of around 25%.

Incorporating new technologies into MSU has proven to be extremely clinically effective whilst also providing significant monetary savings. Faster clot retrieval drives the majority of these results but is also augmented by faster IVT administration.


New technologies include light weight CT scanners around a fifth of the weight of a traditional scanner and the use of electromagnetic (EM) imaging.

Electromagnetic imaging employs (EM) phase shift to visualise strokes and can differentiate between haemorrhagic and ischemic strokes. Get technology out there to the patients and reduce treatment times