It has access to equipment for monitoring and rehabilitating patients. Regular multidisciplinary team meetings occur for goal setting.). [2008] Brain imaging for the early assessment of people with suspected acute stroke 1.3.2 Perform brain imaging immediately with a non-enhanced CT for people with suspected acute stroke if any of the following apply (see additional information): indications for thrombolysis or thrombectomy on anticoagulant treatment a known bleeding tendency a depressed level of consciousness (Glasgow Coma Score below 13) unexplained progressive or fluctuating symptoms 2022 papilloedema, neck stiffness or fever severe headache at onset of stroke symptoms. If thrombectomy might be indicated, perform imaging with CT contrast angiography following initial non-enhanced CT. Add CT perfusion imaging (or MR equivalent) if thrombectomy might be indicated beyond 6 hours of symptom onset. [2008, amended 2019] 1.3.3 Perform scanning as soon as possible and within 24 hours of symptom onset in everyone with suspected acute stroke without indications for immediate brain imaging. [2008] The NHS England and NHS Improvement National Stroke Service Model contains a patient-centred national optimal stroke imaging pathway. 1.4 Pharmacological treatments and thrombectomy for people with acute stroke Thrombolysis with alteplase for people with acute ischaemic stroke 1.4.1 Alteplase is recommended within its marketing authorisation for treating acute ischaemic stroke in adults if: treatment is started as soon as possible within 4.5 hours of onset of stroke symptoms and intracranial haemorrhage has been excluded by appropriate imaging This recommendation is from NICE's technology appraisal guidance on alteplase for treating acute ischaemic stroke. 