ARKA Clinical Decision Support is designed to meet all four criteria for Non-Device CDS under FD&C Act §520(o)(1)(E) and FDA's January 2026 final guidance on Clinical Decision Support Software. Recommendations support, not replace, the clinician's judgment. Every recommendation is anchored in a published guideline or peer-reviewed source, with the basis available for independent review. CLIN emphasizes imaging appropriateness at order entry.
This recommendation is intended to support, not replace, clinical judgment. It is generated by ARKA, software designed to meet the four criteria for Non-Device Clinical Decision Support under FD&C Act §520(o)(1)(E) and FDA's final guidance on Clinical Decision Support Software (January 2026). The clinician is responsible for the final decision.
AIIE Evidence
Suspected SBO → IV-contrast CT abdomen/pelvis; signs of ischemia or closed loop convert management from trial-of-decompression to surgery.
CT of the abdomen and pelvis with IV contrast is the standard study for suspected small bowel obstruction, confirming the diagnosis, locating the transition point, and detecting ischemia or closed-loop physiology that mandates surgery.
The AIIE synthesis above is ARKA-authored; the sources below are the underlying external literature.
World Journal of Emergency Surgery · 2018doi:10.1186/s13017-018-0185-2
American College of Radiology · 2024