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AI Stroke Copilot

Daniel I. Ro, MD | Vascular Neurologist | Clinical AI Builder

I am building modular clinical AI prototypes that address real workflow pain points in acute stroke care.

The Clinical Problem

Acute stroke codes are time-sensitive, communication-heavy clinical events. Stroke physicians must track key timestamps, interpret evolving neurologic findings, monitor imaging status, coordinate across multiple teams, document decisions, and manage quality metrics — often while covering multiple simultaneous telestroke or stroke-code cases.

The Vision

My long-term goal is to build an AI-powered Stroke Copilot: a multi-agent orchestration layer that seamlessly manages state across multiple active stroke codes, reduces manual data entry, and provides real-time clinical decision support.

In the future, this orchestration layer could manage case state across multiple simultaneous stroke codes, route information to specialized clinical AI modules, and surface real-time updates such as imaging status, NIHSS findings, treatment eligibility, and quality metrics.

The current projects are intentionally modular. Each demo solves a specific workflow problem today while serving as a building block for a future integrated stroke-code copilot.

Current Modules

Module Clinical Pain Point Solved Status
Stroke-Time-Tracker Captures key stroke-code workflow times Early prototype
NIHSS Conversational Assistant Structures neurologic exam capture Early prototype
Quality Metric Extractor Reduces manual abstraction burden Early prototype
Telestroke IVT Assistant Organizes IV thrombolysis eligibility, contraindications, missing data, and source-text tracing Early prototype

Roadmap

Future modules may include Clinical Reader Mode for transforming cluttered EHR documentation into a standardized clinician-centered reading layer, imaging status monitoring, parallel team communication support, and a multimodal coordination layer that connects clinical agents, workflow data, and physician-facing interaction tools.

The goal is to move from standalone prototypes toward a modular, multi-agent stroke workflow assistant that can support real-time clinical coordination during acute stroke care.

Safety and Evaluation Framing

These prototypes use synthetic or no-PHI workflows and are not intended for clinical use.

Across the modules, I am exploring evaluation and guardrail patterns such as source-text tracing, missing-data prompts, separation of documented facts from inferred reasoning, hallucination avoidance, and clinician-in-the-loop decision support.

The goal is not to automate physician judgment, but to make high-stakes stroke workflows more structured, auditable, and clinically useful.

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Modular clinical AI prototypes toward an AI-powered stroke-code copilot.

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