Table 2.

Optimization of imaging technologies.

	Current Status	Recommendation
7. Detection of early ischemia on Non-Contrast Computed Tomography (NCCT)	NCCT is not accurate in detecting acute ischemic changes. Moreover, its reproducibility is not optimal.	More accurate volumetric and objective measurements of acute ischemia detection should be developed. Continued education of neuroscience trainees to learn how to interpret acute ischemic change is important.
8. Utility of Cone Beam Compute Tomography (CBCT)	CBCT does not accurately determine ASPECTs.	New CBCTs should achieve better grey/white matter differentiation for early detection of acute ischemic changes.
9. Imaging in Mobile Stroke Units (MSU)	MSU have shortened time to thrombolytic with a good safety profile.	CT miniaturization would allow its use in smaller ambulances without compromising image resolution.
10. Vessel Wall Imaging (VWI) to Understand Pathology	It has been recognized as a useful adjuvant in stroke diagnosis and for treatment decisions. However, VWI is not routinely used in clinical practice.	Artificial Intelligence-guided VWI protocols can shorten acquisition times and improve workflows to improve its generalized adoption.