Stroke CoreTool

Luby M, Merino JG, Davis R, Ansari S, Fisher M, Hsia AW, Kim Y, Latour LL, McCreedy ES, Sukhdeo Singh R, Wright CB, Lynch JK. "Association of Multiple Passes during Mechanical Thrombectomy with Incomplete Reperfusion and Lesion Growth." Cerebrovasc Dis. 2021 Dec 13:1-9. doi: https://doi.org/10.1159/000519796. (PMID: 34903681)

NINDS Stroke CoreTool workflow:

• Participating hospitals collect ADC and DWI MR data from ischemic stroke patients.
• The PACS systems from the participating hospitals automatically push the acquired data to a NIH PACS server.
• The NIH PACS server automatically sends the DICOM data matching pre-set rules to a CoreTool DICOM receiver administered by NINDS via the DICOM Communication Protocol.
• When full dataset for a patient is received by the CoreTool receiver, it is processed through an ischemic core segmentation algorithm implemented as a MIPAV plug-in.
  • The CoreTool segmentation algorithm generates lightbox images of the core region as an overlay on the original ADC and of the original DWI volume with a custom window and level.
  • The generated lightboxes and segmentation calculations are output to an access-controlled web page for analysis by physicians at the participating hospitals, and the physicians are emailed a de-identified version of the results.