Emergency News – APM / French Society of Emergency Medicine
- The rate of patients receiving mechanical thrombectomy - a crucial treatment for acute ischemic stroke caused by large vessel occlusion - has increased in England following the implementation...
- Currently, most stroke patients are initially assessed and imaged (typically with non-contrast CT or CT angiography) at the nearest neurovascular unit (NVU).
- The key to improving thrombectomy rates lies in faster identification of stroke etiology.
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AI-powered Brain Imaging Boosts Stroke Thrombectomy rates in England
Table of Contents
Published December 17, 2025, by APMnews
The Challenge: Timely Access to Life-Saving Stroke Treatment
The rate of patients receiving mechanical thrombectomy – a crucial treatment for acute ischemic stroke caused by large vessel occlusion – has increased in England following the implementation of artificial intelligence (AI) analysis of brain imaging, according to a study published in The Lancet Digital Health. Mechanical thrombectomy, often combined with intravenous thrombolysis, is now the standard of care for this type of stroke, but requires specialized centers and rapid intervention.
Currently, most stroke patients are initially assessed and imaged (typically with non-contrast CT or CT angiography) at the nearest neurovascular unit (NVU). While these units provide essential initial care, they often lack the specialized expertise and infrastructure for interventional neuroradiology, which is concentrated in dedicated centers. Dr. Kiruba Nagaratnam of the Royal Berkshire NHS Foundation Trust in Reading and colleagues highlight this logistical hurdle in their research.
AI accelerates Identification and Transfer
The key to improving thrombectomy rates lies in faster identification of stroke etiology. Rapid diagnosis allows for quicker therapeutic decisions and the timely transfer of eligible patients to specialized neuroradiology centers. Researchers emphasize that delays in this process substantially hinder access to thrombectomy.
In 2024, the United Kingdom’s thrombectomy rate was 3.9%,falling below the European average,despite an estimated potential of 15%.This gap underscores the need for improved efficiency in patient selection and transfer.
Brainomix 360: A National Rollout
In March 2020, the National Health Service (NHS) began implementing Brainomix 360, an AI-powered imaging analysis tool, in 26 of England’s 107 stroke centers. Brainomix, the company behind the technology, aims to expedite stroke diagnosis and treatment planning.
the study analyzed data from these centers, revealing a significant increase in thrombectomy rates following the adoption of Brainomix 360. Specific data on the percentage increase is detailed in the Lancet Digital Health publication.
impact and Future Implications
The successful implementation of AI-assisted imaging analysis in England demonstrates the potential to improve stroke care on a national scale. expanding access to this technology could lead to better patient outcomes and reduced disability from stroke.
Understanding Mechanical thrombectomy
Mechanical thrombectomy is a minimally invasive procedure used to remove a blood clot from a large artery in the brain. A catheter is inserted into an artery, typically in the groin, and guided to the site
