Evidence map›Paper›PMID 37350052›Full record

ArticleInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences2025

An artificial intelligence (AI)-based approach to clinical trial recruitment: The impact of Viz RECRUIT on enrollment in the EMBOLISE trial.

Ameer E Hassan, Saisree Ravi, Sohum Desai, Hamzah M Saei, Ermias Mckennon, Wondwossen G Tekle

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04402632 (A Study of the Embolization of the Middle Meningeal Artery With ONYX™ Liquid Embolic System In the Treatment of Subacute and Chronic Subdural HEmatoma), which is not on this map. Cited by 6 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 3 pooled it
1.0field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04402632 nacompletednot on this map

A Study of the Embolization of the Middle Meningeal Artery With ONYX™ Liquid Embolic System In the Treatment of Subacute and Chronic Subdural HEmatoma (EMBOLISE)

TypeinterventionalSponsorMedtronic Neurovascular Clinical AffairsRan2020 to 2025Enrolled600ConditionsSubdural HematomaArmsSurgical Management, Onyx™ Liquid Embolic System (LES) Embolization, Observation Only
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 3 syntheses or guidelines pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. Artificial intelligence for optimizing recruitment and retention in clinical trials: a scoping review.Journal of the American Medical Informatics Association : JAMIA · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Ameer E HassanDepartment of Neurology, University of Texas Rio Grande Valley School of Medicine, Harlingen, TX, USA.ORCID 0000-0002-7148-7616
Saisree RaviDepartment of Neurology, University of Texas Rio Grande Valley School of Medicine, Harlingen, TX, USA.ORCID 0000-0001-7987-359X
Sohum DesaiDepartment of Neurology, University of Texas Rio Grande Valley School of Medicine, Harlingen, TX, USA.ORCID 0000-0001-6803-3771
Hamzah M SaeiDepartment of Neuroscience, Valley Baptist Medical Center, Harlingen, TX, USA.
Ermias MckennonDepartment of Neuroscience, Valley Baptist Medical Center, Harlingen, TX, USA.ORCID 0000-0001-8792-4270
Wondwossen G TekleDepartment of Neuroscience, Valley Baptist Medical Center, Harlingen, TX, USA.ORCID 0000-0001-5556-5699
The University of Texas Rio Grande Valley · USValley Baptist Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundEMBOLISE (NCT04402632) is an ongoing randomized controlled trial investigating the safety and efficacy of middle meningeal artery embolization for the treatment of subacute or chronic subdural hematoma (SDH). Viz RECRUIT SDH is an artificial intelligence (AI)-based software platform that can automatically detect SDH in noncontrast computed tomography (NCHCT) images and report the volume, maximum thickness, and midline shift. We hypothesized that the mobile recruitment platform would aid enrollment and coordinate communication and image sharing among the entire research team.Materials and methodsPatient enrollment in EMBOLISE prior to and after implementation of Viz RECRUIT SDH at a large comprehensive stroke center was compared along with the performance of the software platform. The EMBOLISE trial was activated on May 5, 2021, and Viz RECRUIT SDH was activated on October 6, 2021. The pre-AI cohort consisted of all patients from EMBOLISE to AI activation (153 days), and the post-AI cohort consisted of all patients from AI activation until August 18, 2022 (316 days). All alerts for suspected SDH candidates were manually reviewed to determine the positive predictive value (PPV) of the algorithm.ResultsPrior to AI-software implementation, there were 5 patients enrolled (0.99 patients/month) and one screen failure. After the implementation of the software, enrollment increased by 36% to 1.35 patients/month (14 total enrolled), and there were no screen failures. Over the entire post-AI period, a total of 6244 NCHCTs were processed by the system with 207 total SDH detections (3% prevalence). 35% of all alerts for suspected SDH were viewed within 10 min, and 50% were viewed within an hour. The PPV of the algorithm was 81.4 (CI [75.3, 86.7]).ConclusionThe implementation of an AI-based software for the automatic screening of SDH patients increased the enrollment rate in the EMBOLISE trial, and the software performed well in a real-world, clinical trial setting.

Indexed as

Artificial IntelligenceEmbolization, TherapeuticPatient SelectionAgedFemaleHumansMaleMiddle AgedRandomized Controlled Trials as TopicSoftwareTomography, X-Ray ComputedAIartificial intelligenceclinical trialMMA embolizationsubduraltechnology

Identifiers

PMID37350052
PMCPMC12602892
OpenAlexW4381715317

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.