1. A. The facility 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 facility shall have the ability 24 hours a day to have computed tomographic studies interpreted within 20 minutes of their completion by a physician experienced in interpreting computed tomographic studies.
3. C. The facility shall have the ability 24 hours a day to have CT angiography, CT perfusion, and magnetic resonance imaging studies interpreted within 30 minutes of their completion by a physician experienced in interpreting CT angiography, CT perfusion, and magnetic resonance imaging studies.

4. D. The acute stroke ready center 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: July 1, 2021 (48:9 Md. R. 360)

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