Evaluation of Approved AI-based Brain Aneurysm Detection Software in Clinical Practice: Comparison with Radiologist Assessment and Image Re-review

The AI software demonstrated moderate sensitivity, especially for smaller aneurysms. Variations in performance across different magnetic field strengths and aneurysm size suggest a need for more robust AI algorithms. Detailed analysis of aneurysm locations provides insights into areas where AI performance could be enhanced. Integrating the AI software as a supportive tool, combined with radiologist expertise, is hypothesized to enhance detection accuracy, though further studies are needed to quantify this combined effect.