Kim Y, Lee S, Abdelkhaleq R, et al. - This study was conducted to evaluate the utilization and availability of advanced imaging, particularly computed tomography perfusion (CTP), in patients with acute ischemic stroke (AIS). A retrospective cross-sectional analysis was conducted using two complimentary Medicare datasets, full sample Texas and 5% national fee-for-service data from 2014 to 2017. In this analysis, 64% were assessed with non-contrast head CT, 17% with CT angiography, 3% with CTP, and 33% with magnetic resonance imaging among 50,797 AIS cases in Texas Medicare fee-for-service cohort. It was reported that in patients with AIS, CTP utilization was low, and most patients were assessed at non-CTP–performing hospitals in state-wide and national Medicare fee-for-service cohorts. Large regions of the state had no immediate access to CTP, as CTP-performing hospitals were clustered in urban areas. The data support the need for alternative means of screening for AIS recanalization therapies.