Evidence map›Paper›PMID 41026071›Full record

ArticleJournal of the American College of Radiology : JACR2026

Impact of Artificial Intelligence Triage on Radiologist Report Turnaround Time: Real-World Time Savings and Insights From Model Predictions.

Yee Lam Elim Thompson, Jonathan Fergus, Jonathan Chung, Jana G Delfino, Weijie Chen, Gary M Levine, Frank W Samuelson

Abstract read
In one paragraph

Article in Journal of the American College of Radiology : JACR, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
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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

7 authors.

Yee Lam Elim ThompsonUS FDA / Center for Devices and Radiological Health, White Oak, Maryland. Electronic address: YeeLamElim.Thompson@fda.hhs.gov.
Jonathan FergusUniversity of Chicago, Chicago, Illinois.
Jonathan ChungUniversity of Chicago, Chicago, Illinois; Division Chief of Cardiothoracic Imaging at University of California, San Diego Medical Center.
Jana G DelfinoDeputy Director Division of Imaging, Diagnostics, and Software Reliability, Office of Science and Engineering Laboratories, US FDA / Center for Devices and Radiological Health, White Oak, Maryland.
Weijie ChenUS FDA / Center for Devices and Radiological Health, White Oak, Maryland.
Gary M LevineUS FDA / Center for Devices and Radiological Health, White Oak, Maryland.
Frank W SamuelsonUS FDA / Center for Devices and Radiological Health, White Oak, Maryland.

Funding

Intramural FDA HHS FD999999
6 · The paper itself

Abstract

objectiveTo quantify the impact of workflow parameters on time savings in report turnaround time due to an AI triage device that prioritized pulmonary embolism (PE) in chest CT pulmonary angiography (CTPA) examinations.

methodsThis retrospective study analyzed 11,252 adult CTPA examinations conducted for suspected PE at a single tertiary academic medical center. Data was divided into two periods: pre-artificial intelligence (AI) and post-AI. For PE-positive examinations, turnaround time (TAT)-defined as the duration from patient scan completion to the first preliminary report completion-was compared between the two periods. Time savings were reported separately for work-hour and off-hour cohorts. To characterize radiologist workflow, 527,234 records were retrieved from the PACS and workflow parameters such as examination interarrival time and radiologist read time extracted. These parameters were input into a computational model to predict time savings after deployment of an AI triage device and to study the impact of workflow parameters.

resultsThe pre-AI dataset included 4,694 chest CTPA examinations with 13.3% being PE-positive. The post-AI dataset comprised 6,558 examinations with 16.2% being PE-positive. The mean TAT for pre-AI and post-AI during work hours are 68.9 (95% confidence interval 55.0-82.8) and 46.7 (38.1-55.2) min, respectively, and those during off-hours are 44.8 (33.7-55.9) and 42.0 (33.6-50.3) min. Clinically observed time savings during work hours (22.2 [95% confidence interval: 5.85-38.6] min) were significant (P = .004), while off-hour (2.82 [-11.1 to 16.7] min) were not (P = .345). Observed time savings aligned with model predictions (29.6 [95% range: 23.2-38.1] min for work hours; 2.10 [1.76, 2.58] min for off-hours). DISCUSSION: Consideration and quantification of the clinical workflow contributes to the accurate assessment of the expected time savings in report TAT after deployment of an AI triage device.

Indexed as

Artificial IntelligenceComputed Tomography AngiographyPulmonary EmbolismTriageWorkflowAdultEfficiency, OrganizationalFemaleHumansMaleMiddle AgedRetrospective StudiesTime FactorsAI-enabled triage medical devicesradiologist workflowtime savings in report turnaround time

Identifiers

PMID41026071
PMCPMC13091564

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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.