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AI-Assisted Coronary Syndrome Subtyping From Admission History of Present Illness: A Clinician Reader Study
Sponsor: China National Center for Cardiovascular Diseases
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
Conditions
Interventions
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.
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