Evidence map›Paper›PMID 36310648›Full record

ArticleJournal of medical imaging (Bellingham, Wash.)2022

Pre-deployment assessment of an AI model to assist radiologists in chest X-ray detection and identification of lead-less implanted electronic devices for pre-MRI safety screening: realized implementation needs and proposed operational solutions.

Richard D White, Mutlu Demirer, Vikash Gupta, Ronnie A Sebro, Frederick M Kusumoto, Barbaros Selnur Erdal

Open access · hybridAbstract read
In one paragraph

Article in Journal of medical imaging (Bellingham, Wash.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 34% 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.

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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
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

6 authors at 2 institutions in 1 country.

Richard D WhiteMayo Clinic, Department of Radiology, Center for Augmented Intelligence in Imaging, Jacksonville, Florida, United States.ORCID https://orcid.org/0000-0002-1133-7819
Mutlu DemirerMayo Clinic, Department of Radiology, Center for Augmented Intelligence in Imaging, Jacksonville, Florida, United States.ORCID https://orcid.org/0000-0002-6842-282X
Vikash GuptaMayo Clinic, Department of Radiology, Center for Augmented Intelligence in Imaging, Jacksonville, Florida, United States.ORCID https://orcid.org/0000-0002-6786-9865
Ronnie A SebroMayo Clinic, Department of Radiology, Center for Augmented Intelligence in Imaging, Jacksonville, Florida, United States.
Frederick M KusumotoMayo Clinic, Department of Cardiovascular Medicine, Jacksonville, Florida, United States.
Barbaros Selnur ErdalMayo Clinic, Department of Radiology, Center for Augmented Intelligence in Imaging, Jacksonville, Florida, United States.ORCID https://orcid.org/0000-0003-3637-0102
Mayo Clinic in Florida · USJacksonville College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Chest X-ray (CXR) use in pre-MRI safety screening, such as for lead-less implanted electronic device (LLIED) recognition, is common. To assist CXR interpretation, we "pre-deployed" an artificial intelligence (AI) model to assess (1) accuracies in LLIED-type (and consequently safety-level) identification, (2) safety implications of LLIED nondetections or misidentifications, (3) infrastructural or workflow requirements, and (4) demands related to model adaptation to real-world conditions. Approach: A two-tier cascading methodology for LLIED detection/localization and identification on a frontal CXR was applied to evaluate the performance of the original nine-class AI model. With the unexpected early appearance of LLIED types during simulated real-world trialing, retraining of a newer 12-class version preceded retrialing. A zero footprint (ZF) graphical user interface (GUI)/viewer with DICOM-based output was developed for inference-result display and adjudication, supporting end-user engagement and model continuous learning and/or modernization. Results: During model testing or trialing using both the nine-class and 12-class models, robust detection/localization was consistently 100%, with mAP 0.99 from fivefold cross-validation. Safety-level categorization was high during both testing ( Conclusions: Our LLIED-related AI methodology supports (1) 100% detection sensitivity, (2) high identification (including MRI-safety) accuracy, and (3) future model deployment with facilitated inference-result display and adjudication for ongoing model adaptation to future real-world experiences.

Indexed as

artificial intelligenceloop recordersMRI safetypacemakers

Identifiers

PMID36310648
PMCPMC9603740
OpenAlexW4307563196

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.