Evidence map›Paper›PMID 42414634›Full record

SynthesisCardiovascular and interventional radiology2026

Impact of Artificial Intelligence-Based Triage on Stroke Workflow Metrics: A Systematic Review and Meta-Analysis.

Juan Carlos Barrera Gutierrez, Elaina Vivian, Jimmy Shah, Richard Meyrat

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Cardiovascular and interventional radiology, 2026. 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. Artificial Intelligence from Flow Metrics Improvement Toward Clinical Value.Cardiovascular and interventional radiology · 2026
    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

4 authors.

Juan Carlos Barrera GutierrezMethodist Digestive Institute, Methodist Dallas Medical Center, Dallas, TX, USA.
Elaina VivianHospital Administration, Methodist Dallas Medical Center, Dallas, TX, USA.ORCID http://orcid.org/0000-0002-7632-1391
Jimmy ShahHospital Administration, Methodist Dallas Medical Center, Dallas, TX, USA.
Richard MeyratMethodist Moody Brain and Spine Institute, Methodist Health System, 1411 N. Beckley Avenue, Pavilion III, Suite 152, Dallas, TX, 75203, USA. RichardMeyrat@mhd.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundArtificial intelligence is an increasingly valuable tool in ischemic stroke management. This systematic review and meta-analysis evaluated the effect of artificial intelligence implementation on stroke workflow metrics.

methodsPubMed, EMBASE, OpenEvidence, and the Cochrane Central Register of Controlled Trials were searched for studies (2015-2025) evaluating automated large vessel occlusion detection. Pooled mean differences with 95% CIs were calculated for door-to-groin puncture, door-to-first pass, door-to-revascularization, door-to-needle, and door-in-door-out times.

resultsTwelve studies met the inclusion criteria: one clinical trial and eleven observational studies. Artificial intelligence was associated with reductions in multiple workflow intervals, including door-to-groin puncture (-17.12 minutes), door-to-first pass (-26.55 minutes), door-to-revascularizationon (-14.55 minutes), door-to-needle (-4.44 minutes), and door-in-door-out time (-36.8 minutes).

conclusionOverall, AI-based platforms appear to contribute meaningfully to stroke workflow optimization, although randomized controlled trials are still needed to confirm their effectiveness. LEVEL OF EVIDENCE: Level 2c, Systematic review of randomized clinical trials, and observational studies.

Indexed as

Artificial IntelligenceIschemic StrokeStrokeTriageWorkflowHumansAcute ischemic strokeArtificial intelligenceRAPID.AIViz.AIWorkflow metrics

Identifiers

What OpenQuestion holds

Textmetadata
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.