TY - JOUR T1 - Imaging of Patients with Suspected Large-Vessel Occlusion at Primary Stroke Centers: Available Modalities and a Suggested Approach JF - American Journal of Neuroradiology JO - Am. J. Neuroradiol. SP - 396 LP - 400 DO - 10.3174/ajnr.A5971 VL - 40 IS - 3 AU - M.A. Almekhlafi AU - W.G. Kunz AU - B.K. Menon AU - R.A. McTaggart AU - M.V. Jayaraman AU - B.W. Baxter AU - D. Heck AU - D. Frei AU - C.P. Derdeyn AU - T. Takagi AU - A.H. Aamodt AU - I.M.R. Fragata AU - M.D. Hill AU - A.M. Demchuk AU - M. Goyal Y1 - 2019/03/01 UR - http://www.ajnr.org/content/40/3/396.abstract N2 - SUMMARY: The overwhelming benefit of endovascular therapy in patients with large-vessel occlusions suggests that more patients will be screened than treated. Some of those patients will be evaluated first at primary stroke centers; this type of evaluation calls for standardizing the imaging approach to minimize delays in assessing, transferring, and treating these patients. Here, we propose that CT angiography (performed at the same time as head CT) should be the minimum imaging approach for all patients with stroke with suspected large-vessel occlusion presenting to primary stroke centers. We discuss some of the implications of this approach and how to facilitate them.CSCcomprehensive stroke centerDIDOdoor-in-door-out time intervalEVTendovascular thrombectomyLAMSLos Angeles Motor ScaleLVOlarge-vessel occlusionPSCprimary stroke centerPPSC2PCSCpicture at the primary stroke center to puncture at the comprehensive stroke center time ER -