Related Experiment Video
Updated: Jul 15, 2025
06:28
E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.4K
Impact of e-ASPECTS software on the performance of physicians compared to a consensus ground truth: a multi-reader,
Hassan Kobeissi1, David F Kallmes1, John Benson1
1Department of Radiology, Mayo Clinic, Rochester, MN, United States.
Frontiers in Neurology
|September 25, 2023
Summary
Artificial intelligence software for Alberta Stroke Program Early CT Score (ASPECTS) improves physician accuracy in assessing acute ischemic stroke (AIS) brain imaging. The e-ASPECTS tool enhanced performance for neurologists and neuroradiologists, leading to better stroke assessment.
Area of Science:
- Neuroimaging
- Artificial Intelligence in Medicine
- Stroke Imaging Analysis
Background:
- The Alberta Stroke Program Early CT Score (ASPECTS) is crucial for quantifying brain injury in acute ischemic stroke (AIS) and guiding treatment.
- e-ASPECTS software utilizes AI to automatically generate ASPECTS scores from non-contrast CT (NCCT) scans in AIS patients with middle cerebral artery (MCA) territory involvement.
- This study evaluated the impact of e-ASPECTS on the performance of US physicians compared to a consensus ground truth.
Purpose of the Study:
- To assess the effectiveness of the e-ASPECTS software in improving the accuracy of ASPECTS scoring by US physicians.
- To compare physician performance with and without the assistance of the e-ASPECTS AI tool.
Main Methods:
- A multi-reader, multi-case study design was employed.
- Ten US board-certified neurologists and neuroradiologists scored 54 NCCT brain scans twice: once with and once without e-ASPECTS assistance, in random order.
- Agreement with an expert consensus reference standard was evaluated using various statistical measures, including Cohen's kappa and weighted kappa.
Main Results:
- The area under the curve (AUC) for reader performance significantly improved from 0.81 to 0.83 (p=0.028) with e-ASPECTS support.
- Agreement with the reference standard improved, with Cohen's kappa increasing from 0.60 to 0.65 and case-based weighted Kappa improving from 0.70 to 0.81.
- These improvements indicate enhanced accuracy in ASPECTS scoring when using the e-ASPECTS software.
Conclusions:
- The e-ASPECTS software significantly enhances the accuracy of ASPECTS scoring for acute ischemic stroke.
- AI-powered decision support tools like e-ASPECTS can improve the performance of even expert neurologists and neuroradiologists in interpreting brain CT scans.
- The findings support the utility of e-ASPECTS in clinical practice for more precise stroke assessment.
More Related Videos
Related Concept Videos
01:30Methods of Documentation VII: EMR
855
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
855
01:15Methods of Documentation VI: Case Management Model
592
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
592
01:23Methods of Documentation V: CBE
920
Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
920
01:21Methods of Documentation III: PIE
1.4K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
1.4K
01:18Effects of EDTA on End-Point Detection Methods
297
Different methods, such as visual observance of metal-ion indicators, spectroscopic techniques, and potentiometric methods, can determine the endpoint of an EDTA titration.
In the visual method, metal-ion indicators (metallochromic dyes), which have distinct colors in their free and complex forms, are added to the mixture to signal the titration's end point. They form stable complexes with metal ions, but these complexes are weaker than the corresponding metal–EDTA complexes. As a...
In the visual method, metal-ion indicators (metallochromic dyes), which have distinct colors in their free and complex forms, are added to the mixture to signal the titration's end point. They form stable complexes with metal ions, but these complexes are weaker than the corresponding metal–EDTA complexes. As a...
297