An auditable multimodal agentic system for sequential decision-making across the acute stroke pathway

Ischemic stroke is a leading cause of long term disability worldwide. Although timely reperfusion can improve outcomes, realizing this benefit requires clinicians to integrate fragmented clinical and imaging information with evolving evidence under the time pressure of emergency care, often with limited access to specialist expertise. Here we present StrokeAgent, a multimodal agentic decision-support framework designed around temporal alignment and continuous information synthesis across the acute stroke pathway. It processes clinical records, laboratory results, raw electrocardiographic (ECG)

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