AI-enabled support for fast and consistent interpretation of non-contrast CTs
The lack of timely, available expertise for brain CT scan interpretation can delay stroke patients accessing life-saving treatment. e-ASPECTS helps to solve this issue by using artificial intelligence (AI) to enable quick and accurate assessment of ischemic stroke damage, both by quantifying the volume of ischemia and with the ASPECTS score. By reducing inter-reader variability in interpretation, it enables a more standardized stroke diagnosis. It facilitates fast and consistent treatment decisions by medical professionals, irrespective of their experience or expertise. Physicians can review results anywhere, in less than one minute.
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Following diagnosis, ischemic stroke patients are assessed to receive thrombolysis, endovascular treatment or for severe cases, decompressive craniotomy. These treatments are time-sensitive, and decisions must be made within the first few hours of stroke onset to ensure the best possible outcome for the patient.
e-ASPECTS results can be easily accessed via PACS, through the e-ASPECTS web browser user interface, or sent to a clinician's smartphone via email, ensuring rapid sharing throughout the stroke team and faster, more informed decision-making.
For users carrying out clinical research, the unique ischemia volume measurement feature in e-ASPECTS provides a fully automated estimate of the ischemic core size on non-contrast CT, even for hyper-acute cases.
Building a community of stroke ready hospitals
We are proud to be part of the pan-European Angels Initiative, a lifesaving collaboration with Boehringer Ingelheim. It's a unique healthcare initiative endorsed by the European Stroke Association (ESO) and aims to build a community of 1500 stroke centres and stroke-ready hospitals by May 2019, bringing the latest thinking about stroke care to regions with less well developed facilities.
We offer Angels Initiative member hospitals six months' free use of our e-ASPECTS software and it is already being found very valuable by stroke centres in Spain, Italy, Czech Republic, Hungary, Slovakia, Poland and Portugal.
Dr John M. Reid
Consultant Stroke Neurologist
Aberdeen Royal Infirmary
“We are keen to start using e-ASPECTS to augment radiological assessment of acute stroke patients for thrombolysis. It can be difficult to assess the extent of early ischaemic changes in acute ischaemic stroke. e-ASPECTS may help assess clinical-radiological mismatch to establish potentially salvageable tissue. At times, we have junior radiology registrars or outsourced radiologists reporting scans out of hours. Also, some newly appointed stroke consultants are less experienced in assessing acute CT scans. e-ASPECTS can help provide confidence in assessing the extent of early ischaemic change. We see e-ASPECTS as a way to assist thrombolysis decision making.”
Professor Simon Nagel
Heidelberg University Hospital (Germany)
"e-ASPECTS has been incorporated in our imaging pathway for acute ischemic stroke patients. e-ASPECTS has standardized our ASPECTS scoring.
It has sped up our image interpretation and helped especially our younger physicians to become more confident in image analysis and treatment decisions. It is also a great help for doctors on call to receive an immediate alert email with image files to instantly review a patient’s scan."
Dr Ian Ewart
Consultant in Vascular Anaesthesia and Critical Care
Southend University Hospital NHS Foundation Trust (UK)
"The use of e-ASPECTS has both decreased time to treatment and made the diagnosis of ischaemic stroke easier, and thus added significantly to improving time-critical care in this group of patients. I have been impressed by the way in which the software provides results which are consistent with experts in radiology and stroke management and have been very happy with its use in our stroke management and thrombectomy service."
Dr David Cohen
Consultant Stroke Physician
Northwick Park Hospital, London (UK)
"We have now been using e-ASPECTS at Northwick Park for over a year. Our radiographers are now asked to send ALL stroke scans to e-ASPECTS. This can be up to a dozen scans a day. The system works well and easily. It provides an additional layer of decision support which is important as the first line of reporting for us is usually a radiology registrar who may be quite junior. They report the scans without viewing e-ASPECTS so that the clinican has access to a report and the e-ASPECTS analysis.
One of the best features is that the scans are easily available on a smartphone: I can download three differently analysed anonymised scans in less than a minute. The software is being updated regularly and seems particularly good at differentiating between old and new infarcts. It can also be used to view haemorrhages rapidly even though the system is not set up to analyse these. I strongly recommend it as an adjunct to routine reporting."
Dr Ivete Pillo Goncalves
Main investigator for Resilient Trial and Member of the Neurovascular team
HSJA (Sao Jose do Avai Hospital), Brazil
"e-ASPECTS made all the difference in the stroke unit of the Hospital São José do Avaí, providing flexibility and security in the decision-making process, benefiting the patients affected by an acute ischemic stroke.
Today we use e-ASPECTS on a daily basis, and the fact that it is reliable and accessible for viewing by the entire team has made us quicker in resolving the different cases. I cannot imagine how we could operate without this excellent support tool."
Dr Marcos Lange
Hospital de Clínicas complex from Federal University of Paraná (UFPR), Curitiba, Brazil
"We started using e-ASPECTS in our Stroke Center back in 2017. Using the software we have witnessed a significant improvement when evaluating scans. e-ASPECTS helped us reduce the overall time needed to interpret scans."
Dr Michal Bar Ph.D. FESO
Head of Comprehensive Stroke Centre
University Hospital Ostrava (Czech Republic)
"The e-ASPECTS software has proven to be a very useful tool for indication of intravenous thrombolysis and/or thrombectomy in our centre. We would like to present a case report that confirms usefulness of e-ASPECTS in the acute stroke treatment phase."