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Most of the studies suggested that time to treatment for people who had thrombectomy or thrombolysis had reduced after implementing the software."}]}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["evidence"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"sources[].upstream_sources":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"strategic_assessments[]":{"state":"unresolved","review_state":"not_assessed","coverage":"partial","family":"strategic assessments"},"summary":{"state":"value_present","value":{"kind":"record_fields","fields":{"summary":"In studies that NICE reviewed, stroke treatment came faster or more often after centers adopted e-Stroke, RapidAI or Viz. NICE could not tell how much was due to the software.","account":"e-Stroke, RapidAI and Viz analyze CT brain scans of people with suspected stroke, flag findings such as blocked large vessels and share images between hospitals. The National Institute for Health and Care Excellence (NICE) assessed them in guidance published on 23 January 2024. Its assessors found seven observational studies that compared time to treatment before and after centers adopted the software. In most of them, people reached thrombectomy or thrombolysis sooner afterward. In two later studies of e-Stroke, a larger share of stroke patients had a thrombectomy after the software arrived. The assessors judged that the studies were at high risk of bias, and other changes to stroke care happened at the same time. NICE concluded that it is unclear how much of the gain is due to the software. It allowed the three products in the NHS while evidence is generated and limited ten others to research. AI decision support was already live at 99 of 107 stroke units in England. The software must be used with review by a healthcare professional."}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["summary","account"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"systems[].autonomy_permissions":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"systems[].component_role":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"systems[].deployment_configuration":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"systems[].inputs_outputs":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"systems[].model_name":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"systems[].model_version":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"systems[].product_name":{"state":"value_present","value":{"kind":"record_fields","fields":{"system":"e-Stroke, RapidAI and Viz (AI-derived software for CT brain scans in suspected stroke)"}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["system"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"systems[].provider":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"taxonomy_crosswalks[]":{"state":"unresolved","provenance":{"kind":"curatorial","basis":"Editorial assignment.","record_fields":[],"source_refs":[]},"reason":"This is an explicit unresolved assignment: the sources on record do not settle this question.","review_state":"not_assessed","coverage":"partial"},"title":{"state":"value_present","value":{"kind":"record_fields","fields":{"title":"NICE allows e-Stroke, RapidAI and Viz in NHS stroke care while evidence is gathered and finds that it cannot tell how much they speed treatment","headline":"Faster stroke treatment followed *e-Stroke*, *RapidAI* and *Viz*"}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["title","headline"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"},"version":{"state":"value_present","value":{"kind":"identifiers","identifiers":["2c4033e0ff2ac2d4d9b7c8536cd765a73d537a4f7d6edca88ea93fdc465b4548"],"role":"SHA-256 of the complete public record and its assessments"},"provenance":{"kind":"curatorial","basis":"SHA-256 of the public record, its assessments, and its displayed answers and notes, excluding its own identifier and the derived coverage summary.","record_fields":[],"source_refs":[]},"review_state":"record_mapped","coverage":"complete"},"workflow":{"state":"value_present","value":{"kind":"record_fields","fields":{"account":"e-Stroke, RapidAI and Viz analyze CT brain scans of people with suspected stroke, flag findings such as blocked large vessels and share images between hospitals. The National Institute for Health and Care Excellence (NICE) assessed them in guidance published on 23 January 2024. Its assessors found seven observational studies that compared time to treatment before and after centers adopted the software. In most of them, people reached thrombectomy or thrombolysis sooner afterward. In two later studies of e-Stroke, a larger share of stroke patients had a thrombectomy after the software arrived. The assessors judged that the studies were at high risk of bias, and other changes to stroke care happened at the same time. NICE concluded that it is unclear how much of the gain is due to the software. It allowed the three products in the NHS while evidence is generated and limited ten others to research. AI decision support was already live at 99 of 107 stroke units in England. The software must be used with review by a healthcare professional.","replication":{"produced_by":["The software flagged findings on CT brain scans for review by a healthcare professional.","The software sent scan images quickly between hospitals for remote review."],"must_hold":["Centers keep their existing scan reporting protocols.","Shared images are of sufficient quality for remote review."],"echoes":[]}}},"provenance":{"kind":"legacy_record","basis":"Editorial assignment.","record_fields":["account","replication"],"source_refs":[]},"review_state":"record_mapped","coverage":"partial"}},"summary":{"total":91,"addressed":91,"known":27,"reviewed":2,"reviewed_complete":2,"reviewed_partial":0,"record_mapped":25,"review_not_assessed":64,"not_assessed":0,"complete":false,"by_state":{"value_present":27,"not_reported":0,"unresolved":64,"not_assessed":0,"not_applicable":0,"withheld":0,"source_unavailable":0}}},"presentation_version":"2c72b85d92ffef95cc166261eff4f185d0caa9a9f99bbc0a561e679f69a06736"}