{"id":"https://openalex.org/W7160402369","doi":"https://doi.org/10.1109/access.2026.3690923","title":"Performance Assessment of AI-Assisted Thrombus and Vessels Segmentation in Acute Ischemic Stroke Patients in Emergency Settings","display_name":"Performance Assessment of AI-Assisted Thrombus and Vessels Segmentation in Acute Ischemic Stroke Patients in Emergency Settings","publication_year":2026,"publication_date":"2026-01-01","ids":{"openalex":"https://openalex.org/W7160402369","doi":"https://doi.org/10.1109/access.2026.3690923"},"language":"en","primary_location":{"id":"doi:10.1109/access.2026.3690923","is_oa":true,"landing_page_url":"https://doi.org/10.1109/access.2026.3690923","pdf_url":null,"source":{"id":"https://openalex.org/S2485537415","display_name":"IEEE Access","issn_l":"2169-3536","issn":["2169-3536"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319808","host_organization_name":"Institute of Electrical and Electronics Engineers","host_organization_lineage":["https://openalex.org/P4310319808"],"host_organization_lineage_names":["Institute of Electrical and Electronics Engineers"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"IEEE Access","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1109/access.2026.3690923","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5092877233","display_name":"Giada Minghini","orcid":"https://orcid.org/0009-0007-8298-8815"},"institutions":[{"id":"https://openalex.org/I201324441","display_name":"University of Ferrara","ror":"https://ror.org/041zkgm14","country_code":"IT","type":"education","lineage":["https://openalex.org/I201324441"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Giada Minghini","raw_affiliation_strings":["Universit&#x00E0; degli Studi di Ferrara, Ferrara, Italy"],"raw_orcid":"https://orcid.org/0009-0007-8298-8815","affiliations":[{"raw_affiliation_string":"Universit&#x00E0; degli Studi di Ferrara, Ferrara, Italy","institution_ids":["https://openalex.org/I201324441"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5084958237","display_name":"Luigi Bellini","orcid":"https://orcid.org/0000-0003-1280-3022"},"institutions":[{"id":"https://openalex.org/I116067653","display_name":"University of Rome Tor Vergata","ror":"https://ror.org/02p77k626","country_code":"IT","type":"education","lineage":["https://openalex.org/I116067653"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Luigi Bellini","raw_affiliation_strings":["Dipartimento di Biomedicina e Prevenzione, Universit&#x00E0; degli Studi di Roma &#x201C;Tor Vergata&#x201D;, Rome, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Dipartimento di Biomedicina e Prevenzione, Universit&#x00E0; degli Studi di Roma &#x201C;Tor Vergata&#x201D;, Rome, Italy","institution_ids":["https://openalex.org/I116067653"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5082611067","display_name":"Armando Ugo Cavallo","orcid":"https://orcid.org/0000-0001-8390-7721"},"institutions":[{"id":"https://openalex.org/I4210116004","display_name":"Istituto Dermopatico dell'Immacolata","ror":"https://ror.org/02b5mfy68","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210116004","https://openalex.org/I4210153126"]},{"id":"https://openalex.org/I4210153126","display_name":"Istituti di Ricovero e Cura a Carattere Scientifico","ror":"https://ror.org/04tfzc498","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210153126"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Armando Ugo Cavallo","raw_affiliation_strings":["Istituto Dermopatico dell&#x2019;Immacolata (IDI) IRCCS, Rome, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Istituto Dermopatico dell&#x2019;Immacolata (IDI) IRCCS, Rome, Italy","institution_ids":["https://openalex.org/I4210116004","https://openalex.org/I4210153126"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5106329835","display_name":"Mariafrancesca Trulli","orcid":null},"institutions":[{"id":"https://openalex.org/I116067653","display_name":"University of Rome Tor Vergata","ror":"https://ror.org/02p77k626","country_code":"IT","type":"education","lineage":["https://openalex.org/I116067653"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Mariafrancesca Trulli","raw_affiliation_strings":["Dipartimento di Biomedicina e Prevenzione, Universit&#x00E0; degli Studi di Roma &#x201C;Tor Vergata&#x201D;, Rome, Italy"],"raw_orcid":"https://orcid.org/0009-0007-3374-7847","affiliations":[{"raw_affiliation_string":"Dipartimento di Biomedicina e Prevenzione, Universit&#x00E0; degli Studi di Roma &#x201C;Tor Vergata&#x201D;, Rome, Italy","institution_ids":["https://openalex.org/I116067653"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108243042","display_name":"Simone Di Candia","orcid":null},"institutions":[{"id":"https://openalex.org/I116067653","display_name":"University of Rome Tor Vergata","ror":"https://ror.org/02p77k626","country_code":"IT","type":"education","lineage":["https://openalex.org/I116067653"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Simone Di Candia","raw_affiliation_strings":["Dipartimento di Biomedicina e Prevenzione, Universit&#x00E0; degli Studi di Roma &#x201C;Tor Vergata&#x201D;, Rome, Italy"],"raw_orcid":"https://orcid.org/0009-0008-6557-9937","affiliations":[{"raw_affiliation_string":"Dipartimento di Biomedicina e Prevenzione, Universit&#x00E0; degli Studi di Roma &#x201C;Tor Vergata&#x201D;, Rome, Italy","institution_ids":["https://openalex.org/I116067653"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5135475183","display_name":"Francesco Giuseppe Garaci","orcid":null},"institutions":[{"id":"https://openalex.org/I116067653","display_name":"University of Rome Tor Vergata","ror":"https://ror.org/02p77k626","country_code":"IT","type":"education","lineage":["https://openalex.org/I116067653"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Francesco Giuseppe Garaci","raw_affiliation_strings":["Dipartimento di Biomedicina e Prevenzione, Universit&#x00E0; degli Studi di Roma &#x201C;Tor Vergata&#x201D;, Rome, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Dipartimento di Biomedicina e Prevenzione, Universit&#x00E0; degli Studi di Roma &#x201C;Tor Vergata&#x201D;, Rome, Italy","institution_ids":["https://openalex.org/I116067653"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5021850950","display_name":"Andrea Miola","orcid":"https://orcid.org/0000-0003-0740-5070"},"institutions":[{"id":"https://openalex.org/I201324441","display_name":"University of Ferrara","ror":"https://ror.org/041zkgm14","country_code":"IT","type":"education","lineage":["https://openalex.org/I201324441"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Andrea Miola","raw_affiliation_strings":["Universit&#x00E0; degli Studi di Ferrara, Ferrara, Italy"],"raw_orcid":"https://orcid.org/0000-0003-0740-5070","affiliations":[{"raw_affiliation_string":"Universit&#x00E0; degli Studi di Ferrara, Ferrara, Italy","institution_ids":["https://openalex.org/I201324441"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5067711003","display_name":"Enrico Calore","orcid":"https://orcid.org/0000-0002-2301-3838"},"institutions":[{"id":"https://openalex.org/I4210107105","display_name":"Istituto Nazionale di Fisica Nucleare, Sezione di Ferrara","ror":"https://ror.org/00zs3y046","country_code":"IT","type":"facility","lineage":["https://openalex.org/I160013858","https://openalex.org/I4210107105"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Enrico Calore","raw_affiliation_strings":["Istituto Nazionale di Fisica Nucleare (INFN), Ferrara, Italy"],"raw_orcid":"https://orcid.org/0000-0002-2301-3838","affiliations":[{"raw_affiliation_string":"Istituto Nazionale di Fisica Nucleare (INFN), Ferrara, Italy","institution_ids":["https://openalex.org/I4210107105"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5071220084","display_name":"Sebastiano Fabio Schifano","orcid":"https://orcid.org/0000-0002-0132-9196"},"institutions":[{"id":"https://openalex.org/I201324441","display_name":"University of Ferrara","ror":"https://ror.org/041zkgm14","country_code":"IT","type":"education","lineage":["https://openalex.org/I201324441"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Sebastiano Fabio Schifano","raw_affiliation_strings":["Universit&#x00E0; degli Studi di Ferrara, Ferrara, Italy"],"raw_orcid":"https://orcid.org/0000-0002-0132-9196","affiliations":[{"raw_affiliation_string":"Universit&#x00E0; degli Studi di Ferrara, Ferrara, Italy","institution_ids":["https://openalex.org/I201324441"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5084809231","display_name":"Cristian Zambelli","orcid":"https://orcid.org/0000-0001-8755-0504"},"institutions":[{"id":"https://openalex.org/I201324441","display_name":"University of Ferrara","ror":"https://ror.org/041zkgm14","country_code":"IT","type":"education","lineage":["https://openalex.org/I201324441"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Cristian Zambelli","raw_affiliation_strings":["Universit&#x00E0; degli Studi di Ferrara, Ferrara, Italy"],"raw_orcid":"https://orcid.org/0000-0001-8755-0504","affiliations":[{"raw_affiliation_string":"Universit&#x00E0; degli Studi di Ferrara, Ferrara, Italy","institution_ids":["https://openalex.org/I201324441"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5135474304","display_name":"Valerio Da Ros","orcid":null},"institutions":[{"id":"https://openalex.org/I116067653","display_name":"University of Rome Tor Vergata","ror":"https://ror.org/02p77k626","country_code":"IT","type":"education","lineage":["https://openalex.org/I116067653"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Valerio Da Ros","raw_affiliation_strings":["Dipartimento di Biomedicina e Prevenzione, Universit&#x00E0; degli Studi di Roma &#x201C;Tor Vergata&#x201D;, Rome, Italy"],"raw_orcid":"https://orcid.org/0000-0001-7167-7594","affiliations":[{"raw_affiliation_string":"Dipartimento di Biomedicina e Prevenzione, Universit&#x00E0; degli Studi di Roma &#x201C;Tor Vergata&#x201D;, Rome, Italy","institution_ids":["https://openalex.org/I116067653"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":1850,"currency":"USD","value_usd":1850},"apc_paid":{"value":1850,"currency":"USD","value_usd":1850},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.56255721,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"14","issue":null,"first_page":"72023","last_page":"72039"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10227","display_name":"Acute Ischemic Stroke Management","score":0.6380000114440918,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10227","display_name":"Acute Ischemic Stroke Management","score":0.6380000114440918,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11763","display_name":"Intracerebral and Subarachnoid Hemorrhage Research","score":0.10689999908208847,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.026000000536441803,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/thrombus","display_name":"Thrombus","score":0.6729000210762024},{"id":"https://openalex.org/keywords/ischemic-stroke","display_name":"Ischemic stroke","score":0.4302000105381012},{"id":"https://openalex.org/keywords/segmentation","display_name":"Segmentation","score":0.41499999165534973},{"id":"https://openalex.org/keywords/stroke","display_name":"Stroke (engine)","score":0.4083999991416931},{"id":"https://openalex.org/keywords/image-segmentation","display_name":"Image segmentation","score":0.4000999927520752},{"id":"https://openalex.org/keywords/thrombosis","display_name":"Thrombosis","score":0.3109000027179718}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8228999972343445},{"id":"https://openalex.org/C2781362458","wikidata":"https://www.wikidata.org/wiki/Q1588755","display_name":"Thrombus","level":2,"score":0.6729000210762024},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.510200023651123},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.483599990606308},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.4422999918460846},{"id":"https://openalex.org/C3020199598","wikidata":"https://www.wikidata.org/wiki/Q12202","display_name":"Ischemic stroke","level":3,"score":0.4302000105381012},{"id":"https://openalex.org/C89600930","wikidata":"https://www.wikidata.org/wiki/Q1423946","display_name":"Segmentation","level":2,"score":0.41499999165534973},{"id":"https://openalex.org/C2780645631","wikidata":"https://www.wikidata.org/wiki/Q671554","display_name":"Stroke (engine)","level":2,"score":0.4083999991416931},{"id":"https://openalex.org/C124504099","wikidata":"https://www.wikidata.org/wiki/Q56933","display_name":"Image segmentation","level":3,"score":0.4000999927520752},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.32190001010894775},{"id":"https://openalex.org/C2780868729","wikidata":"https://www.wikidata.org/wiki/Q261327","display_name":"Thrombosis","level":2,"score":0.3109000027179718},{"id":"https://openalex.org/C3020166492","wikidata":"https://www.wikidata.org/wiki/Q12202","display_name":"Acute stroke","level":3,"score":0.2978000044822693},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.29010000824928284},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.2736000120639801},{"id":"https://openalex.org/C2780643987","wikidata":"https://www.wikidata.org/wiki/Q468414","display_name":"Angiography","level":2,"score":0.2702000141143799}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1109/access.2026.3690923","is_oa":true,"landing_page_url":"https://doi.org/10.1109/access.2026.3690923","pdf_url":null,"source":{"id":"https://openalex.org/S2485537415","display_name":"IEEE Access","issn_l":"2169-3536","issn":["2169-3536"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319808","host_organization_name":"Institute of Electrical and Electronics Engineers","host_organization_lineage":["https://openalex.org/P4310319808"],"host_organization_lineage_names":["Institute of Electrical and Electronics Engineers"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"IEEE Access","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:e101f0faaf4744d7b5e8c379d905ac9c","is_oa":true,"landing_page_url":"https://doaj.org/article/e101f0faaf4744d7b5e8c379d905ac9c","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"IEEE Access, Vol 14, Pp 72023-72039 (2026)","raw_type":"article"},{"id":"pmh:oai:sfera.unife.it:11392/2628310","is_oa":false,"landing_page_url":"https://hdl.handle.net/11392/2628310","pdf_url":null,"source":{"id":"https://openalex.org/S4306400369","display_name":"Institutional Research Information System University of Ferrara (University of Ferrara)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I201324441","host_organization_name":"University of Ferrara","host_organization_lineage":["https://openalex.org/I201324441"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":{"id":"doi:10.1109/access.2026.3690923","is_oa":true,"landing_page_url":"https://doi.org/10.1109/access.2026.3690923","pdf_url":null,"source":{"id":"https://openalex.org/S2485537415","display_name":"IEEE Access","issn_l":"2169-3536","issn":["2169-3536"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319808","host_organization_name":"Institute of Electrical and Electronics Engineers","host_organization_lineage":["https://openalex.org/P4310319808"],"host_organization_lineage_names":["Institute of Electrical and Electronics Engineers"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"IEEE Access","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.7263022661209106,"display_name":"Good health and well-being"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Large":[0],"Vessel":[1],"Occlusions":[2],"(LVOs)":[3],"in":[4,47,59,87,159,190,214],"the":[5,10,26,50,88,92,148,161,185,204,209],"M1":[6,89],"segment":[7,90],"are":[8],"among":[9],"most":[11],"frequent":[12],"and":[13,54,61,79,84,137,140,200,208],"severe":[14],"causes":[15],"of":[16,28,91,119,157,166,187,206,211],"Acute":[17],"Ischemic":[18],"Stroke":[19],"(AIS).":[20],"In":[21],"this":[22,69],"study,":[23],"we":[24,71],"investigate":[25],"use":[27],"Artificial":[29],"Intelligence":[30],"(AI)":[31],"to":[32,82,176],"detect":[33,83],"these":[34],"occlusions":[35],"through":[36],"Deep":[37],"Neural":[38],"Networks":[39],"(DNN).":[40],"Although":[41],"AI-assisted":[42],"segmentation":[43,126],"shows":[44],"considerable":[45],"promise":[46],"medical":[48,78],"imaging,":[49],"trade-offs":[51],"between":[52],"functional":[53],"non-functional":[55,167],"performance":[56,127],"metrics,":[57],"particularly":[58],"clinical":[60],"emergency":[62],"settings,":[63],"remain":[64],"insufficiently":[65],"explored.":[66],"To":[67],"address":[68],"gap,":[70],"adopt":[72],"an":[73,197],"interdisciplinary":[74],"approach":[75],"that":[76,125,170],"integrates":[77],"engineering":[80],"perspectives":[81],"characterize":[85],"LVOs":[86,207],"middle":[93],"cerebral":[94],"artery":[95],"(MCA).":[96],"We":[97],"train":[98],"a":[99,104,116,155],"state-of-the-art":[100],"nnU-Net":[101],"model":[102,153],"on":[103,147],"recent":[105],"NVIDIA":[106],"GH200":[107],"system":[108],"using":[109],"late-phase":[110],"CT":[111],"angiography":[112],"(CTA)":[113],"images":[114],"from":[115],"retrospective":[117],"cohort":[118],"198":[120],"patients.":[121,181],"Our":[122],"results":[123],"indicate":[124],"is":[128,143],"influenced":[129],"by":[130],"anatomical":[131],"factors":[132],"such":[133],"as":[134],"collateral":[135],"circulation":[136],"thrombus":[138],"location,":[139],"predictive":[141],"quality":[142],"not":[144],"strictly":[145],"dependent":[146],"specific":[149],"DNN":[150],"architecture.":[151],"The":[152],"achieves":[154],"sensitivity":[156],"0.93":[158],"identifying":[160],"thrombus\u2013vessel":[162],"interface.":[163],"Furthermore,":[164],"analysis":[165],"metrics":[168],"demonstrates":[169],"inference":[171],"costs":[172],"can":[173],"be":[174],"limited":[175],"approximately":[177],"\u20ac0.08":[178],"per":[179],"1000":[180],"These":[182],"findings":[183],"support":[184],"deployment":[186],"GPU-based":[188],"systems":[189],"on-premise":[191],"hospital":[192],"environments,":[193],"providing":[194],"neuroradiologists":[195],"with":[196],"effective":[198],"assistive":[199],"decision-support":[201],"tool":[202],"for":[203],"detection":[205],"planning":[210],"surgical":[212],"interventions":[213],"AIS.":[215]},"counts_by_year":[],"updated_date":"2026-05-26T06:15:08.310788","created_date":"2026-05-07T00:00:00"}
