Episode breakdown:
00:00 – Intro: AI Meets Stroke Care
01:00 – Robert’s Journey from UCLA to Neurocritical Units
02:10 – Why Stroke is 30 Years Behind Cardiology
03:36 – Why Only 5–8% of Hospitals Use TCD
04:15 – How Stroke is Diagnosed Today (and Why It Fails)
05:28 – 80% of Strokes in Community Hospitals Have No Known Cause
07:16 – The Role of PFOs and Why TTE Misses Most of Them
10:15 – How Bubbles Reveal Stroke Risk Through the Brain
12:31 – How NeuraSignal’s Platform Automates Diagnosis
14:30 – Why 30% of Stroke Patients Miss the Treatment Window
15:47 – Robotics + AI + Ultrasound = Real-Time Stroke Insights
18:58 – Why Accessing the Skull Is So Complex (and How They Solved It)
20:37 – Weekly Cases Where NeuraSignal Prevented a Second Stroke
23:42 – What Happens After a PFO Is Found
24:53 – PFOs & Migraines: The Unlikely Connection
26:12 – The Bigger Vision: LVO, Cardiac OR, and Pre-Hospital Stroke Detection
29:01 – FDA Strategy: AI, Digital Biomarkers, and Future Indications
30:55 – Existing CPT Reimbursement Pathway & CMS Status
32:32 – Clinical Trials: Bubble, CommonSpirit, HCA & AHA Guidelines
34:39 – Stroke Care in 2030: What It Could Look Like with NeuraSignal
36:14 – Where to Meet NeuraSignal at Fall Conferences
37:40 – Clinical Adoption: From Academic to Community Hospitals
39:05 – How They Fit Seamlessly Into Stroke Workflows
40:50 – Making AI MedTech Accessible, Not Just Academic
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