Stroke Under the Probe: Advancing Diagnosis and Management with Ultrasound

Despite comprehensive workup, stroke etiology remains unknown in up to 30% of cases. A significant portion of these are classified as cryptogenic strokes, including the subset known as embolic stroke of undetermined source (ESUS), which might be even more prevalent in younger patients.

Made possible by the Canon Medical Academy, “Stroke Under the Probe: Advancing Diagnosis and Management with Ultrasound,” is an upcoming webinar taking place on September 4 at 7 pm (CEST), showcasing how neurosonology equips clinicians with real-time diagnostic insights – whether used independently, to define clinical thresholds, or to complement other imaging techniques.

Thanks to the portability and affordability of ultrasound systems, neurosonology can be readily integrated across a wide range of clinical environments (ER, stroke units, ICUs) and applied throughout all phases of stroke care, from acute assessment to long-term prevention.

This webinar is organized in collaboration with World Organization of Neurosonology (WON).

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Canon Medical Academy

Stroke Under the Probe:
Advancing Diagnosis and Management with Ultrasound

September 4 | 7PM (CEST)

Live Webinar | Stroke Under the Probe

Join us on September 4, at 7 pm (CEST) for the webinar “Stroke Under the Probe: Advancing Diagnosis and Management with Ultrasound,” and follow Prof. Branko Malojčić, Prof. Claudio Baracchini, and Prof. João Sargento Freitas as they discuss about how, in the hands of skilled clinicians, neurosonology provides real-time information that can be used as stand-alone findings, as cut-off values, or as an addition to other imaging methods.

Program
  • Introduction | Prof. Branko Malojčić
  • Unmasking Undetermined Etiology in Stroke Using Advanced Ultrasound Techniques | Prof. Claudio Baracchini
  • Acute Stroke Hemodynamic Assessment of Intracranial Vessels | Prof. João Sargento Freitas
  • Live Q&A moderated by Prof. Branko Malojčić
Learning Objectives
  • Learn the value of neurosonology in the workup of cryptogenic and acute stroke
  • Get practical tips from leading experts representing the World Organisation of Neurosonology (WON)
  • Participate in the live Q&A with the experts to find answers to your own questions, whether you're an expert or an early-career neurologist performing neurosonology or treating stroke patients.

Speakers and Moderator

Moderator: Prof. Branko Malojčić, MD, PhD Director of TIA Center, Department of Neurology
University Hospital Center Zagreb
Zagreb, Croatia

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Speaker: Prof. Claudio Baracchini, MD, PhD, FESO Director of Stroke Center and Neurosonology Lab
Azienda Ospedale - Università di Padova
Padua, Italy

Presentation: Unmasking Undetermined Etiology in Stroke Using Advanced Ultrasound Techniques

In cryptogenic stroke, which accounts for at least 30% of ischemic strokes, especially in younger patients, the cause is not identified despite standard diagnostic testing. This can be due to incomplete diagnostic workup, multiple potential causes, or an underlying subtle/intermittent condition.

In Embolic Stroke of Undetermined Source (ESUS), a specific type of cryptogenic stroke, possible sources of emboli include paradoxical embolism, non-stenotic atherosclerotic plaques, and non-atherosclerotic cerebrovascular disease.

The identification of stroke etiology is vital in these patients because of the higher risk of recurrent stroke and treatment implications. Therefore, unmasking the undetermined etiology of stroke is pivotal for long-term prognosis and can be achieved with advanced cervical and intracranial vessel ultrasound imaging, transcranial ultrasound for accurate and noninvasive right-to-left shunt detection, and prolonged transcranial Doppler monitoring for microembolic signal interception.

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Speaker: Prof. João Sargento Freitas, MD, PhD Neurologist
Coimbra University and Hospital Centre
Coimbra, Portugal

Presentation: Acute Stroke Hemodynamic Assessment of Intracranial Vessels

Acute stroke requires rapid, accurate assessment of cerebral hemodynamics to guide timely intervention. Neurosonology, particularly transcranial ultrasound, offers a non-invasive, bedside method to evaluate intracranial vessel flow dynamics in real time. Bedside neurosonology enables the detection of arterial occlusions, stenosis, collateral flow patterns, and microembolic signals, contributing to diagnosis, monitoring, and direct therapeutic decision-making.

In the acute setting, dynamic cerebral blood flow assessment aids in modulating individualized patient management after reperfusion therapies, optimizing outcomes. Advancements in neurosonology enhance our understanding of cerebral hemodynamics in stroke pathophysiology, supporting its integration into comprehensive acute stroke protocols and neurovascular imaging strategies.

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Disclaimers

  • The opinions expressed in this material are solely those of the presenter and not necessarily those of Canon Medical Systems. Canon Medical Systems does not guarantee the accuracy or reliability of the information provided herein.
  • The clinical results, performance and views described in this video/webinar are the experience of the clinician. Results may vary due to clinical setting, patient presentation and other factors. Many factors could cause the actual results and performance of Canon Medical’s products to be materially different from any of the aforementioned.
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