<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".09" citation="COMAR 30.08.11.09" title_num="30" subtitle_num="08" chapter_num="11" heading="Neuroimaging Services.">
  <paragraph num="A.">
    <text>The hospital shall have the ability 24 hours a day, within 20 minutes of the patient’s arrival, to complete:</text>
    <paragraph num="(1)">
      <text>All of the following:</text>
      <paragraph num="(a)">
        <text>Brain computed tomography;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>CT Angiography; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>CT Perfusion; or</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Magnetic resonance imaging.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>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.</text>
  </paragraph>
  <paragraph num="C.">
    <text>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:</text>
    <paragraph num="(1)">
      <text>CT angiography;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>CT Perfussion; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Magnetic resonance imaging studies.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>The hospital shall:</text>
    <paragraph num="(1)">
      <text>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</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Have the imaging ability to rapidly identify core (nonviable) infarct versus (potentially salvageable) penumbra.</text>
    </paragraph>
  </paragraph>
</regulation>