Neurology

Comprehensive Summary

In this study, Shen et al. reviewed various AI algorithms that work to detect ischemic lesions in the brains of patients who are at risk of having an ischemic stroke. By reviewing various algorithms developed for this purpose, Shen et al. wanted to show the potential AI has in predicting ischemic strokes in patients before they occur. Shen et al. completed this review by conducting a systematic search across various research journals, looking for studies conducted with the purpose of developing AI models that were programmed to detect ischemic lesions in brain scans. The researchers selected studies that adhered to Cochrane diagnostic standards, screening them to ensure they were sensitive and specific to the subject at hand. After choosing the studies that would participate in the review, Shen et al. extracted study details - author, publication date, title, etc. - , general information about the algorithm, and performance metrics of the AI models. Statistical analyses and comparisons of the extracted data allowed Shen et al. to create hierarchical rankings for various aspects of the AI diagnoses like specificity and sensitivity, and accuracy. The researchers found that the pooled sensitivity and specificity of the AI algorithms came out to be 91.2% and 96% respectively, meaning that the algorithms’ performance in detecting AI is acceptable and usable in a clinical setting. While this review of different experiments has its limitations in that the homogeneity among the studies may have compromised the results, the work of this study found that AI can efficiently be used to detect ischemic lesions and prevent ischemic strokes in patients, and implementing these algorithms into the diagnostic process could aid in the effective clinical management of IS patients.

Outcomes and Implications

With stroke being one of the leading causes of disability and mortality in the year 2021, the identification of early signs, as well as an early diagnosis, has become increasingly crucial to IS patients. An early and precise diagnosis allows medical professionals, and patients, the time to make informed decisions about treatment options, influencing the patient’s overall prognosis. Specific and accurate AI models that are able to quickly detect ischemic lesions, an important sign of a future ischemic stroke, would help doctors make an informed diagnosis of their patient’s state, and work to treat the lesions before they cause a debilitating, possibly fatal, ischemic stroke. The implementation of these AI algorithms into a clinical setting could very well be the reason the number of individuals affected by ischemic strokes each year drops, as medical professionals would be able to handle the strokes before they even occur.

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© 2025 AIIM. Created by AIIM IT Team