Real-World Experience with Artificial Intelligence-Based Triage in Transferred Large Vessel Occlusion Stroke Patients.

Journal: Cerebrovascular diseases (Basel, Switzerland)
PMID: 33849032

Abstract

BACKGROUND AND PURPOSE: Randomized controlled trials have demonstrated the importance of time to endovascular therapy (EVT) in clinical outcomes in large vessel occlusion (LVO) acute ischemic stroke. Delays to treatment are particularly prevalent when patients require a transfer from hospitals without EVT capability onsite. A computer-aided triage system, Viz LVO, has the potential to streamline workflows. This platform includes an image viewer, a communication system, and an artificial intelligence (AI) algorithm that automatically identifies suspected LVO strokes on CTA imaging and rapidly triggers alerts. We hypothesize that the Viz application will decrease time-to-treatment, leading to improved clinical outcomes.

Authors

  • Jacob R Morey
    Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, New York, USA.
  • Xiangnan Zhang
    Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, New York, USA.
  • Kurt A Yaeger
    Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, New York, USA.
  • Emily Fiano
    Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, New York, USA.
  • Naoum Fares Marayati
    Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, New York, USA.
  • Christopher P Kellner
    Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, New York, USA.
  • Reade A De Leacy
    Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, New York, USA.
  • Amish Doshi
    Department of Radiology, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, New York, NY 10029, USA.
  • Stanley Tuhrim
    Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, New York, New York, USA.
  • Johanna T Fifi
    Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, New York, USA.

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