ESOC 2025 | Simplification of imaging for acute stroke triage with artificial intelligence software

Simplification of imaging for acute stroke triage has been also part of our journey for a few years. Over the last two years we have developed, we have helped to develop, working with some companies, artificial intelligence software that really simplifies the triage process. With a plain CT, now we are able to identify large vessel occlusions as well as estimate the volume with a similar accuracy to a CT perfusion. Then basically the next step, and we have already initiated the trial called the DAWN-SIMPLE trial, is we are trying to evaluate if selecting patients with simple imaging and enhanced by AI capabilities, we could actually have the similar efficacy results to just advanced imaging when there is a high suspicion for large vessel occlusion. This study is going to be also selecting patients, randomizing patients in the ultra-late window, 24 to 72 hours, and the hope is that if this is a positive trial, imaging simplification will be much more generalizable in low and middle income countries, and everybody will have the capabilities of screening these patients without the need of high sophisticated software.

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