How to Improve the Management of Acute Ischemic Stroke by Modern Technologies, Artificial Intelligence, and New Treatment Methods.

Kamil Zeleňák,Amar Ajay Chotai,Jeremy Lynch,Jean-Christophe Gentric,Ernesto Pearson,Valerio Da Ros,Jens Fiehler,Lukas Meyer,Jildaz Caroff,Daniel Behme,Ivan Vukasinovic,Deniz Bulja,Antonín Krajina,Jeremy Hofmeister,Omar Kass-Hout,Özcan Kocatürk

doi:10.3390/life11060488

Abstract

Stroke remains one of the leading causes of death and disability in Europe. The European Stroke Action Plan (ESAP) defines four main targets for the years 2018 to 2030. The COVID-19 pandemic forced the use of innovative technologies and created pressure to improve internet networks. Moreover, 5G internet network will be helpful for the transfer and collecting of extremely big databases. Nowadays, the speed of internet connection is a limiting factor for robotic systems, which can be controlled and commanded potentially from various places in the world. Innovative technologies can be implemented for acute stroke patient management soon. Artificial intelligence (AI) and robotics are used increasingly often without the exception of medicine. Their implementation can be achieved in every level of stroke care. In this article, all steps of stroke health care processes are discussed in terms of how to improve them (including prehospital diagnosis, consultation, transfer of the patient, diagnosis, techniques of the treatment as well as rehabilitation and usage of AI). New ethical problems have also been discovered. Everything must be aligned to the concept of “time is brain”.

Highlights

In 2015, there were 6.3 million cerebrovascular disease deaths worldwide, making stroke the second leading global cause of death
In the prehospital period stroke, symptoms detection remains the crucial key to initiate the process of health care
Acute stroke patient health care must be aligned to the concept of “time is brain”

Summary

Introduction

In 2015, there were 6.3 million cerebrovascular disease deaths worldwide, making stroke the second leading global cause of death. Stroke deaths accounted for 11.8% of total deaths worldwide. A total of 3.0 million individuals died of ischemic stroke, and. In 2010, there were an estimated 11.6 million events of incident ischemic stroke and 5.3 million events of incident hemorrhagic stroke, 63%, and 80%, respectively, in lowand middle-income countries [1,2]. 10% of all strokes occur in people 18 to 50 years of age [3]

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