Response to Granja et al Letter, "Increased Versus Appropriate Neuroimaging Utilization in Stroke: A Complex Matter."

We thank the authors for their comments [1] and for raising several important issues about our article on the updated trends, sociodemographic disparities, and impact of stroke neuroimaging on mortality across the United States from 2012 to 2019 [2]. Their letter reminds readers about our findings of significantly increased utilization of CT angiography (250%), CT perfusion (428%), and MRI (18%) as well as decreased use of MR angiography (−33%) in stroke patients. Furthermore, our consistent and extensive data on disparities across specific demographic groups (ie, rural patients, patients ≥80 years, female patients, and Black patients) may have a significant value in designing effective strategies to reduce inequalities in stroke care.