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CME / ABIM MOC / CE

Is Computed Tomography Alone Versus Computed Tomography Plus Magnetic Resonance Imaging Enough for the Diagnosis of Strokes?

  • Authors: News Author: Marlene Busko; CME Author: Charles P. Vega, MD
  • CME / ABIM MOC / CE Released: 10/7/2022
  • THIS ACTIVITY HAS EXPIRED FOR CREDIT
  • Valid for credit through: 10/7/2023, 11:59 PM EST
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Target Audience and Goal Statement

This activity is intended for primary care physicians, neurologists, emergency medicine specialists, cardiologists, internal medicine physicians, nurses, nurse practitioners, physician assistants, and other clinicians who care for patients with acute ischemic stroke.

The goal of this activity is for learners to be better able to evaluate the value of magnetic resonance imaging in addition to computed tomography among cases of acute ischemic stroke.

Upon completion of this activity, participants will:

  • Distinguish imaging modalities associated with improved outcomes in acute ischemic stroke
  • Evaluate outcomes of adding magnetic resonance imaging to computed tomography imaging of the brain among patients with acute ischemic stroke
  • Outline implications for the healthcare team


Disclosures

Medscape, LLC requires every individual in a position to control educational content to disclose all financial relationships with ineligible companies that have occurred within the past 24 months. Ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

All relevant financial relationships for anyone with the ability to control the content of this educational activity are listed below and have been mitigated. Others involved in the planning of this activity have no relevant financial relationships.


News Author

  • Marlene Busko

    Freelance writer, Medscape

    Disclosures

    Marlene Busko has no relevant financial relationships.

CME Author

  • Charles P. Vega, MD

    Health Sciences Clinical Professor of Family Medicine
    University of California, Irvine School of Medicine

    Disclosures

    Charles P. Vega, MD, has the following relevant financial relationships:
    Consultant or advisor for: GlaxoSmithKline; Johnson & Johnson Pharmaceutical Research & Development, L.L.C.

Editor/Compliance Reviewer

  • Yaisanet Oyola, MD

    Associate Director, Accreditation and Compliance, Medscape, LLC

    Disclosures

    Yaisanet Oyola, MD, has no relevant financial relationships.

Compliance Reviewer

  • Lisa Simani, APRN, MS, ACNP

    Associate Director, Accreditation and Compliance, Medscape, LLC

    Disclosures

    Lisa Simani, APRN, MS, ACNP, has no relevant financial relationships.

Peer Reviewer

This activity has been peer reviewed and the reviewer has no relevant financial relationships.


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Interprofessional Continuing Education

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IPCE

This activity was planned by and for the healthcare team, and learners will receive 0.25 Interprofessional Continuing Education (IPCE) credit for learning and change.

    For Physicians

  • Medscape, LLC designates this enduring material for a maximum of 0.25 AMA PRA Category 1 Credit(s)™ . Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.25 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

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    For Nurses

  • Awarded 0.25 contact hour(s) of nursing continuing professional development for RNs and APNs; 0.00 contact hours are in the area of pharmacology.

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  • For Physician Assistants

    Medscape, LLC has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 0.25 AAPA Category 1 CME credits. Approval is valid until 10/7/2023. PAs should only claim credit commensurate with the extent of their participation.

For questions regarding the content of this activity, contact the accredited provider for this CME/CE activity noted above. For technical assistance, contact [email protected]


Instructions for Participation and Credit

There are no fees for participating in or receiving credit for this online educational activity. For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board.

This activity is designed to be completed within the time designated on the title page; physicians should claim only those credits that reflect the time actually spent in the activity. To successfully earn credit, participants must complete the activity online during the valid credit period that is noted on the title page. To receive AMA PRA Category 1 Credit™, you must receive a minimum score of 70% on the post-test.

Follow these steps to earn CME/CE credit*:

  1. Read about the target audience, learning objectives, and author disclosures.
  2. Study the educational content online or print it out.
  3. Online, choose the best answer to each test question. To receive a certificate, you must receive a passing score as designated at the top of the test. We encourage you to complete the Activity Evaluation to provide feedback for future programming.

You may now view or print the certificate from your CME/CE Tracker. You may print the certificate, but you cannot alter it. Credits will be tallied in your CME/CE Tracker and archived for 6 years; at any point within this time period, you can print out the tally as well as the certificates from the CME/CE Tracker.

*The credit that you receive is based on your user profile.

CME / ABIM MOC / CE

Is Computed Tomography Alone Versus Computed Tomography Plus Magnetic Resonance Imaging Enough for the Diagnosis of Strokes?

Authors: News Author: Marlene Busko; CME Author: Charles P. Vega, MDFaculty and Disclosures
THIS ACTIVITY HAS EXPIRED FOR CREDIT

CME / ABIM MOC / CE Released: 10/7/2022

Valid for credit through: 10/7/2023, 11:59 PM EST

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References

  1. Hefzy H, Neil E, Penstone P, Mahan M, Mitsias P, Silver B. The addition of MRI to CT based stroke and TIA evaluation does not impact one year outcomes. Open Neurol J. 2013;7:17-22. https://openneurologyjournal.com/VOLUME/7/PAGE/17/. Accessed July 28, 2022.
  2. Cabral Frade H, Wilson SE, Beckwith A, Powers WJ. Comparison of outcomes of ischemic stroke initially imaged with cranial computed tomography alone vs computed tomography plus magnetic resonance imaging. JAMA Netw Open. 2022;5(7):e2219416. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2794463. Accessed July 28, 2022.
  3. Teitcher M, Biller J. Understanding the value of diagnostic imaging in ischemic stroke outcomes. JAMA Netw Open. 2022;5(7):e2223077. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2794467. Accessed July 28, 2022.
  4. Kleindorfer DO, Towfighi A, Chaturvedi S, Cockroft KM, Gutierrez J, Lombardi-Hill D, Kamel H, Kernan WN, Kittner SJ, Leira EC, Lennon O, Meschia JF, Nguyen TN, Pollak PM, Santangeli P, Sharrief AZ, Smith SC Jr, Turan TN, Williams LS. 2021 Guideline for the prevention of stroke in patients with stroke and transient ischemic attack: a guideline from the American Heart Association/American Stroke Association. Stroke. 2021;52(7):e364-e467. Erratum in: Stroke. 2021;52(7):e483-e484. https://www.ahajournals.org/doi/10.1161/STR.0000000000000375. Accessed July 28, 2022.
  5. Campbell BCV. The value of diagnostic imaging in stroke—are we asking the right question? JAMA Netw Open. 2022;5(7):e2223074. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2794468. Accessed July 28, 2022.
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