Evidence map›Paper›PMID 33589700›Full record

ArticleNPJ digital medicine2021

Recalibration of deep learning models for abnormality detection in smartphone-captured chest radiograph.

Po-Chih Kuo, Cheng Che Tsai, Diego M López, Alexandros Karargyris, Tom J Pollard, Alistair E W Johnson, Leo Anthony Celi

Abstract read
In one paragraph

Article in NPJ digital medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines 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
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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

7 authors.

Po-Chih Kuo *Laboratory for Computational Physiology, Massachusetts Institute of Technology, Cambridge, MA, USA.
Cheng Che Tsai *Department of Biomedical Informatics, Harvard Medical School, Boston, MA, USA.
Diego M LópezTelematics Department, University of Cauca, Popayán, Cauca, Colombia.ORCID http://orcid.org/0000-0001-9425-4375
Alexandros KarargyrisIBM Research, San Jose, CA, USA.
Tom J PollardLaboratory for Computational Physiology, Massachusetts Institute of Technology, Cambridge, MA, USA.
Alistair E W JohnsonLaboratory for Computational Physiology, Massachusetts Institute of Technology, Cambridge, MA, USA.
Leo Anthony CeliLaboratory for Computational Physiology, Massachusetts Institute of Technology, Cambridge, MA, USA. lceli@mit.edu.ORCID http://orcid.org/0000-0001-6712-6626

Funding

Critical Care Informatics: Ethical considerations around the use and sharing of health-related dataR01EB017205 · NIBIB · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI CELI, LEO ANTHONY G, MARK, ROGER GREENWOOD · 2014 to 2021
$3.8M
Critical Care InformaticsR56EB017205 · NIBIB · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI CELI, LEO ANTHONY G, GHASSEMI, MARZYEH · 2018 to 2023
$783k
NIBIB NIH HHS R01 EB017205NIBIB NIH HHS R56 EB017205U.S. Department of Health & Human Services | National Institutes of Health (NIH) R01 grant EB017205
6 · The paper itself

Abstract

Image-based teleconsultation using smartphones has become increasingly popular. In parallel, deep learning algorithms have been developed to detect radiological findings in chest X-rays (CXRs). However, the feasibility of using smartphones to automate this process has yet to be evaluated. This study developed a recalibration method to build deep learning models to detect radiological findings on CXR photographs. Two publicly available databases (MIMIC-CXR and CheXpert) were used to build the models, and four derivative datasets containing 6453 CXR photographs were collected to evaluate model performance. After recalibration, the model achieved areas under the receiver operating characteristic curve of 0.80 (95% confidence interval: 0.78-0.82), 0.88 (0.86-0.90), 0.81 (0.79-0.84), 0.79 (0.77-0.81), 0.84 (0.80-0.88), and 0.90 (0.88-0.92), respectively, for detecting cardiomegaly, edema, consolidation, atelectasis, pneumothorax, and pleural effusion. The recalibration strategy, respectively, recovered 84.9%, 83.5%, 53.2%, 57.8%, 69.9%, and 83.0% of performance losses of the uncalibrated model. We conclude that the recalibration method can transfer models from digital CXRs to CXR photographs, which is expected to help physicians' clinical works.

Identifiers

PMID33589700
PMCPMC7884693

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Registered trials

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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.