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Clinical methods are not comprehensive in value for early diagnosis of acute stroke and large vascular thase (LVO).
electro-encephalograms respond quickly and sensitively to isoemia in the brain.
recently, a study published in the leading journal in the field of cardiovascular disease was published to assess the diagnostic value of electro-encephalograms for acute stroke/transient cerebral ischemic episodes (TIA) and LVO.
patients who were treated in the emergency department and were suspected of acute stroke (n-100) were clinically examined and then electroencephalograms were performed using a dry electrode system.
researchers divided patients into four models, namely (1) clinical data, (2) electro-encephalogram data, (3) clinical and electro-encephalogram data obtained using Logistic regression, and (4) clinical-e-encephalogram data obtained using deep learning neural networks.
model used 60 randomly selected patients as a training set and then validated in a separate queue of 40 new patients.
63 out of 100 patients had stroke (43 ischemic/7 bleeding) or TIA (13).
For whether or not stroke/TIA classifys patients, the area under the curve of the clinical data model is 62.3, while the area under the curve of the clinical-E-brain map data model obtained using the deep learning neural network model is 87.8.
, it can be seen that adding electro-encephalogram data to clinical indicators can improve the diagnosis of acute stroke/TIA and LVO acute stroke.
to collect dry electrode electroencephalograms in emergency departments is feasible and worthy of pre-hospital evaluation.
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