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PosterCNS 2025 — Poster #46

Speed and Accuracy of an AI-Automated Medical Record Screening Tool for Therapeutic Clinical Trials

Kaushal Kulkarni, M.D.
Kaushal Kulkarni, M.D.

Co-Founder & Chief Medical Officer

Meghan Russell, M.D.
Meghan Russell, M.D.

Clinical Director of Data Analytics

Sean Crosby, Ph.D.
Sean Crosby, Ph.D.

Senior Machine Learning Engineer

Michael Frantz, Ph.D.
Michael Frantz, Ph.D.

Director of AI

98.1%

PDF Record Accuracy

99.7%

HIE Record Accuracy

2.6 min

Median Processing Time (PDF)

Abstract

Background

The recruitment of medically qualified patients is a major bottleneck in therapeutic clinical trials. Traditional manual screening methods are cost and labor-intensive, requiring up to 8.8 hours per enrolled patient per study.

Objective

To assess the speed and accuracy of an AI-automated medical record screening tool for therapeutic clinical trials.

Design

Retrospective chart review.

Results

We observed an overall question accuracy of 98.1%, a false negative rate of 0.46%, a false positive rate of 7.41%, and a median processing time of 2.60 minutes for PDF records. For Health Information Exchange records, we observed an overall question accuracy of 99.7%, a false negative rate of 0.24%, a false positive rate of 0.77%, and a median processing time of 4.31 minutes.

Conclusion

Our platform demonstrates the potential to drastically reduce the time and cost associated with manual medical record review for screening and medical qualification of patients into therapeutic clinical trials.