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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 transparency
A near-miss is when ARKA surfaces a likely denial or low-value imaging order before it ships — and the clinician changes the plan. No patient identifiers; each card shows the clinical rationale and the waste avoided.
Related: AIIE evidence library →
Clinical rationale
A routine lumbar MRI was ordered for subacute low back pain without neurologic deficit or red flags. AIIE scored the order in the low-appropriateness range and cited conservative-care-first guidance. The clinician switched to physical therapy referral and delayed imaging.
Avoided waste
Avoided an advanced study unlikely to change management (~$1,200 allowed amount) and downstream PA rework.
Clinical rationale
Repeat head CT was requested within 10 days of a prior negative study for the same presentation. Duplicate-imaging factors drove the score down; ARKA surfaced the prior study date in the audit trail.
Avoided waste
Prevented duplicate radiation exposure and an appeal cycle for a study payers routinely scrutinize.
Clinical rationale
CT pulmonary angiography was proposed for chest pain with low pre-test probability for PE. SHAP factors highlighted weak indication strength; Wells-score documentation was incomplete at order entry.
Avoided waste
Redirected to guideline-concordant workup, avoiding contrast CT and ED throughput delay.
Clinical rationale
MRI shoulder was ordered after only one week of atraumatic pain without failed conservative therapy. AIIE matched an MSK scenario where imaging is usually not appropriate until rehab is attempted.
Avoided waste
Deferred low-yield MRI and preserved surgical evaluation slots for patients who completed conservative care.
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.
All patients, orders, and outcomes on this page are synthetic (ARKA-DEMO-001); no real patient data.
