Armghan Ans: 3 Questions Worth Sitting with If You Work in Stroke AI
Armghan Ans, Assistant Professor and Director of Stroke at UPMC Washington, Founder of MDAdopt, shared on LinkedIn:
”The 2026 AHA/ASA stroke guidelines updated in January.
Three questions worth sitting with if you work in stroke AI:
When did you last audit your clinical logic against the current guideline?
Not when the product launched.
Since January 26th:
- Medium vessel alert logic
- ASPECTS cutoffs for EVT recommendation
- Post-EVT BP thresholds
These moved.
Most products haven’t.
Was that audit done at the clinical logic level – not just the product level?
The question isn’t whether a clinician was involved at launch.
It’s whether someone with current clinical knowledge reviewed the specific alert thresholds and decision boundaries after January 26th.
Do you have a system for updating clinical logic when evidence shifts – or does it require a full product cycle?
The AHA has signaled a move toward a living guideline model with more frequent updates.
That cadence rewards a system over a one-time review.
In stroke AI, the risk isn’t that your model is wrong.
It’s that it’s quietly outdated.
Full article at the most recent edition of weekly TAIN – The AI Neurologist.
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