Evidence map›Paper›PMID 36381767›Full record

ArticleCureus2022

Deep Learning System Boosts Radiologist Detection of Intracranial Hemorrhage.

Roshan Warman, Anmol Warman, Pranav Warman, Andrew Degnan, Johan Blickman, Varun Chowdhary, Dev Dash, Rohit Sangal, Jason Vadhan, Tulio Bueso and 2 more

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in Cureus, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06018545 (AI Assisted Reader Evaluation in Acute CT Head Interpretation), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 16% 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.

NCT06018545 completednot on this mapstarted 2023, after this paper: background citation

AI Assisted Reader Evaluation in Acute CT Head Interpretation

TypeobservationalSponsorOxford University Hospitals NHS TrustRan2023 to 2025Enrolled33ConditionsIntracranial Hemorrhages, Acute Ischemic Stroke, Hydrocephalus, Cerebral InfarctionArmsGround truthing, Reading
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
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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

12 authors at 8 institutions in 1 country.

Roshan WarmanNeuroscience, Caire Health, Inc., Tampa, USA.
Anmol WarmanNeuroscience, Caire Health, Inc., Tampa, USA.
Pranav WarmanNeuroscience, Caire Health, Inc., Tampa, USA.
Andrew DegnanRadiology, University of Pittsburgh Medical Center (UPMC) Children's Hospital of Pittsburgh, Pittsburgh, USA.
Johan BlickmanRadiology, Caire Health, Inc., Tampa, USA.
Varun ChowdharyRadiology, Caire Health, Inc., Tampa, USA.
Dev DashEmergency Medicine, Stanford University, Stanford, USA.
Rohit SangalEmergency Medicine, Yale School of Medicine, New Haven, USA.
Jason VadhanEmergency Medicine, The University of Texas Southwestern (UTSW), Dallas, USA.
Tulio BuesoNeurology, The Texas Tech University Health Sciences Center (TTUHSC), Lubbock, USA.
Thomas WindischRadiology, Covenant Health, Lubbock, USA.
Gabriel NevesNeurology, The Texas Tech University Health Sciences Center (TTUHSC), Lubbock, USA.
University of Tampa · USTexas Tech University · USTexas Tech University Health Sciences Center · USAdventHealth Tampa · USStanford University · USYale New Haven Health System · USYale New Haven Hospital · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

backgroundIntracranial hemorrhage (ICH) requires emergent medical treatment for positive outcomes. While previous artificial intelligence (AI) solutions achieved rapid diagnostics, none were shown to improve the performance of radiologists in detecting ICHs. Here, we show that the Caire ICH artificial intelligence system enhances a radiologist's ICH diagnosis performance.

methodsA dataset of non-contrast-enhanced axial cranial computed tomography (CT) scans (n=532) were labeled for the presence or absence of an ICH. If an ICH was detected, its ICH subtype was identified. After a washout period, the three radiologists reviewed the same dataset with the assistance of the Caire ICH system. Performance was measured with respect to reader agreement, accuracy, sensitivity, and specificity when compared to the ground truth, defined as reader consensus.

resultsCaire ICH improved the inter-reader agreement on average by 5.76% in a dataset with an ICH prevalence of 74.3%. Further, radiologists using Caire ICH detected an average of 18 more ICHs and significantly increased their accuracy by 6.15%, their sensitivity by 4.6%, and their specificity by 10.62%. The Caire ICH system also improved the radiologist's ability to accurately identify the ICH subtypes present.

conclusionThe Caire ICH device significantly improves the performance of a cohort of radiologists. Such a device has the potential to be a tool that can improve patient outcomes and reduce misdiagnosis of ICH.

Indexed as

artificial intelligencedeep learning systemdiagnosisintracranial hemorrhageradiologist

Identifiers

PMID36381767
PMCPMC9653089
OpenAlexW4304976604

What OpenQuestion holds

Textmetadata
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.