News | Stroke | March 23, 2016

University of Tennessee College of Medicine Launches Mobile Stroke Unit

New unit features CT and CT angiography capabilities to bypass the emergency department altogether and get patients directly into treatment

University of Tennessee, Mobile Stroke Unit, CT angiography, Siemens Somatom Scope
University of Tennessee, Mobile Stroke Unit interior, Siemens Somatom Scope CT scanner

March 23, 2016 — The University of Tennessee College of Medicine in Memphis introduced a new, comprehensive Mobile Stroke Unit, capable of conducting and producing advanced quality imaging for stroke diagnosis and noninvasive computed tomography (CT)-angiography with a Siemens Somatom Scope CT scanner.

The Mobile Stroke Unit creates the ability to diagnose and launch treatment, including tissue plasminogen activator (tPA) treatment and the potent blood pressure drug nicardipine, within the critical first hour time frame. It also provides the ability to select patients for endovascular interventions, neurosurgery and neuro-critical care directly from the prehospital arena.

Other Mobile Stroke Units allow for initial treatment to begin quickly and for prepping for emergency room arrival. The sophistication of The UT College of Medicine Mobile Stroke Unit means a patient will be prepped to go straight to the catheterization laboratory, neuro intensive care unit or hospital stroke unit, bypassing the stop in the emergency department entirely.

“We are thrilled to have this medical first in Memphis. I want to stress that the Mobile Stroke Unit is a product of worldwide industry leaders brought together to create the first-of-its-kind vehicle,” said David Stern, M.D., the Robert Kaplan Executive Dean and vice-Chancellor for Clinical Affairs for The University of Tennessee College of Medicine and The University of Tennessee Health Science Center. “The vehicle framework is from Canada, the Siemens Somatom Scope CT scanner was developed by a German company, the custom assembly took place in New York, with the oversight and direction coming from UT College of Medicine in Memphis, Tenn. led by Dr. Andrei V. Alexandrov, the chairman of the Department of Neurology at The University of Tennessee Health Science Center and Semmes-Murphey Professor, who is originally from Russia.”

Weighing in at more than 14 tons, the unit includes features and capabilities such as:

  • A hospital-quality CT scanner with advanced imaging capabilities to not only allow brain imaging, but also imaging of blood vessels in the brain. Other Mobile Stroke Units in the United States and Europe use smaller portable CT scans that only image the brain (without vessels) and also require the team to move the patient for each slice (picture) that is taken. UT’s Mobile Stroke Unit provides the same number of slices in high resolution as obtained and expected in the hospital setting since it is equipped with a dedicated gantry that automatically moves the patient to obtain images;
  • Due to these advanced imaging capabilities, the Mobile Stroke Unit will be able to bypass hospital emergency departments and take patients directly to endovascular suites, operating rooms, stroke or neurocritical units;
  • It is the largest Mobile Stroke Unit in the world, complete with an internal power source capable of matching regular electrical outlet access;
  • It is the first in the world to be staffed with stroke fellowship-trained, doctorally-prepared nurses certified as advanced neurovascular practitioners (ANVP-B); and
  • The Mobile Stroke Unit capacity includes the ability to transport trainees and researchers interested in building the science of early stroke management.

“We have a tremendous burden of stroke in Shelby County, with a stroke rate per 100,000 population that is 37 percent higher than the national average,” said Stern. “The goal of the Mobile Stroke Unit is to minimize morbidity and mortality, to have more patients walk out of the hospital fully functional. Time is everything for stroke treatment; the quicker we are able to assess and attend to a patient, the better his or her chances are for recovery.”

“If we eliminate the treatment delay getting to and through the emergency room, we can save up to 90 minutes, and as a neurologist, I know that time is brain, so the more time we save, the less likely it is that permanent brain damage will occur in a patient. Our hypothesis is that we will deliver hospital-level standard of stroke care faster, equally safe, but with better outcomes due to the ability to intervene much earlier,” said Alexandrov. “Our ‘time to treatment’ target is less than one hour.”

The UT Mobile Stroke Unit is funded through a public-private collaboration for which more than $3 million has been raised, which will enable operation for up to three years. The unit will operate 12 hours a day, one week on and one week off beginning late April 2016.

“The Mobile Stroke Unit will be based in the heart of a 10-mile, most-critical-needs areas of Memphis with the highest incidence of stroke, but can be deployed within the entire metro region. We estimate that 300 patients will need to be treated by the Mobile Stroke Unit to prove its effectiveness over the course of three years,” said Alexandrov. “We believe this study will help establish a baseline of results that medical communities worldwide can use to develop and deploy similar programs to affect stroke outcomes. Our goal is a sustainable model for future funding and an overall lowering of morbidity and mortality through early treatment.”

For more information: www.uthsc.edu/medicine

Related Content

Sectra Adds DePuy Synthes 3-D Templates to Pre-Operative Orthopedic Solution
News | Orthopedic Imaging | October 17, 2019
International medical imaging information technology (IT) and cybersecurity company Sectra is extending its pre-...
Guerbet Signs Agreement With Icometrix for Exclusive Distribution of Icobrain
News | Neuro Imaging | October 16, 2019
Guerbet announced it has signed an exclusive agreement with Icometrix for the distribution in France, Italy and Brazil...
RSNA Announces Intracranial Hemorrhage AI Challenge
News | Artificial Intelligence | October 08, 2019
The Radiological Society of North America (RSNA) recently launched its third annual artificial intelligence (AI)...
University of Arizona to Develop New CT-Based Breast Cancer Diagnostic Imaging Method
News | Breast Imaging | September 27, 2019
Researchers at the University of Arizona Health Sciences are seeking a new and more accurate way to diagnose breast...
FDA Clears Modules of AI-Rad Companion Chest CT From Siemens Healthineers
Technology | Computed Tomography (CT) | September 26, 2019
The U.S. Food and Drug Administration (FDA) has cleared three modules of AI-Rad Companion Chest CT, an intelligent...
New ESC Guideline Provides Class 1 Recommendation for Coronary CTA
News | CT Angiography (CTA) | September 17, 2019
The European Society of Cardiology (ESC) published new guidelines on the diagnosis and management of chronic coronary...
The Siemens Somatom Go.Sim computed tomography (CT) system for dedicated radiation therapy planning

The Siemens Somatom Go.Sim computed tomography (CT) system for dedicated radiation therapy planning. Image courtesy of Siemens Healthineers.

News | Computed Tomography (CT) | September 15, 2019
Siemens Healthineers debuted two computed tomography (CT) systems dedicated to radiation therapy (RT) planning at the...
Philips Showcases Integrated Radiation Oncology Portfolio at ASTRO 2019
News | Radiation Oncology | September 13, 2019
Philips will showcase its integrated radiation oncology portfolio at the American Society of Radiation Oncology (ASTRO...
Richardson Healthcare Receives CE Mark Approval for ALTA750 Canon/Toshiba CT Replacement Tube
News | Computed Tomography (CT) | September 11, 2019
Richardson Healthcare, a Division of Richardson Electronics Ltd., announced it has received CE Mark approval for the...
Bayer Introduces Medrad Stellant Flex CT Injection System
Technology | Contrast Media Injectors | September 11, 2019
Bayer announced the introduction of the Medrad Stellant Flex computed tomography (CT) injection system. Stellant Flex...