Evidence map›Paper›PMID 42712312›Full record

ArticleBMJ digital health & AI2026

Artificial intelligence-assisted reader evaluation in acute CT head interpretation (AI-REACT): a multireader multicase study.

Alex Novak, Ruchir Shah, Abdala T Espinosa Morgado, Dennis Robert, Shamie Kumar, Jason Oke, Kanika Bhatia, Andrea Romsauerova, Tilak Das, AI-REACT Reader Study Group and 9 more

Registry-linked trialAbstract read
In one paragraph

Article in BMJ digital health & AI, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06018545 (AI Assisted Reader Evaluation in Acute CT Head Interpretation), which is not on this 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.

NCT06018545 completednot on this map

AI Assisted Reader Evaluation in Acute CT Head Interpretation

TypeobservationalSponsorOxford University Hospitals NHS TrustRan2023 to 2025Enrolled33ConditionsIntracranial Hemorrhages, Acute Ischemic Stroke, Hydrocephalus, Cerebral InfarctionArmsGround truthing, Reading
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

19 authors.

Alex NovakOxford Clinical Artificial Intelligence Research (OxCAIR), Oxford University Hospitals NHS Foundation Trust, Oxford, England, UK.
Ruchir ShahOxford Clinical Artificial Intelligence Research (OxCAIR), Oxford University Hospitals NHS Foundation Trust, Oxford, England, UK.
Abdala T Espinosa MorgadoOxford Clinical Artificial Intelligence Research (OxCAIR), Oxford University Hospitals NHS Foundation Trust, Oxford, England, UK.
Dennis RobertQure.ai, Bangalore, India.
Shamie KumarQure.ai Technologies Limited, London, UK.
Jason OkeDepartment of Primary Health Care Sciences, University of Oxford, Oxford, UK.
Kanika BhatiaOxford University Hospitals NHS Foundation Trust, Oxford, England, UK.
Andrea RomsauerovaOxford University Hospitals NHS Foundation Trust, Oxford, England, UK.
Tilak DasDepartment of Clinical Radiology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
AI-REACT Reader Study Group
Mariapaola NarboneGuy's and St Thomas' NHS Foundation Trust, London, England, UK.
Rahul DharmadhikariNorthumbria Healthcare NHS Foundation Trust, North Shields, England, UK.
Mark HarrisonEmergency Department, Northumbria Specialist Emergency Care Hospital, Cramlington, UK.
Kavitha VimalesvaranGuy's and St Thomas' NHS Foundation Trust, London, UK.
Jane GoochCollege of Health, Psychology & Social Care, University of Derby, Derby, UK.
Nick WoznitzaUniversity College London NHS Foundation Trust, London, UK.
David LoweDigital Health Validation Lab, University of Glasgow, Glasgow, UK.
Haris ShuaibGuy's and St Thomas' NHS Foundation Trust, London, England, UK.
Sarim AtherOxford Clinical Artificial Intelligence Research (OxCAIR), Oxford University Hospitals NHS Foundation Trust, Oxford, England, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To assess whether an artificial intelligence (AI) tool improves the accuracy, speed and confidence of general radiologists, emergency clinicians and radiographers in detecting critical non-contrast CT head (NCCTH) abnormalities and to evaluate its stand-alone performance and factors influencing diagnostic accuracy. Methods and analysis: A retrospective dataset of 150 NCCTH (52 normal and 98 with critical abnormalities) was reviewed by 30 readers (10 radiologists, 15 emergency clinicians and 5 radiographers) from four National Health Service trusts. Each interpreted scan is performed unaided and then with the qER EU 2.0 AI tool, separated by a 2-week washout period. Ground truth was established by two neuroradiologists. We measured the AI's stand-alone performance and its effect on reader accuracy, confidence and speed. Results: The qER algorithm showed strong diagnostic performance (area under the receiver operator curve 0.821-0.976). With AI, pooled reader sensitivity for critical abnormalities increased from 82.8% to 89.7% (+6.9%, p<0.001) and for intracranial haemorrhage from 84.6% to 91.6% (+7.0%, p<0.001), while specificity decreased from 84.5% to 78.9% (-5.5%, p=0.046). Reader confidence did not change significantly. Emergency department (ED) clinicians with AI achieved sensitivity similar to unaided radiologists. Conclusion: AI assistance increased sensitivity for detecting critical abnormalities on NCCTH but reduced specificity. AI-enabled ED clinicians to achieve diagnostic sensitivity comparable to radiologists, supporting its potential to enhance non-radiologist performance. Further studies are needed to confirm these findings in clinical practice. Trial registration number: NCT06018545.

Indexed as

Artificial intelligenceCritical Care OutcomesEmergency Service, HospitalEvidence-Based Emergency Medicine

Identifiers

PMID42712312
PMCPMC13528362

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Registered trials

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.