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COMPLETED
NCT07449429

AI-Assisted Coronary Syndrome Subtyping From Admission History of Present Illness: A Clinician Reader Study

Sponsor: China National Center for Cardiovascular Diseases

View on ClinicalTrials.gov

Summary

This study will evaluate whether an OCR-LLM-based clinical decision support framework improves clinicians' accuracy in classifying coronary syndrome subtypes from admission history of present illness. Participating clinicians will classify a set of cases first without AI assistance and then with assistance from the OCR-LLM framework. The primary outcome is the change in classification accuracy between unaided and AI-assisted assessments.

Official title: A Prospective Clinician Reader Study Evaluating an OCR-LLM Framework for Coronary Syndrome Subtyping From Admission History of Present Illness

Key Details

Gender

All

Age Range

18 Years - Any

Study Type

OBSERVATIONAL

Enrollment

10

Start Date

2026-02-28

Completion Date

2026-03-08

Last Updated

2026-10-27

Healthy Volunteers

Not specified

Interventions

DEVICE

OCR-Prompt-LLM Information Extraction and Classification Workflow (OCR-Prompt-LLM)

An automated clinical data management workflow integrating Optical Character Recognition (OCR), optimized prompt engineering, and large language models (LLMs). The system processes unstructured inpatient/ED records (primarily admission history of present illness and related narrative text) to extract prespecified key clinical indicators (e.g., left ventricular ejection fraction, coronary syndrome subtype, medications) and to classify cases into prespecified coronary artery disease categories (e.g., unstable angina, STEMI, NSTEMI, chronic coronary syndrome). The workflow outputs structured fields and a classification result with supporting evidence excerpts.

DEVICE

Manual Clinical Data Review

Standard manual process in which experienced clinicians review patient medical records and extract the same prespecified clinical indicators and coronary artery disease categories using routine clinical judgment and documentation review. This manual abstraction serves as the human benchmark for comparing diagnostic accuracy, completeness, and operational efficiency against the automated OCR-Prompt-LLM workflow.

Locations (1)

Fuwai Hospital

Beijing, China