Evidence map›Paper›PMID 41025236›Full record

ReviewStroke2026

Artificial Intelligence and Novel Trial Designs for Acute Ischemic Stroke: Opportunities and Challenges.

Joseph P Broderick, Eva A Mistry, Paul M Wechsler, Mitchell S V Elkind, David S Liebeskind, George Harston, Jake Wolenberg, Jennifer A Frontera, W Taylor Kimberly, Christopher G Favilla and 8 more

Abstract readReview
In one paragraph

Review in Stroke, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. 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

18 authors.

Joseph P BroderickDepartment of Neurology and Rehabilitation Medicine, University of Cincinnati, OH (J.P.B., E.A.M., P.M.W.).ORCID 0000-0002-7323-7709
Eva A MistryDepartment of Neurology and Rehabilitation Medicine, University of Cincinnati, OH (J.P.B., E.A.M., P.M.W.).ORCID 0000-0002-7426-3650
Paul M WechslerDepartment of Neurology and Rehabilitation Medicine, University of Cincinnati, OH (J.P.B., E.A.M., P.M.W.).ORCID 0000-0002-0314-1867
Mitchell S V ElkindAmerican Heart Association, National Center, Dallas, TX (M.S.V.E.).ORCID 0000-0003-2562-1156
David S LiebeskindDepartment of Neurology, University of California, Los Angeles (D.S.L.).ORCID 0000-0002-5109-8736
George HarstonNational Health Service Foundation Trust (NHSFT), Oxford University Hospitals, United Kingdom (G.H.).ORCID 0000-0003-4916-5757
Jake WolenbergImperative Care, San Jose, CA (J.W.).
Jennifer A FronteraDepartment of Neurology, NYU Grossman School of Medicine, New York, NY (J.A.F.).ORCID 0000-0002-0719-2522
W Taylor KimberlyDepartment of Neurology, Mass General Brigham, Boston, MA (W.T.K.).ORCID 0000-0002-2519-8530
Christopher G FavillaDepartment of Neurology, University of Pennsylvania, Philadelphia (C.G.F., S.E.K.).ORCID 0000-0003-0871-9549
Johannes BoltzeSchool of Life Sciences, University of Warwick, Coventry, United Kingdom (J.B.).ORCID 0000-0003-3956-4164
Johanna OspelDepartment of Diagnostic Imaging, Foothills Medical Centre, University of Calgary, AB, Canada (J.O.).ORCID 0000-0003-0029-6764
Edgar A SamaniegoDepartment of Neurology, Neurosurgery and Radiology, University of Iowa (E.A.S.).ORCID 0000-0003-2764-2268
Opeolu AdeoyeDepartment of Emergency Medicine, Washington University School of Medicine, Barnes Jewish Hospital, St. Louis, MO (O.A.).ORCID 0000-0001-8666-5369
Scott E KasnerDepartment of Neurology, University of Pennsylvania, Philadelphia (C.G.F., S.E.K.).ORCID 0000-0003-0418-6917
Lee H SchwammYale School of Medicine, New Haven, CT (L.H.S.).ORCID 0000-0003-0592-9145
Gregory W AlbersStanford Stroke Center, Stanford University, CA (G.W.A.).ORCID 0000-0003-0263-4632
Stroke Treatment Academic Industry Roundtable XIII Participants

Funding

NSTN National Clinical Coordinating CenterU01NS086872 · NINDS · UNIVERSITY OF CINCINNATI · PI Joseph Paul Broderick, Pooja Khatri · 2013 to 2026
$32.3M
StrokeNet Thrombectomy Endovascular Platform (STEP) OT2NS129366 · NINDS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI COLIN Pieter DERDEYN, Jordan J. Elm · 2022 to 2026
$20.5M
NINDS NIH HHS OT2 NS129366NINDS NIH HHS U01 NS086872
6 · The paper itself

Abstract

The Stroke Treatment Academic Industry Roundtable convened a workshop regarding artificial intelligence (AI) and innovative clinical trial designs during the Stroke Treatment Academic Industry Roundtable XIII meeting on March 28, 2025. This forum brought together stroke physicians and researchers, and industry representatives to discuss the current use and future opportunities for AI and novel trial designs in acute stroke trials. AI already plays a substantial role in the treatment of acute stroke with regards to imaging but is poised to have a much larger impact in clinical care and research trials over the coming years. The quality and understanding of the data are used to train the AI, the human element needed to ensure training is successful, and the clinician and trialist at the bedside, the humans "in the loop," will be necessary to maximize AI's effectiveness in clinical practice and trials. Platform trials address multiple scientific questions in an area of medicine simultaneously within the same trial structure by sharing controls across multiple interventions. While platform trials increase efficiency and potentially decrease the time needed to answer important clinical scientific questions, they also can introduce complexity to standard workflows. Future acute ischemic stroke clinical trials should incorporate elements of pragmatic and patient-centered trial design when possible. Pragmatic trials aim to assess the effectiveness of treatments when they are implemented into routine clinical care rather than under idealized conditions. AI models and platform, pragmatic, and patient-centered trial designs are new tools to answer important clinical questions, but understanding how they work, their best uses, and their limitations is critical for accelerating successful new treatments for stroke.

Indexed as

Artificial IntelligenceClinical Trials as TopicIschemic StrokeResearch DesignStrokeHumansartificial intelligenceatrial fibrillationhemorrhageinfarctionischemic stroke

Identifiers

PMID41025236
PMCPMC12695146

What OpenQuestion holds

Textmetadata
LicenceTDM
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.