Neurological Intervention & Imaging Service of WA (NIISwa)

The Neurological Intervention and Imaging Service WA (NIISWA) provides a state-wide service for both tertiary and quaternary diagnostic and therapeutic neuroradiology. It is headquartered at Sir Charles Gairdner Hospital but services are also provided at Fiona Stanley Hospital (FSH), Royal Perth Hospital (RPH), & PCH with a staff of 10 full time neuro-radiologists.

In October 2016 NIISWA commenced a 24/7 state-wide service for Endovascular Thrombectomy (EvT) treatment of major stroke at SCGH. In February 2017 the in-hours EvT service for major stroke was expanded to FSH. NIISWA has worked with St John Ambulance to implement a model whereby patients with major stroke are triaged in-hours to either SCGH or FSH (whichever closest). After-hours all patients are treated at SCGH. The EvT service has been a resounding success with approximately 300 patients undergoing treatment last year. In early 2018 the NIISWA diagnostic service commenced a hyper-acute film read-out service for country patients with severe stroke to facilitate rapid transfer to Perth for those who are candidates for EvT. The triage to EvT is made on the basis of the imaging findings. The department continues to have a major role in the state-based management of brain aneurysms and sub-arachnoid haemorrhage having treated approximately 250 brain aneurysms last year and is receiving a growing number of referrals for opinions regarding management of unruptured incidentally discovered brain aneurysms. It is also planned that NIISwa diagnostic service will be involved in interpretation of the intraoperative neurological MRI scans when the intraoperative MR scanner which is now installed becomes operational in the very near future.

Last Updated: 10/10/2019