1. A. The hospital shall have the ability 24 hours a day, within 20 minutes of the patient’s arrival, to complete:

   1. (1) All of the following:

      1. (a) Brain computed tomography;
      2. (b) CT Angiography; and
      3. (c) CT Perfusion; or
   2. (2) Magnetic resonance imaging.
2. B. The hospital shall have the ability 24 hours a day to have the neuroimages referred to in this regulation interpreted within 20 minutes of their completion by a physician experienced in interpreting computed tomographic studies.

3. C. The hospital shall have the ability 24 hours a day to have the neuroimages referred to in this regulation interpreted within 30 minutes of their completion by a physician experienced in interpreting:

   1. (1) CT angiography;
   2. (2) CT Perfussion; and
   3. (3) Magnetic resonance imaging studies.

4. D. The hospital shall:

   1. (1) Have the ability to upload emergent imaging scans into CRISP (Chesapeake Regional Information System for our Patients), which will facilitate sharing of emergent imaging with the receiving center; and
   2. (2) Have the imaging ability to rapidly identify core (nonviable) infarct versus (potentially salvageable) penumbra.

Authority: Education Article, §13-509, Annotated Code of Maryland

Effective date: June 5, 2006 (33:11 Md. R. 952)

Regulation .06B amended effective June 4, 2007 (34:11 Md. R. 973)

Chapter revised effective July 1, 2021 (48:9 Md. R. 360)

Regulation .01B amended effective July 21, 2025 (52:14 Md. R. 714)

Regulation .15 repealed effective October 18, 2021 (48:21 Md. R. 892)