Evidence map›Paper›PMID 38156093›Full record

ArticleFrontiers in neurology2023

Performance of RAPID noncontrast CT stroke platform in large vessel occlusion and intracranial hemorrhage detection.

Vivek Yedavalli, Jeremy Josef Heit, Seena Dehkharghani, Hafez Haerian, John Mcmenamy, Justin Honce, Vincent M Timpone, Christopher Harnain, Andrew Kesselman, Anthony Filly and 12 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 6% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
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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

22 authors at 15 institutions in 3 countries.

Vivek YedavalliThe Johns Hopkins Hospital, Johns Hopkins Medicine, Baltimore, MD, United States.
Jeremy Josef HeitStanford Healthcare, Standford, CA, United States.
Seena DehkharghaniDepartment of Radiology, New York University, New York, NY, United States.
Hafez HaerianLifeBridge Health, Baltimore, MD, United States.
John McmenamyDepartment of Radiology, New York University, New York, NY, United States.
Justin HonceDepartment of Radiology, University of Colorado, Denver, CO, United States.
Vincent M TimponeMayo Clinic, Rochester, MN, United States.
Christopher HarnainWeill Cornell Medicine, Cornell University, New York, NY, United States.
Andrew KesselmanDepartment of Radiology, Stanford University, Standford, CA, United States.
Anthony FillyStanford Healthcare, Standford, CA, United States.
Adam BeardsleyDepartment of Radiology, University of Virginia Hospital, Charlottesville, VA, United States.
Brian SakamotoDameron Hospital, Stockton, CA, United States.
Chris SongWeill Cornell Medicine, Cornell University, New York, NY, United States.
James MontuoriCapital Health, Trenton, NJ, United States.
Benjamin NavotColumbia College, Columbia University, New York, NY, United States.
Francisco Villar MenaLas Condes Clinic, Santiago, Chile.
Dan-Victor GiurgiutiuDepartment of Radiology, Augusta University, Augusta, GA, United States.
Felipe KitamuraDepartment of Radiology, Universidade Federal de São Paulo, Dasa, Brazil.
Fabricio Oliveira LimaHospital Geral de Fortaleza, Fortaleza, Brazil.
Henrique SilvaHospital Geral de Fortaleza, Fortaleza, Brazil.
Francisco Jose Mont'AlverneSanta Casa de Misericórdia de Porto Alegre, New York, NY, Brazil.
Gregory AlbersStanford Healthcare, Standford, CA, United States.
Stanford Health Care · USCornell University · USHospital Geral de Fortaleza · BRNew York University · USAugusta University · USCapital Health · USClínica Las Condes · CLColumbia University · USJohns Hopkins University · USLifeBridge Health · USMayo Clinic in Arizona · USStanford University · USUniversidade Federal de São Paulo · BRUniversity of Colorado Denver · USUniversity of Virginia Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Noncontrast CT (NCCT) is used to evaluate for intracerebral hemorrhage (ICH) and ischemia in acute ischemic stroke (AIS). Large vessel occlusions (LVOs) are a major cause of AIS, but challenging to detect on NCCT. Aims: The purpose of this study is to evaluate an AI software called RAPID NCCT Stroke (RAPID, iSchemaView, Menlo Park, CA) for ICH and LVO detection compared to expert readers. Methods: In this IRB approved retrospective, multicenter study, stand-alone performance of the software was assessed based on the consensus of 3 neuroradiologists and sensitivity and specificity were determined. The platform's performance was then compared to interpretation by readers comprised of eight general radiologists (GR) and three neuroradiologists (NR) in detecting ICH and hyperdense vessel sign (HVS) indicating LVO. Results: A total of 244 cases were included. Of the 244, 115 were LVOs and 26 were ICHs. One hundred three cases did not have LVO nor ICH. Stand-alone performance of the software demonstrated sensitivities and specificities of 96.2 and 99.5% for ICH and 63.5 and 95.1% for LVO detection. Compared to all 11 readers and eight GR readers only respectively, the software demonstrated superiority, achieving significantly higher sensitivities (63.5% versus 43.6%, Conclusion: The RAPID NCCT Stroke platform demonstrates superior performance to radiologists for detecting LVO from a NCCT. Use of this software platform could lead to earlier LVO detection and expedited transfer of these patients to a thrombectomy capable center.

Indexed as

acuteischemic strokelarge vessel occlusionnoncontrast CTstroke

Identifiers

PMID38156093
PMCPMC10753184
OpenAlexW4388973602

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.