Evidence map›Paper›PMID 33243843›Full record

ArticleThe European respiratory journal2021

Development and validation of a deep learning algorithm detecting 10 common abnormalities on chest radiographs.

Ju Gang Nam, Minchul Kim, Jongchan Park, Eui Jin Hwang, Jong Hyuk Lee, Jung Hee Hong, Jin Mo Goo, Chang Min Park

2 registry-linked trialsAbstract read
In one paragraph

Article in The European respiratory journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 54 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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
NCT07744555 naactive not recruitingnot on this mapstarted 2026, after this paper: background citation

Change in the Proportion of Correct Interpretations of Pulmonary Opacities by General Practitioners Using an Expert System

TypeinterventionalSponsorUniversidad de la SabanaRan2026 to 2026Enrolled50ConditionsPneumonia, RadiographyArmsArtificial intelligence expert system
3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Deep learning for pneumothorax diagnosis: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2023
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Ju Gang NamDept of Radiology, Seoul National University Hospital, Seoul, Republic of Korea.
Minchul KimLunit Inc., Seoul, Republic of Korea.
Jongchan ParkLunit Inc., Seoul, Republic of Korea.
Eui Jin HwangDept of Radiology, Seoul National University Hospital, Seoul, Republic of Korea.
Jong Hyuk LeeDept of Radiology, Seoul National University Hospital, Seoul, Republic of Korea.
Jung Hee HongDept of Radiology, Seoul National University Hospital, Seoul, Republic of Korea.
Jin Mo GooDept of Radiology, Seoul National University Hospital, Seoul, Republic of Korea.
Chang Min ParkDept of Radiology, Seoul National University Hospital, Seoul, Republic of Korea cmpark.morphius@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We aimed to develop a deep learning algorithm detecting 10 common abnormalities (DLAD-10) on chest radiographs, and to evaluate its impact in diagnostic accuracy, timeliness of reporting and workflow efficacy.DLAD-10 was trained with 146 717 radiographs from 108 053 patients using a ResNet34-based neural network with lesion-specific channels for 10 common radiological abnormalities (pneumothorax, mediastinal widening, pneumoperitoneum, nodule/mass, consolidation, pleural effusion, linear atelectasis, fibrosis, calcification and cardiomegaly). For external validation, the performance of DLAD-10 on a same-day computed tomography (CT)-confirmed dataset (normal:abnormal 53:147) and an open-source dataset (PadChest; normal:abnormal 339:334) was compared with that of three radiologists. Separate simulated reading tests were conducted on another dataset adjusted to real-world disease prevalence in the emergency department, consisting of four critical, 52 urgent and 146 nonurgent cases. Six radiologists participated in the simulated reading sessions with and without DLAD-10.DLAD-10 exhibited area under the receiver operating characteristic curve values of 0.895-1.00 in the CT-confirmed dataset and 0.913-0.997 in the PadChest dataset. DLAD-10 correctly classified significantly more critical abnormalities (95.0% (57/60)) than pooled radiologists (84.4% (152/180); p=0.01). In simulated reading tests for emergency department patients, pooled readers detected significantly more critical (70.8% (17/24)

Indexed as

Deep LearningLung DiseasesAlgorithmsHumansRadiographyRadiography, ThoracicRetrospective Studies

Identifiers

PMID33243843
PMCPMC8134811

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.