ArticleThe neuroradiology journal2021
Positive predictive value and stroke workflow outcomes using automated vessel density (RAPID-CTA) in stroke patients: One year experience.
Article in The neuroradiology journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 34 citations in OpenAlex.
- Systematic review on the impact of deep learning-driven worklist triage on radiology workflow and clinical outcomes.European radiology · 2025Pooled it
- Detection of large vessel occlusion using artificial intelligence tools: A systematic review and meta-analysis.Neuroradiology · 2025Pooled it
- Software with artificial intelligence-derived algorithms for analysing CT brain scans in people with a suspected acute stroke: a systematic review and cost-effectiveness analysis.Health technology assessment (Winchester, England) · 2024Pooled it
- Automated Large Vessel Occlusion Detection Software and Thrombectomy Treatment Times: A Cluster Randomized Clinical Trial.JAMA neurology · 2023Trial
- Review
- Encoding 3D information in 2D feature maps for brain CT-Angiography.Computerized medical imaging and graphics : the official journal of the Computerized Medical Imaging Society · 2025Article
- Deep Learning Based Detection of Large Vessel Occlusions in Acute Ischemic Stroke Using High-Resolution Photon Counting Computed Tomography and Conventional Multidetector Computed Tomography.Clinical neuroradiology · 2025Article
- Non-Contrast Computed Tomography-Based Triage and Notification for Large Vessel Occlusion Stroke: A Before and After Study Utilizing Artificial Intelligence on Treatment Times and Outcomes.Journal of clinical medicine · 2025Article
- The health-economic impact of urine albumin-to-creatinine ratio testing for chronic kidney disease in Japanese patients with type 2 diabetes.Journal of diabetes investigation · 2025Article
- APIS: a paired CT-MRI dataset for ischemic stroke segmentation - methods and challenges.Scientific reports · 2024Article
- Prediction of cerebral hemorrhagic transformation after thrombectomy using a deep learning of dual-energy CT.European radiology · 2024Article
- Emerging artificial intelligence-aided diagnosis and management methods for ischemic strokes and vascular occlusions: A comprehensive review.World neurosurgery: X · 2024Review
- What is the future of artificial intelligence in obstetrics? A qualitative study among healthcare professionals.BMJ open · 2023Article
- AI-support for the detection of intracranial large vessel occlusions: One-year prospective evaluation.Heliyon · 2023Article
- Number Needing Review: A Novel Metric to Assess Triage Efficiency of Large Vessel Occlusion Detection Systems.Stroke (Hoboken, N.J.) · 2023Article
- Artificial Intelligence and Machine Learning in the Diagnosis and Management of Stroke: A Narrative Review of United States Food and Drug Administration-Approved Technologies.Journal of clinical medicine · 2023Review
- Direct Evaluation of Treatment Response in Brain Metastatic Disease with Deep Neuroevolution.Journal of digital imaging · 2023Article
- Big Data in Stroke: How to Use Big Data to Make the Next Management Decision.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023Review
- Impact of an automated large vessel occlusion detection tool on clinical workflow and patient outcomes.Frontiers in neurology · 2023Article
- Artificial Intelligence in "Code Stroke"-A Paradigm Shift: Do Radiologists Need to Change Their Practice?Radiology. Artificial intelligence · 2022Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeSeveral new techniques have emerged for detecting anterior circulation large vessel occlusion by quantifying relative vessel density including RAPID-CTA, potentially allowing for faster triage and decreased time to mechanical thrombectomy. We present our one-year experience on positive predictive value of RAPID-CTA for the detection of large vessel occlusion in patients presenting with stroke symptoms and its effect on treatment time and clinical outcomes. MATERIALS AND
methodsThree hundred and ten patients presenting with stroke symptoms with relative vessel density <60% on RAPID-CTA were included (average age 70 years, 145 male, 165 female). Examinations were considered positive if there was evidence of large vessel occlusion or high grade stenosis. Computed tomography angiography to groin puncture time was calculated during one-year time intervals before and after RAPID-CTA installation. Ninety-day Modified Rankin Scale scores were obtained for patients in each cohort.
resultsOf the 310 patients, 270 had large vessel occlusion or high grade stenosis (87% positive predictive value), with 161 having large vessel occlusion. Using 45% relative vessel density threshold, 129/161 large vessel occlusion were detected (80% sensitivity) and 163/172 examinations were positive (95% positive predictive value). Computed tomography angiography to groin puncture time was significantly lower after deployment of RAPID-CTA (93 min vs 68 min,
conclusionRAPID-CTA had high positive predictive value for large vessel occlusion with a 45% relative vessel density threshold, which could facilitate active worklist reprioritization. Time to treatment was significantly lower and clinical outcomes were improved after deployment of RAPID-CTA.
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