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Seminars in Neurology最新文献

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Artificial Intelligence in Neurology and Stroke Education: Current Applications and Future Directions. 神经病学和中风教育中的人工智能：当前应用和未来方向。
IF 2 4区 医学
Seminars in Neurology Pub Date : 2025-10-01 DOI: 10.1055/a-2713-6622
Braydon Dymm, Abdullah Khalid
{"title":"Artificial Intelligence in Neurology and Stroke Education: Current Applications and Future Directions.","authors":"Braydon Dymm, Abdullah Khalid","doi":"10.1055/a-2713-6622","DOIUrl":"https://doi.org/10.1055/a-2713-6622","url":null,"abstract":"","PeriodicalId":49544,"journal":{"name":"Seminars in Neurology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Updates in Multiple Sclerosis Imaging. 多发性硬化影像学的最新进展。
IF 2 4区 医学
Seminars in Neurology Pub Date : 2025-09-24 DOI: 10.1055/a-2694-4877
Tyler M Schmidt, Lama Abdel-Wahed
{"title":"Updates in Multiple Sclerosis Imaging.","authors":"Tyler M Schmidt, Lama Abdel-Wahed","doi":"10.1055/a-2694-4877","DOIUrl":"10.1055/a-2694-4877","url":null,"abstract":"<p><p>Magnetic resonance imaging (MRI) remains an integral diagnostic tool in multiple sclerosis (MS), for both making the initial diagnosis and monitoring for disease relapse and progression. Despite the applied use of MRI according to the revised McDonald's criteria in 2017, there has been persistent low diagnostic specificity, especially as it pertains to differentiating radiologically isolated syndrome from alternative diagnoses that mimic demyelination. This report will provide an overview of recent paraclinical innovations, with a focus on MRI biomarkers and parameters such as the central vein and paramagnetic rim signs. Utilizing these tools in clinical practice will hopefully improve precision in the diagnosis and monitoring of MS and reduce the risk of false-positive diagnoses.</p>","PeriodicalId":49544,"journal":{"name":"Seminars in Neurology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Updates in Cerebrovascular Imaging. 脑血管影像学最新进展。
IF 2 4区 医学
Seminars in Neurology Pub Date : 2025-09-12 DOI: 10.1055/a-2681-6597
Hamid Ali, Ahmad Abu Qdais, Arindam Chatterjee, Mohamad Abdalkader, Eytan Raz, Thanh N Nguyen, Sami Al Kasab
{"title":"Updates in Cerebrovascular Imaging.","authors":"Hamid Ali, Ahmad Abu Qdais, Arindam Chatterjee, Mohamad Abdalkader, Eytan Raz, Thanh N Nguyen, Sami Al Kasab","doi":"10.1055/a-2681-6597","DOIUrl":"10.1055/a-2681-6597","url":null,"abstract":"<p><p>Cerebrovascular imaging has undergone significant advances, enhancing the diagnosis and management of cerebrovascular diseases such as stroke, aneurysms, and arteriovenous malformations. This chapter explores key imaging modalities, including non-contrast computed tomography, computed tomography angiography, magnetic resonance imaging (MRI), and digital subtraction angiography. Innovations such as high-resolution vessel wall imaging, artificial intelligence (AI)-driven stroke detection, and advanced perfusion imaging have improved diagnostic accuracy and treatment selection. Additionally, novel techniques like 7-T MRI, molecular imaging, and functional ultrasound provide deeper insights into vascular pathology. AI and machine learning applications are revolutionizing automated detection and prognostication, expediting treatment decisions. Challenges remain in standardization, radiation exposure, and accessibility. However, continued technological advances, multimodal imaging integration, and AI-driven automation promise a future of precise, non-invasive cerebrovascular diagnostics, ultimately improving patient outcomes.</p>","PeriodicalId":49544,"journal":{"name":"Seminars in Neurology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An Overview of Artificial Intelligence in Neurology. 神经病学人工智能研究综述。
IF 2 4区 医学
Seminars in Neurology Pub Date : 2025-09-01 DOI: 10.1055/a-2693-0547
Taylor Maxwell Parker, Benjamin Brush
{"title":"An Overview of Artificial Intelligence in Neurology.","authors":"Taylor Maxwell Parker, Benjamin Brush","doi":"10.1055/a-2693-0547","DOIUrl":"https://doi.org/10.1055/a-2693-0547","url":null,"abstract":"","PeriodicalId":49544,"journal":{"name":"Seminars in Neurology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Carotid Revascularization in the Modern Era: A Comparative Review of Carotid Endarterectomy, Carotid Angioplasty and Stenting, and Transcarotid Artery Revascularization. 现代颈动脉血管重建术：颈动脉内膜切除术、颈动脉血管成形术和支架置入术以及经颈动脉血管重建术的比较综述。
IF 2 4区 医学
Seminars in Neurology Pub Date : 2025-09-01 DOI: 10.1055/a-2685-3141
Abdelaziz Amllay, Andrew B Koo, Daniela Renedo, Varun Padmanaban, Ben Teasdale, Ryan M Hebert, Anil Arat, Taylor Duda, Joseph Schindler, Christopher J Stapleton, James D Rabinov, Aman B Patel, Charles C Matouk, Nanthiya Sujijantarat
{"title":"Carotid Revascularization in the Modern Era: A Comparative Review of Carotid Endarterectomy, Carotid Angioplasty and Stenting, and Transcarotid Artery Revascularization.","authors":"Abdelaziz Amllay, Andrew B Koo, Daniela Renedo, Varun Padmanaban, Ben Teasdale, Ryan M Hebert, Anil Arat, Taylor Duda, Joseph Schindler, Christopher J Stapleton, James D Rabinov, Aman B Patel, Charles C Matouk, Nanthiya Sujijantarat","doi":"10.1055/a-2685-3141","DOIUrl":"https://doi.org/10.1055/a-2685-3141","url":null,"abstract":"<p><p>Carotid artery stenosis is a major cause of acute ischemic stroke, accounting for approximately 15% of cases. Although optimal medical therapy remains the cornerstone of management, current guidelines recommend consideration of surgical intervention for symptomatic patients with ≥50% stenosis and asymptomatic patients with ≥70% stenosis. Extensive evidence supports carotid endarterectomy (CEA) as the gold standard procedure, whereas transfemoral carotid angioplasty and stenting (TF-CAS) and transcarotid artery revascularization (TCAR) offer safe alternatives for patients with high surgical risk. Emerging data suggest that TCAR provides safety and efficacy profiles comparable to CEA and superior to TF-CAS in select patients. Considering these findings, selecting an appropriate revascularization strategy should rely on a multidisciplinary, individualized risk-benefit assessment. This article aims to provide a comparative review of the latest evidence on clinical indications, surgical techniques, and outcomes for current carotid revascularization strategies.</p>","PeriodicalId":49544,"journal":{"name":"Seminars in Neurology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Artificial Intelligence in Stroke Imaging: A Review of Current Applications and Limitations. 人工智能在脑卒中成像中的应用及局限性
IF 2 4区 医学
Seminars in Neurology Pub Date : 2025-08-29 DOI: 10.1055/a-2683-6482
Peter I Kamel, Max Wintermark
{"title":"Artificial Intelligence in Stroke Imaging: A Review of Current Applications and Limitations.","authors":"Peter I Kamel, Max Wintermark","doi":"10.1055/a-2683-6482","DOIUrl":"10.1055/a-2683-6482","url":null,"abstract":"<p><p>Stroke is a major global health burden, requiring time-sensitive diagnosis and treatment to improve patient outcomes. This urgency has created a compelling role for artificial intelligence in the stroke imaging workflow to accelerate diagnosis and treatment. Artificial intelligence has demonstrated a significant impact across multiple aspects of stroke care, including automated detection of acute findings, expedited triage and notification of findings, quantitative assessment of infarcts, predictive prognostication of outcomes, as well as acceleration of image acquisition. However, these advances are accompanied by important limitations including introduction of biases and challenges in the real-world clinical integration of such tools. In this review, we examine the current applications of artificial intelligence in stroke imaging and evaluate the limitations and real-world implementation challenges.</p>","PeriodicalId":49544,"journal":{"name":"Seminars in Neurology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ensuring Access to Neurologic Care: Challenges and Opportunities. 确保获得神经系统护理：挑战与机遇。
IF 1.8 4区 医学
Seminars in Neurology Pub Date : 2025-08-01 Epub Date: 2025-04-04 DOI: 10.1055/a-2552-3903
Chloé E Hill, Chun Chieh Lin, Brian C Callaghan
{"title":"Ensuring Access to Neurologic Care: Challenges and Opportunities.","authors":"Chloé E Hill, Chun Chieh Lin, Brian C Callaghan","doi":"10.1055/a-2552-3903","DOIUrl":"10.1055/a-2552-3903","url":null,"abstract":"<p><p>Neurologic disorders are prevalent in the United States, with an estimated 60% of Americans experiencing at least one neurologic condition. This volume of neurologic disease requires commensurate care. In this article, we review access to neurologic care and examine challenges and opportunities across several dimensions of access. Long wait times for neurologists and evidence that neurologists see only a fraction of certain neurologic conditions suggest issues with the <i>availability</i> of care; better triage of neurologists' expertise and employment of neurology advanced practice providers may improve the supply of neurologic care. <i>Accessibility</i> of neurologic care is hindered by regional inequities and urban/rural disparities, which may be attenuated through the use of telemedicine. High out-of-pocket costs and excessive pharmaceutical prices inhibit the <i>affordability</i> of neurologic care; these obstacles may be addressed with more appropriate test utilization and more effective drug price negotiation. Lastly, innovative care models facilitated by recent technological advances have the potential to profoundly expand access to neurologic care.</p>","PeriodicalId":49544,"journal":{"name":"Seminars in Neurology","volume":" ","pages":"519-528"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143789316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Documentation, Coding, and Billing for Neurologic Services and Procedures. 神经系统服务和程序的文件、编码和计费。
IF 1.8 4区 医学
Seminars in Neurology Pub Date : 2025-08-01 Epub Date: 2025-04-28 DOI: 10.1055/a-2576-4291
Neil A Busis, Robert Montgomery, Bruce H Cohen
{"title":"Documentation, Coding, and Billing for Neurologic Services and Procedures.","authors":"Neil A Busis, Robert Montgomery, Bruce H Cohen","doi":"10.1055/a-2576-4291","DOIUrl":"10.1055/a-2576-4291","url":null,"abstract":"<p><p>Documentation, coding, and billing (claims submission) are foundational to neurologic practice in the United States, enabling accurate reimbursement, effective communication, and data-driven advancements in patient care, research, and education. Neurologists navigate complex regulatory frameworks and evolving payer guidelines, requiring meticulous attention to diagnostic coding, evaluation and management (E/M) services, and procedure-specific requirements. This chapter examines critical aspects of neurologic billing and coding, including ICD-10-CM (International Classification of Diseases, Tenth Revision, Clinical Modification) for diagnostic accuracy, updated E/M guidelines emphasizing medical decision-making and time, and new telemedicine codes. It highlights the best practices for procedure coding and the use of digital health technologies. The challenges posed by prior authorization are explored, alongside potential solutions like artificial intelligence-driven tools and policy reform. By prioritizing precision, compliance, and technological adaptation, neurologists can enhance patient outcomes, support practice sustainability, and contribute to the broader goals of equitable, efficient, and innovative neurologic care.</p>","PeriodicalId":49544,"journal":{"name":"Seminars in Neurology","volume":" ","pages":"478-486"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Shifting Landscapes: Evolving Practice Models in Neurology. 变化的景观：神经病学不断发展的实践模式。
IF 1.8 4区 医学
Seminars in Neurology Pub Date : 2025-08-01 Epub Date: 2025-06-12 DOI: 10.1055/a-2632-9941
Lee Williams
{"title":"Shifting Landscapes: Evolving Practice Models in Neurology.","authors":"Lee Williams","doi":"10.1055/a-2632-9941","DOIUrl":"10.1055/a-2632-9941","url":null,"abstract":"<p><p>The practice of neurology is undergoing significant transformation due to evolving economic pressures, workforce shortages, and increasing demand for neurologic care. Lower reimbursements, increasing operating expenses, and complexity of care challenge the sustainability of existing practice models. This study outlines critical considerations for practice and staffing models in neurology, focusing on strategies to optimize access to care, contain costs for patients and the practice, and enhance operational efficiency. Key topics discussed include integrating advanced practice providers, expanding teleneurology and intravisit care, exploring value-based care models, and enhancing workflows via technology to improve patient experience and clinic efficiency. As the field continues to evolve, neurology practices must adopt agile strategies that balance clinical excellence with economic sustainability in order to meet the demands of a challenging healthcare landscape.</p>","PeriodicalId":49544,"journal":{"name":"Seminars in Neurology","volume":" ","pages":"503-511"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Learning Health Systems and Improvement Science in Neurology. 学习健康系统和改进神经学科学。
IF 1.8 4区 医学
Seminars in Neurology Pub Date : 2025-08-01 Epub Date: 2025-03-10 DOI: 10.1055/a-2554-1069
Jacob Pellinen, Jeffrey Buchhalter
{"title":"Learning Health Systems and Improvement Science in Neurology.","authors":"Jacob Pellinen, Jeffrey Buchhalter","doi":"10.1055/a-2554-1069","DOIUrl":"10.1055/a-2554-1069","url":null,"abstract":"<p><p>Although the quality movement in healthcare in the United States has been maturing for the last several decades, neurology remains a frontier of work related to learning healthcare systems (LHS) and the science of improvement. This review describes the use of LHS models in neurology and the use of Improvement Science to advance position system changes and improve care. LHSs are broadly understandable, widely supported, and have a developing yet proven track record. However, there are distinct challenges at multiple levels in successful implementation, as well as nuances related to variability in practice patterns and institutions. This review outlines these hurdles and approaches to addressing them. There are examples of effective work currently being conducted in this emerging field, with an emphasis on two subspecialties that have been the primary early adopters of these models and methodology within neurology: stroke and epilepsy. As LHS models take shape in neurology subspecialties, there will be an ongoing need for collaboration and iterative change to support continuous improvement in systems of care and improve outcomes for patients with neurologic disease.</p>","PeriodicalId":49544,"journal":{"name":"Seminars in Neurology","volume":" ","pages":"457-462"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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