Public Health & Policy

Clinical Trials

Latest AI and machine learning research in clinical trials for healthcare professionals.

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Multidisciplinary blinded randomized expert evaluation of large language models for clinical diagnosis and management.

BACKGROUND: Direct clinical uses of large language models (LLMs) remain controversial, partly because of the lack of methodological rigor in assessing their risks and benefits in medicine. METHODS: We developed Medieval, a multidisciplinary, randomized, and blinded expert evaluation framework. A ten-point Dreyfus-based scoring scale linked to career stages of human physicians was designed to refle...

Apr 15 2026 41986491

AI-Generated Clinical Images of Head-and-Neck Lesions in Plastic Surgery Education: An Expert Evaluation.

BACKGROUND: Clinical images are essential in plastic and reconstructive surgery education, particularly for understanding pathology, planning reconstructions, and preparing for board examinations. However, the use of real patient photographs raises ethical concerns related to privacy, confidentiality, and informed consent, especially in head-and-neck conditions, where anonymization is challenging....

Apr 15 2026 41986550
Malignant Cerebral Edema after Large-Core Anterior Circulation Stroke in the Thrombectomy Era: Prediction and Neurocritical Care Pathways.

Large-core anterior circulation ischemic stroke (LCIS) complicated by malignant cerebral edema (MCE) remains a leading cause of early death and profou...

Apr 15 2026 41986793
Food safety assessment of hemipteran-specific insecticidal protein Tpp78Aa from Bacillus thuringiensis.

BACKGROUND: Hemipteran pests pose a significant threat to global agriculture, creating a continuous need for effective and safe control strategies. Tp...

Apr 15 2026 41986881
[Comparative observation of analgesic efficacy between liposomal bupivacaine and "cocktail" therapy following artificial intelligence-assisted direct anterior approach total hip arthroplasty: A prospective randomized controlled study].

OBJECTIVE: To compare the analgesic efficacy and safety of liposomal bupivacaine (LB) versus ropivacaine for surgical incision local anesthesia after ...

Apr 15 2026 41981425
Risk-Guided Atrial Fibrillation Screening With Artificial Intelligence-Enabled Electrocardiogram Models: A VITAL-AF Trial Analysis.

BACKGROUND: Screening for atrial fibrillation (AF) may lead to earlier detection and initiation of preventive measures. Current AF screening approache...

Apr 14 2026 41983618
Contextualizing the Patient Blood Management (PBM) Program Through the Lens of Bioethical Principles.

In an increasingly specialized medical landscape, Patient Blood Management (PBM) has emerged as a multidisciplinary and ethically grounded approach to...

Apr 14 2026 41979213
Hypotension Prediction Index-Guided Hemodynamic Management on Postoperative Organ Outcome: A Systematic Review and Meta-Analysis of Randomized Clinical Trials.

Intraoperative hypotension (IOH) is a frequent occurrence during noncardiac surgery. Hypotensive episodes can compromise tissue perfusion, and cumulat...

Apr 14 2026 41980015
Risk prediction in spine surgery: a scoping review of traditional models, artificial intelligence, and the challenge of clinical translation.

BACKGROUND: Accurate perioperative risk stratification is essential to patient safety and informed consent in spine surgery. Traditional regression-ba...

Apr 13 2026 41973342
Web-Based Personalized Machine Learning Recommendations to Enhance Shared Decision-Making in Prostate-Specific Antigen Screening: Randomized Controlled Trial.

BACKGROUND: Prostate‑specific antigen (PSA) screening involves complex trade‑offs between early detection and the risks of overdiagnosis. For older ad...

Apr 13 2026 41973864
An Explainable Artificial Intelligence Tool (FibroX) for Detecting Advanced Liver Fibrosis in Type 2 Diabetes: Protocol for a Pilot Crossover Trial.

BACKGROUND: Metabolic dysfunction-associated steatotic liver disease is highly prevalent in adults with type 2 diabetes, and advanced fibrosis is its ...

Apr 13 2026 41974444
An exploratory study of headache pain intensity using facial expressions and APEX frames.

In this cross-sectional observational study, we developed a computer vision-based machine-learning model to estimate headache pain intensity from faci...

Apr 13 2026 41974887
Rethinking the Design of Adolescent Crisis Stabilization Units: A Mixed-Methods Study Using Physical Mock-Up Simulations and Artificial Intelligence.

Limited research has examined safety features in nonhospital settings for adolescents experiencing behavioral health crises, including the crisis stab...

Apr 13 2026 41961101
Personalized neoantigen cancer vaccines: Why clinical benefit remains inconsistent.

Personalized cancer vaccines have re-emerged as a promising strategy in precision immunotherapy, driven by advances in tumor sequencing, neoantigen id...

Apr 12 2026 41974392
Incremental value of deep learning denoising in low-dose coronary CT angiography in predominantly obese patients.

OBJECTIVE: To determine the added value of post-hoc convolutional neural network (CNN)-based denoising for low-radiation coronary CT angiography (CCTA...

Apr 12 2026 42001841
The power, potential of real-world data in randomized controlled trials: proceedings from a multistakeholder think tank.

Randomized controlled trials (RCTs) remain the gold standard for evaluating medical interventions, but they often face challenges related to patient r...

Apr 11 2026 41963997
Genomic Determinants of Response to Alpelisib Plus Fulvestrant in the SOLAR-1 Trial.

BACKGROUND: Approximately 40% of patients with hormone receptor-positive (HR+), human epidermal growth factor receptor 2-negative (HER2-), advanced br...

Apr 10 2026 41967638
Feasibility Randomized Controlled Trial of Real-Time fMRI Neurofeedback for Reading Rehabilitation in Aphasia.

BACKGROUND: Reading impairments are common in stroke-induced aphasia and limit participation in functional and leisure activities. Traditional rehabil...

Apr 10 2026 41958417
Use of AI as a Research Recruitment Tool: Ethical Elements, Considerations, and Recommendations.

Recruitment is often the most time-consuming and expensive step of clinical trials. As such, it is the most common stage for AI implementation, due to...

Apr 10 2026 41960857
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