Evidence map›Paper›PMID 39422982›Full record

ArticleJournal of X-ray science and technology2024

Can AI generate diagnostic reports for radiologist approval on CXR images? A multi-reader and multi-case observer performance study.

Lin Guo, Li Xia, Qiuting Zheng, Bin Zheng, Stefan Jaeger, Maryellen L Giger, Jordan Fuhrman, Hui Li, Fleming Y M Lure, Hongjun Li and 1 more

Abstract read
In one paragraph

Article in Journal of X-ray science and technology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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.

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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

11 authors.

Lin GuoShenzhen Zhiying Medical Imaging, Shenzhen, Guangdong, China.
Li XiaShenzhen Zhiying Medical Imaging, Shenzhen, Guangdong, China.
Qiuting ZhengDepartment of Medical Imaging, Shenzhen Center for Chronic Disease Control, Shenzhen, Guangdong, China.
Bin ZhengMS Technologies Corp, Rockville, Maryland, USA.
Stefan JaegerNational Library of Medicine, National Institutes of Health, Bethesda, MD, USA.
Maryellen L GigerDepartment of Radiology, University of Chicago, Chicago, IL, USA.
Jordan FuhrmanDepartment of Radiology, University of Chicago, Chicago, IL, USA.
Hui LiDepartment of Radiology, University of Chicago, Chicago, IL, USA.
Fleming Y M LureMS Technologies Corp, Rockville, Maryland, USA.
Hongjun LiDepartment of Radiology, Beijing YouAn Hospital, Capital Medical University, Beijing, China.
Li LiDepartment of Radiology, Beijing YouAn Hospital, Capital Medical University, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccurately detecting a variety of lung abnormalities from heterogenous chest X-ray (CXR) images and writing radiology reports is often difficult and time-consuming.

objectiveTo access the utility of a novel artificial intelligence (AI) system (MOM-ClaSeg) in enhancing the accuracy and efficiency of radiologists in detecting heterogenous lung abnormalities through a multi-reader and multi-case (MRMC) observer performance study.

methodsOver 36,000 CXR images were retrospectively collected from 12 hospitals over 4 months and used as the experiment group and the control group. In the control group, a double reading method is used in which two radiologists interpret CXR to generate a final report, while in the experiment group, one radiologist generates the final reports based on AI-generated reports.

resultsCompared with double reading, the diagnostic accuracy and sensitivity of single reading with AI increases significantly by 1.49% and 10.95%, respectively (P < 0.001), while the difference in specificity is small (0.22%) and without statistical significance (P = 0.255). Additionally, the average image reading and diagnostic time in the experimental group is reduced by 54.70% (P < 0.001).

conclusionThis MRMC study demonstrates that MOM-ClaSeg can potentially serve as the first reader to generate the initial diagnostic reports, with a radiologist only reviewing and making minor modifications (if needed) to arrive at the final decision. It also shows that single reading with AI can achieve a higher diagnostic accuracy and efficiency than double reading.

Indexed as

Artificial IntelligenceRadiography, ThoracicRadiologistsAdolescentAdultAgedFemaleHumansLungLung DiseasesMaleMiddle AgedObserver VariationRadiographic Image Interpretation, Computer-AssistedRetrospective StudiesSensitivity and Specificityartificial intelligencecase report conclusion levelchest X-ray imagingMultiple lung abnormalitiesobserver performance study

Identifiers

PMID39422982
PMCPMC11787813

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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.