Case Study
PROVIDE｜Clinical Application of Acute Vertigo Diagnosis
PROVIDE｜急性眩暈診斷的臨床落地應用
In emergency medicine, acute and persistent vertigo without obvious focal neurological deficits is one of the most challenging clinical symptoms. Most patients have benign vestibular system disorders, but a portion are actually central causes such as posterior circulation stroke. They present highly similarly but may lead to severe consequences.
在急診醫療中，無明顯局部神經學缺損的急性、持續性眩暈是最具挑戰性的臨床症狀之一。多數患者為良性前庭系統疾病，但仍有一部分實為後循環中風等中樞性病因，臨床表現高度相似，卻可能帶來嚴重後果。
Even with traditional neurological examinations and imaging studies (such as CT or MRI), significant diagnostic limitations and missed diagnosis risks still exist in the acute phase, placing high decision-making uncertainty on frontline physicians under time pressure.
即使結合傳統神經學檢查與影像學檢查（如CT或MRI），在急性期仍存在顯著的診斷限制與漏診風險，使第一線醫師在時間壓力下承擔高度決策不確定性。
Background of the PROVIDE program
PROVIDE計畫背景
PROVIDE is an important medical evaluation program under the Dutch Zorgevaluatie Nederland (ZE&GG), focusing on improving the diagnostic process for acute vertigo patients, assessing the feasibility and value of different examination tools and strategies in real clinical settings.
PROVIDE為荷蘭Zorgevaluatie Nederland（ZE&GG）旗下的重要醫療評估計畫，聚焦於改善急性眩暈患者的診斷流程，評估不同檢查工具與策略在真實臨床場域中的可行性與價值。
This program specifically focuses on the application of the HINTS+ examination in non-highly specialized medical environments, as well as how to enhance its diagnostic consistency and reproducibility through auxiliary tools, and reduce reliance on single imaging examinations.
此計畫特別關注HINTS+檢查在非高度專科化醫療環境中的應用，以及如何透過輔助工具提升其診斷一致性與可複製性，並降低對單一影像檢查的依賴。
The role of Neurobit: From research to clinical workflow
神經元的角色：從研究走向臨床流程
In the PROVIDE program, Neurobit will introduce eye movement and vestibular function analysis techniques into the emergency clinical workflow, supporting frontline physicians in conducting more objective, quantifiable vertigo differential diagnoses.
在PROVIDE計畫中，神經元將眼球運動與前庭功能分析技術，實際導入急診臨床流程，支援第一線醫師進行更客觀、可量化的眩暈鑑別診斷。
The core value of the Neurobit lies in transforming the originally highly dependent on expert experience bedside interpretation into a standardized, repeatable clinical tool, enabling advanced diagnostic capabilities to be implemented in general emergency settings.
神經元的核心價值在於，將原本高度依賴專家經驗的bedside判讀，轉化為可標準化、可重複執行的臨床工具，使進階診斷能力能在一般急診環境中落地實施。
Actual clinical application scenarios
實際臨床應用情境
In the clinical practice of the PROVIDE program, the Neurobit's technology is applied to the following key processes:
在PROVIDE計畫的臨床實務中，神經元的技術被應用於以下關鍵流程：
Implementation effectiveness and clinical value
落地成效與臨床價值
Through the practical implementation of the PROVIDE program, the utility of Neurobit display technology at the clinical forefront:
透過 PROVIDE 計畫的實務導入，神經元展現技術在臨床第一線的實用性：
From evidence-based evaluation to clinical implementation
從實證評估到臨床落實
The PROVIDE program represents a significant milestone for Neurobit's technology as it transitions from research validation to practical clinical implementation. Through collaboration with a national-level medical evaluation program, Neurobit not only participates in the establishment of evidence-based medicine but is also committed to transforming high-risk diagnostic capabilities into widely adoptable clinical solutions.
PROVIDE計畫代表著神經元的技術從研究驗證走向實際臨床落地的重要里程碑。透過與國家級醫療評估計畫的合作，神經元不僅參與實證醫療的建立，更致力於將高風險診斷能力轉化為可被廣泛採用的臨床解決方案。
Neurobit will continue to promote the application of eye movement and vestibular function analysis in emergency departments and clinical decision-making, assisting healthcare systems in making more accurate and evidence-based judgments at critical moments.
神經元將持續推動眼球運動與前庭功能分析在急診與臨床決策中的應用，協助醫療體系在關鍵時刻做出更準確且更有依據的判斷。
在急診醫療中，無明顯局部神經學缺損的急性、持續性眩暈是最具挑戰性的臨床症狀之一。多數患者為良性前庭系統疾病，但仍有一部分實為後循環中風等中樞性病因，臨床表現高度相似，卻可能帶來嚴重後果。
Even with traditional neurological examinations and imaging studies (such as CT or MRI), significant diagnostic limitations and missed diagnosis risks still exist in the acute phase, placing high decision-making uncertainty on frontline physicians under time pressure.
即使結合傳統神經學檢查與影像學檢查（如CT或MRI），在急性期仍存在顯著的診斷限制與漏診風險，使第一線醫師在時間壓力下承擔高度決策不確定性。
Background of the PROVIDE program
PROVIDE計畫背景
PROVIDE is an important medical evaluation program under the Dutch Zorgevaluatie Nederland (ZE&GG), focusing on improving the diagnostic process for acute vertigo patients, assessing the feasibility and value of different examination tools and strategies in real clinical settings.
PROVIDE為荷蘭Zorgevaluatie Nederland（ZE&GG）旗下的重要醫療評估計畫，聚焦於改善急性眩暈患者的診斷流程，評估不同檢查工具與策略在真實臨床場域中的可行性與價值。
This program specifically focuses on the application of the HINTS+ examination in non-highly specialized medical environments, as well as how to enhance its diagnostic consistency and reproducibility through auxiliary tools, and reduce reliance on single imaging examinations.
此計畫特別關注HINTS+檢查在非高度專科化醫療環境中的應用，以及如何透過輔助工具提升其診斷一致性與可複製性，並降低對單一影像檢查的依賴。
The role of Neurobit: From research to clinical workflow
神經元的角色：從研究走向臨床流程
In the PROVIDE program, Neurobit will introduce eye movement and vestibular function analysis techniques into the emergency clinical workflow, supporting frontline physicians in conducting more objective, quantifiable vertigo differential diagnoses.
在PROVIDE計畫中，神經元將眼球運動與前庭功能分析技術，實際導入急診臨床流程，支援第一線醫師進行更客觀、可量化的眩暈鑑別診斷。
The core value of the Neurobit lies in transforming the originally highly dependent on expert experience bedside interpretation into a standardized, repeatable clinical tool, enabling advanced diagnostic capabilities to be implemented in general emergency settings.
神經元的核心價值在於，將原本高度依賴專家經驗的bedside判讀，轉化為可標準化、可重複執行的臨床工具，使進階診斷能力能在一般急診環境中落地實施。
Actual clinical application scenarios
實際臨床應用情境
In the clinical practice of the PROVIDE program, the Neurobit's technology is applied to the following key processes:
在PROVIDE計畫的臨床實務中，神經元的技術被應用於以下關鍵流程：
- Emergency initial assessment: Through video-assisted eye movement measurement, it supports the standardized implementation of the HINTS+ check, reducing the impact of physician experience differences on the results.急診初步評估：透過視訊輔助的眼球運動量測，支援HINTS+檢查的標準化執行，降低醫師經驗差異對結果的影響。
- Real-time diagnostic decision support: Providing objective and quantifiable eye movement and vestibular indicators as important references for further arrangements of MRI, neurology consultation, or inpatient observation.即時診斷決策支援：提供客觀量化的眼動與前庭指標，作為是否進一步安排MRI、神經科會診或住院觀察的重要參考。
- Introduction to non-specialty settings: Transforming the diagnostic capabilities previously concentrated in a few neurotology centers into a process design that can be operated in general emergency rooms.非專科場域導入：將原本集中於少數神經耳科中心的診斷能力，轉化為一般急診室也能操作的流程設計。
- Clinical data structuring and retention: Assisting in systematically storing eye movement and vestibular examination results to support quality management, subsequent analysis, and optimization of medical decision-making.臨床資料結構化與留存：協助將眼動與前庭檢查結果系統化保存，支援品質管理、後續分析與醫療決策優化。
Implementation effectiveness and clinical value
落地成效與臨床價值
Through the practical implementation of the PROVIDE program, the utility of Neurobit display technology at the clinical forefront:
透過 PROVIDE 計畫的實務導入，神經元展現技術在臨床第一線的實用性：
- Enhancing the consistency and reliability of acute vertigo diagnosis. 提升急性眩暈診斷的一致性與可靠度
- Reducing excessive reliance on CT or early MRI. 降低對CT或早期MRI的過度依賴
- Assisting in the early identification of high-risk central causes, lowering the risk of missed diagnosis of posterior circulation stroke.協助及早辨識高風險中樞性病因，降低後循環中風漏診風險
- Enhance the diagnostic capabilities and confidence in non-highly specialized emergency departments. 強化非高度專科化急診場域的診斷能力與信心
From evidence-based evaluation to clinical implementation
從實證評估到臨床落實
The PROVIDE program represents a significant milestone for Neurobit's technology as it transitions from research validation to practical clinical implementation. Through collaboration with a national-level medical evaluation program, Neurobit not only participates in the establishment of evidence-based medicine but is also committed to transforming high-risk diagnostic capabilities into widely adoptable clinical solutions.
PROVIDE計畫代表著神經元的技術從研究驗證走向實際臨床落地的重要里程碑。透過與國家級醫療評估計畫的合作，神經元不僅參與實證醫療的建立，更致力於將高風險診斷能力轉化為可被廣泛採用的臨床解決方案。
Neurobit will continue to promote the application of eye movement and vestibular function analysis in emergency departments and clinical decision-making, assisting healthcare systems in making more accurate and evidence-based judgments at critical moments.
神經元將持續推動眼球運動與前庭功能分析在急診與臨床決策中的應用，協助醫療體系在關鍵時刻做出更準確且更有依據的判斷。
