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RECENT FINDINGS improvements in acute stroke treatment, including the use of endovascular thrombectomy in patients with huge vessel occlusion and, now, of IV thrombolysis in a long time window, have actually lead to a paradigm change in how imaging is used in patients with acute stroke. This paradigm shift, combined with understanding that "time is brain," means that imaging must certanly be fast, trustworthy, and readily available 24 / 7 for physicians in order to make