Evidence map›Paper›PMID 32599874›Full record

ArticleJournal of clinical medicine2020

Clinical Validation of a Deep Learning Algorithm for Detection of Pneumonia on Chest Radiographs in Emergency Department Patients with Acute Febrile Respiratory Illness.

Jae Hyun Kim, Jin Young Kim, Gun Ha Kim, Donghoon Kang, In Jung Kim, Jeongkuk Seo, Jason R Andrews, Chang Min Park

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05489471 (A Prospective Study to Assess the Impact of an Artificial Intelligence System on Reporting of Chest X-rays, Evaluate the Ability of AI Driven Worklists to Improve Reporting Times and Improve Same Day CT Pathway for Suspected Lung Cancer), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.2field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05489471 unknown statusnot on this mapstarted 2023, after this paper: background citation

A Prospective Study to Assess the Impact of an Artificial Intelligence System on Reporting of Chest X-rays, Evaluate the Ability of AI Driven Worklists to Improve Reporting Times and Improve Same Day CT Pathway for Suspected Lung Cancer

TypeobservationalSponsorHull University Teaching Hospitals NHS TrustRan2023 to 2023Enrolled20,000ConditionsArtificial IntelligenceArmsArtificial intelligence review
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 41 citations in OpenAlex.

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  20. Chest radiographs and machine learning - Past, present and future.Journal of medical imaging and radiation oncology · 2021
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Jae Hyun KimDepartment of Radiology, Armed Forces Goyang Hospital, 215, Hyeeum-ro, Deogyang-gu, Goyang-si, Gyeonggi-do 10271, Korea.ORCID 0000-0002-6691-3932
Jin Young KimDepartment of Radiology, Armed Forces Goyang Hospital, 215, Hyeeum-ro, Deogyang-gu, Goyang-si, Gyeonggi-do 10271, Korea.
Gun Ha KimDepartment of Radiology, Armed Forces Goyang Hospital, 215, Hyeeum-ro, Deogyang-gu, Goyang-si, Gyeonggi-do 10271, Korea.
Donghoon KangDepartment of Internal Medicine, Armed Forces Goyang Hospital, 215, Hyeeum-ro, Deogyang-gu, Goyang-si, Gyeonggi-do 10271, Korea.ORCID 0000-0002-7278-2174
In Jung KimDepartment of Internal Medicine, Armed Forces Goyang Hospital, 215, Hyeeum-ro, Deogyang-gu, Goyang-si, Gyeonggi-do 10271, Korea.
Jeongkuk SeoDepartment of Internal Medicine, Armed Forces Goyang Hospital, 215, Hyeeum-ro, Deogyang-gu, Goyang-si, Gyeonggi-do 10271, Korea.
Jason R AndrewsDivision of Infectious Diseases and Geographic Medicine, Stanford University School of Medicine, 291 Campus Drive, Stanford, CA 94305, USA.ORCID 0000-0002-5967-251X
Chang Min ParkDepartment of Radiology and Institute of Radiation Medicine, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 03080, Korea.ORCID 0000-0003-1884-3738
Yang Hospital · KRSeoul National University · KRStanford University · US

Funding

Seoul National University Hospital 03-2019-0190
6 · The paper itself

Abstract

Early identification of pneumonia is essential in patients with acute febrile respiratory illness (FRI). We evaluated the performance and added value of a commercial deep learning (DL) algorithm in detecting pneumonia on chest radiographs (CRs) of patients visiting the emergency department (ED) with acute FRI. This single-centre, retrospective study included 377 consecutive patients who visited the ED and the resulting 387 CRs in August 2018-January 2019. The performance of a DL algorithm in detection of pneumonia on CRs was evaluated based on area under the receiver operating characteristics (AUROC) curves, sensitivity, specificity, negative predictive values (NPVs), and positive predictive values (PPVs). Three ED physicians independently reviewed CRs with observer performance test to detect pneumonia, which was re-evaluated with the algorithm eight weeks later. AUROC, sensitivity, and specificity measurements were compared between "DL algorithm" vs. "physicians-only" and between "physicians-only" vs. "physicians aided with the algorithm". Among 377 patients, 83 (22.0%) had pneumonia. AUROC, sensitivity, specificity, PPV, and NPV of the algorithm for detection of pneumonia on CRs were 0.861, 58.3%, 94.4%, 74.2%, and 89.1%, respectively. For the detection of 'visible pneumonia on CR' (60 CRs from 59 patients), AUROC, sensitivity, specificity, PPV, and NPV were 0.940, 81.7%, 94.4%, 74.2%, and 96.3%, respectively. In the observer performance test, the algorithm performed better than the physicians for pneumonia (AUROC, 0.861 vs. 0.788,

Indexed as

acute febrile respiratory illnessartificial intelligencechest radiographdeep learning algorithmemergency department

Identifiers

PMID32599874
PMCPMC7356293
OpenAlexW3036941862

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.