Acute Stroke Imaging

CT Head

  • Indicated for: Everyone

  • If hemorrhage identified, see Acute Bleed

  • If early ischemic change, continue acute stroke algorithm, see ASPECTS scoring

  • If late ischemic change, unlikely to be intervention candidate

CTA Head and Neck

  • Indicated for: Everyone (unless there is virtually no suspicion of acute stroke potentially amenable to intervention)

  • If large vessel occlusion (LVO = ICA, M1, M2, Basilar) identified: activate NeuroIR +/- obtain further imaging (see Acute Intervention Algorithm)

CT Perfusion Brain

  • Indicated for:

    • potential thrombectomy candidate with last known well 6-24 hours ago

    • potential tPA candidate with last known well 4.5-9 hours ago, per EXTEND criteria

  • See Acute Intervention Algorithm for inclusion/exclusion criteria based on CT Perfusion results

ASPECTS Scoring

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