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Not yet recruitingNCT07930013VLF-STROKEUpdated Nov 10, 2026

Very-Low-Field MRI for the Diagnosis of Acute Stroke

An interventional study of Very-low-field MRI in Stroke, sponsored by Centre Hospitalier St Anne. Not yet recruiting. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-11-10.

Sponsored by Centre Hospitalier St Anne · Not applicable, Interventional, and Diagnostic

Updated Nov 10, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
230
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this clinical trial is to learn if a very-low-field MRI scanner (0.064 Tesla), combined with artificial intelligence (AI) image enhancement, can accurately diagnose acute ischemic stroke in adults with suspected stroke. Healthy adult volunteers are also included to optimize image quality. The main questions it aims to answer are:

How accurately does AI-enhanced very-low-field MRI detect ischemic stroke (sensitivity and specificity) compared with standard high-field MRI (3 Tesla)? Does AI enhancement improve diagnostic performance compared with very-low-field MRI images without AI?

Researchers will compare very-low-field MRI images, with and without AI enhancement, to the 3 Tesla MRI performed as part of routine care. Two neuroradiologists will read the images independently, without knowing the results of the other scan.

This study has three parts:

Part 1: healthy volunteers (30 participants). Participants will undergo one 3 Tesla MRI and one very-low-field MRI on the same day (45 minutes maximum).

Part 2: patients with recent stroke, 1 to 7 days after onset (40 participants). Participants will undergo one very-low-field MRI within 6 hours of their routine 3 Tesla MRI.

Part 3: patients with suspected stroke within the last 24 hours (160 participants). Participants will undergo one very-low-field MRI (about 30 minutes) within 4 hours of their routine 3 Tesla MRI, after any emergency treatment. About half will have a second very-low-field MRI around 24 hours later.

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Conditions studied

  • Stroke

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03

In context

Stroke

8,255 studies on the registry are indexed under Stroke; 2,056 are open to participants now.

This study's planned enrollment of 230 is above the median of 49 across 6,024 interventional studies indexed under Stroke.

Browse Stroke studies →

Lead sponsor

Centre Hospitalier St Anne is the lead sponsor of 101 studies on the registry; 55 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

All participants:

  • Age 18 years or older
  • Affiliated with or beneficiary of a social security scheme

Part 1 (healthy volunteers):

  • No known neurological disease
  • Written
  • Registered in the national file of healthy volunteers (VRB)

Part 2 (subacute stroke):

  • Confirmed acute ischemic stroke on 3T MRI
  • Symptom onset 1 to 7 days before inclusion
  • Very-low-field MRI feasible within 6 hours of 3T MRI
  • Written informed consent

Part 3 (suspected hyperacute stroke):

  • Clinical suspicion of acute stroke with symptom onset within 24 hours
  • 3T MRI performed as part of routine care
  • Very-low-field MRI feasible within 4 hours of 3T MRI, during working hours (8 a.m.-6 p.m.)
  • Informed consent from the patient, or, if the patient is unable to consent, from a relative, the trusted person or an independent physician (emergency procedure, Article L.1122-1-3 of the French Public Health Code), followed by the patient's consent to continue as soon as possible

Exclusion criteria

Exclusion Criteria:

  • to MRI (e.g., non-MRI-compatible pacemaker or implanted device, metallic foreign body)
  • Pregnancy or breastfeeding
  • Clinical instability incompatible with an additional MRI examination
  • Inability to remain still for the duration of the examination
  • Adults under legal protection (guardianship or curatorship), unless allowed by the protocol
  • Participation in another interventional study that may interfere with this study
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
230 participants (estimated)

Study arms

  • Experimental
    Part 1 - Healthy volunteers

    Device: Very-low-field MRI

  • Experimental
    Part 2 - Subacute stroke patients

    Device: Very-low-field MRI

  • Experimental
    Part 3 - Suspected hyperacute stroke patients

    Device: Very-low-field MRI

Interventions

  • DeviceVery-low-field MRI

    Brain MRI acquired on a 0.064 Tesla very-low-field scanner, including diffusion-weighted, FLAIR, T1-weighted sequences. Images are reconstructed with and without AI-based enhancement.

06

What researchers measure

Primary outcomes

  1. Sensitivity of AI-enhanced very-low-field MRI for the diagnosis of acute ischemic stroke

    Sensitivity (%) of AI-enhanced very-low-field MRI (0.064 T) for detecting acute ischemic stroke in patients with suspected hyperacute stroke (Part 3), using high-field 3T MRI as the reference standard. Images are read independently by two neuroradiologists blinded to 3T MRI results, with consensus in case of disagreement. Non-interpretable very-low-field MRI scans are classified as negative for stroke.

    Time frame: At inclusion (very-low-field MRI performed within 4 hours after 3T MRI)

  2. Specificity of AI-enhanced very-low-field MRI for the diagnosis of acute ischemic stroke

    Specificity (%) of AI-enhanced very-low-field MRI (0.064 T) for excluding acute ischemic stroke in patients with suspected hyperacute stroke (Part 3), using high-field 3T MRI as the reference standard. Images are read independently by two neuroradiologists blinded to 3T MRI results, with consensus in case of disagreement. Non-interpretable very-low-field MRI scans are classified as negative for stroke.

    Time frame: At inclusion (very-low-field MRI performed within 4 hours after 3T MRI)

Secondary outcomes

  1. Sensitivity and specificity of very-low-field MRI without AI enhancement for acute ischemic stroke

    Sensitivity and specificity (%) of non-enhanced very-low-field MRI for acute ischemic stroke, compared with AI-enhanced very-low-field MRI (McNemar test), using 3T MRI as reference.

    Time frame: At inclusion (very-low-field MRI performed within 4 hours after 3T MRI)

  2. Diagnostic accuracy of very-low-field MRI for intracranial hemorrhage

    Sensitivity and specificity (%) of very-low-field MRI (with and without AI enhancement) for detecting intracranial hemorrhage, using 3T MRI as reference.

    Time frame: At inclusion (very-low-field MRI performed within 4 hours after 3T MRI)

  3. Diagnostic accuracy of very-low-field MR angiography for proximal arterial occlusion

    Sensitivity and specificity (%) of very-low-field MR angiography for detecting proximal intracranial arterial occlusion, using 3T 3D time-of-flight MR angiography as reference

    Time frame: At inclusion (very-low-field MRI performed within 4 hours after 3T MRI)

  4. Diagnostic accuracy of very-low-field MRI for stroke mimics

    Proportion (%) of stroke mimics correctly identified on very-low-field MRI, using the final diagnosis based on 3T MRI as reference.

    Time frame: At inclusion (very-low-field MRI performed within 4 hours after 3T MRI)

  5. Agreement in ischemic lesion volume between very-low-field and 3T MRI

    Ischemic lesion volume (mL) measured on very-low-field and 3T diffusion-weighted images, compared with Pearson correlation and Bland-Altman analysis

    Time frame: At inclusion (very-low-field MRI performed within 4 hours after 3T MRI)

  6. Diagnostic accuracy of very-low-field MRI for hemorrhagic transformation

    Detection of hemorrhagic transformation (ECASS II classification) on follow-up very-low-field MRI.

    Time frame: 24 ± 12 hours after inclusion (patients with follow-up very-low-field MRI)

  7. Intra- and inter-reader agreement

    Cohen's kappa coefficients for intra- and inter-reader agreement on the diagnosis of ischemic stroke on very-low-field MRI

    Time frame: At inclusion (very-low-field MRI performed within 4 hours after 3T MRI)

  8. Agreement on simulated therapeutic decisions

    Agreement (kappa) between simulated treatment decisions made by four reader pairs based on very-low-field MRI and decisions based on 3T MRI

    Time frame: At inclusion (very-low-field MRI performed within 4 hours after 3T MRI)

  9. Image quality metrics of AI-enhanced very-low-field MRI

    Peak signal-to-noise ratio (PSNR) and structural similarity index (SSIM) of AI-enhanced very-low-field images compared with 3T images.

    Time frame: At inclusion (very-low-field MRI performed within 4 hours after 3T MRI)

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Study locations

No study locations are listed for this record.

08

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Nov 10, 2026
Show all 1 update
  1. Nov 10, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07930013
Responsible party
Sponsor
First posted
Nov 10, 2026
Start date
Nov 2026 (estimated)
Primary completion
Mar 2030 (estimated)
Completion
Sep 2030 (estimated)
Last update
Nov 10, 2026

Study contacts

Viviane AWASSI
Contact
v.awassi@ghu-paris.fr
01 45 65 84 86

Oversight

FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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