Evidence map›Paper›PMID 39661269›Full record

ArticleEmergency radiology2025

Off-console automated artificial intelligence enhanced workflow enables improved emergency department CT capacity.

John McMenamy, Sergey Kochkine, Mark Bernstein, Anthony Lucero, Randy Miles, Adam Schwertner, Ashesh Thaker, David M Naeger

Abstract read
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In one paragraph

Article in Emergency radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Emergency radiology: roadmap for radiology departments.Japanese journal of radiology · 2025
    Review
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

8 authors.

John McMenamyDenver Health Medical Center, Denver, USA. john.mcmenamy@dhha.org.
Sergey KochkineStony Brook University Hospital, Stony Brook, USA.
Mark BernsteinBoston Medical Center, Boston, USA.
Anthony LuceroDenver Health Medical Center, Denver, USA.
Randy MilesDenver Health Medical Center, Denver, USA.
Adam SchwertnerDenver Health Medical Center, Denver, USA.
Ashesh ThakerDenver Health Medical Center, Denver, USA.
David M NaegerDartmouth-Hitchcock Medical Center, Lebanon, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIncreasing CT capacity to keep pace with rising ED demand is critical. The conventional process has inherent drawbacks. We evaluated an off-console automated AI enhanced workflow which moves all final series creation off-console. We hypothesized the off-console workflow would 1) decrease overall ED CT exam begin to end times and decrease length and variability of time CT is occupied at the individual exam level.

methodsStudy population was identified retrospectively and included all CT exams done on all ED adult patients. 3 months of data was collected using the conventional workflow and 3 months of data was collected after implementation of the off-console workflow. Exam begin and the exam end timestamps were collected from the EMR. Additionally, 4 subgroups from the above conventional and off-console workflows were identified retrospectively with an Emergency Severity Index level 1, undergoing one of the four most common CT exam set(s) performed on ESI level 1 patients.

results6,795 ED adult patients underwent ED CT in the 3 months immediately prior to implementation of the off-console workflow and 6,708 adult ED patients underwent CT in the 3 months after complete implementation. The off-console workflow demonstrated a 36% decrease in median exam begin to end times (P < 0.001). 4 subgroups demonstrated 56-75% decreases in median CT occupied time (P < 0.001) and decreases in variability in ¾ subgroups. DISCUSSION: This off-console workflow enables increased CT capacity to meet rising ED demand. Similar improvements could be expected across most exam sets and imaging settings if broadly implemented.

Indexed as

Artificial IntelligenceEmergency Service, HospitalTomography, X-Ray ComputedWorkflowAdultEfficiency, OrganizationalFemaleHumansMaleMiddle AgedRetrospective StudiesArtificial Intelligence (AI)AutomationCapacityComputed tomography (CT)Emergency Department (ED)

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Registered trials

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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.