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IsraelHealthcare and life sciences2025 – ongoing

Rambam Health Care Campus

INSPIRE, an LLM tool that drafts nerve and muscle test reports (randomized trial)

A randomized trial at Israel's Rambam hospital found AI-drafted nerve test reports did not raise report quality

In progressIndependent study

Problem

Neurologists at Rambam write a report for each electrodiagnostic (EMG and nerve conduction) exam. The hospital's team wanted to know whether an AI-drafted first version would improve the reports.

Approach

The team built INSPIRE, a multi-agent system on a GPT-4o-class model that retrieves from an EMG textbook. In January and February 2025, 200 patients at the outpatient EMG clinic were randomized to physician-only reports or physician plus AI draft. Three neurologists rotated between the two arms.

Results

0.94 vs 0.94report quality score (0-1), physician plus AI vs physician only; difference not significant (p = 0.32)Independent study[1]
200patients randomized (100 per arm)Independent study[1]
1.7 / 5neurologists' mean rating of ease of use (efficiency rated 2 / 5)Independent study[1]

Takeaway

Report quality did not differ significantly between the groups. Neurologists rated efficiency and ease of use poorly.

Categories

Innovation type
Process innovation
Evidence
Independent study

Sources

  1. AI-Based EMG Reporting: A Randomized Controlled Trial
    Journal of Neurology (via PubMed Central)22 Aug 2025Research paper or report

Source summaries

[1]Journal of Neurology (via PubMed Central)22 Aug 2025

A single-center trial at Rambam in Haifa randomized 200 patients to physician-only or physician-plus-AI reporting. Report quality was 0.94 in both arms (p = 0.32). The AI flagged abnormal studies 93.3% of the time and normal ones 92.0%, but physicians rated efficiency, ease of use and workload reduction low.

Full details are in the original sources.

Added 25 Oct 2026 · Updated 25 Oct 2026
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