Evidence map›Paper›PMID 37031252›Full record

ArticleNPJ digital medicine2023

Collaborative strategies for deploying artificial intelligence to complement physician diagnoses of acute respiratory distress syndrome.

Negar Farzaneh, Sardar Ansari, Elizabeth Lee, Kevin R Ward, Michael W Sjoding

Open access · goldAbstract read
In one paragraph

Article in NPJ digital medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
7.5field-weighted citation impact, top 2% 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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Observational
  6. Article
  7. Artificial intelligence for early diagnosis in emergency department.Journal of anesthesia, analgesia and critical care · 2026
    Review
  8. Article
  9. Article
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  11. Article
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  13. Article
  14. Article
  15. Lung Imaging and Artificial Intelligence in ARDS.Journal of clinical medicine · 2024
    Review
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  17. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Negar FarzanehThe Max Harry Weil Institute for Critical Care Research & Innovation, University of Michigan, Ann Arbor, MI, USA. negarf@umich.edu.ORCID http://orcid.org/0000-0003-1200-5274
Sardar AnsariThe Max Harry Weil Institute for Critical Care Research & Innovation, University of Michigan, Ann Arbor, MI, USA.
Elizabeth LeeDepartment of Radiology, University of Michigan, Ann Arbor, MI, USA.
Kevin R WardThe Max Harry Weil Institute for Critical Care Research & Innovation, University of Michigan, Ann Arbor, MI, USA.ORCID http://orcid.org/0000-0001-5939-409X
Michael W SjodingThe Max Harry Weil Institute for Critical Care Research & Innovation, University of Michigan, Ann Arbor, MI, USA.
University of Michigan · US

Funding

Optimizing Clinician and AI Collaborations to Support Timely Management of Acute DyspneaR01HL158626 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Michael William Sjoding, Jenna Wiens · 2021 to 2026
$3.8M
NHLBI NIH HHS R01 HL158626
6 · The paper itself

Abstract

There is a growing gap between studies describing the capabilities of artificial intelligence (AI) diagnostic systems using deep learning versus efforts to investigate how or when to integrate AI systems into a real-world clinical practice to support physicians and improve diagnosis. To address this gap, we investigate four potential strategies for AI model deployment and physician collaboration to determine their potential impact on diagnostic accuracy. As a case study, we examine an AI model trained to identify findings of the acute respiratory distress syndrome (ARDS) on chest X-ray images. While this model outperforms physicians at identifying findings of ARDS, there are several reasons why fully automated ARDS detection may not be optimal nor feasible in practice. Among several collaboration strategies tested, we find that if the AI model first reviews the chest X-ray and defers to a physician if it is uncertain, this strategy achieves a higher diagnostic accuracy (0.869, 95% CI 0.835-0.903) compared to a strategy where a physician reviews a chest X-ray first and defers to an AI model if uncertain (0.824, 95% CI 0.781-0.862), or strategies where the physician reviews the chest X-ray alone (0.808, 95% CI 0.767-0.85) or the AI model reviews the chest X-ray alone (0.847, 95% CI 0.806-0.887). If the AI model reviews a chest X-ray first, this allows the AI system to make decisions for up to 79% of cases, letting physicians focus on the most challenging subsets of chest X-rays.

Identifiers

PMID37031252
PMCPMC10082784
OpenAlexW4362720395

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.