Evidence map›Paper›PMID 39806695›Full record

ArticleBMJ open2024

AI-assisted detection for chest X-rays (AID-CXR): a multi-reader multi-case study protocol.

Farhaan Khan, Indrajeet Das, Marusa Kotnik, Louise Wing, Edwin Van Beek, John Murchison, Jong Seok Ahn, Sang Hyup Lee, Ambika Seth, Abdala Trinidad Espinosa Morgado and 7 more

Abstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2024. 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
–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

2 citing papers in PubMed.

  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

17 authors.

Farhaan KhanOxford University Hospitals NHS Foundation Trust, Oxford, UK farhaan.a.khan@outlook.com.ORCID 0000-0003-2308-414X
Indrajeet DasUniversity Hospitals of Leicester NHS Trust, Leicester, UK.
Marusa KotnikAddenbrooke's Hospital, Cambridge, UK.
Louise WingOxford University Hospitals NHS Foundation Trust, Oxford, UK.
Edwin Van BeekEdinburgh Imaging, Queen's Medical Research Institute, University of Edinburgh, Edinburgh, UK.
John MurchisonRoyal Infirmary of Edinburgh, Edinburgh, UK.
Jong Seok AhnLunit Inc, Gangnam-gu, Seoul, Korea (the Republic of).
Sang Hyup LeeLunit Inc, Gangnam-gu, Seoul, Korea (the Republic of).
Ambika SethLunit Inc, Gangnam-gu, Seoul, Korea (the Republic of).
Abdala Trinidad Espinosa MorgadoEmergency Medicine Research Oxford, Oxford University Hospitals NHS Foundation Trust, Oxford, Oxfordshire, UK.ORCID 0000-0003-0967-3554
Howell FuOxford University Hospitals NHS Foundation Trust, Oxford, UK.ORCID 0000-0002-0582-9518
Alex NovakEmergency Medicine Research Oxford, Oxford University Hospitals NHS Foundation Trust, Oxford, Oxfordshire, UK.ORCID 0000-0002-5880-8235
Nabeeha SalikRAIQC Ltd, Oxford, UK.
Alan CampbellRadiology, University College London Hospitals NHS Foundation Trust, London, UK.
Ruchir ShahOxford University Hospitals NHS Foundation Trust, Oxford, UK.
Fergus GleesonChurchill Hospital, Oxford, Oxfordshire, UK.
Sarim AtherOxford University Hospitals NHS Foundation Trust, Oxford, UK.ORCID 0000-0001-9614-5033

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionA chest X-ray (CXR) is the most common imaging investigation performed worldwide. Advances in machine learning and computer vision technologies have led to the development of several artificial intelligence (AI) tools to detect abnormalities on CXRs, which may expand diagnostic support to a wider field of health professionals. There is a paucity of evidence on the impact of AI algorithms in assisting healthcare professionals (other than radiologists) who regularly review CXR images in their daily practice.

aimsTo assess the utility of an AI-based CXR interpretation tool in assisting the diagnostic accuracy, speed and confidence of a varied group of healthcare professionals. METHODS AND ANALYSIS: The study will be conducted using 500 retrospectively collected inpatient and emergency department CXRs from two UK hospital trusts. Two fellowship-trained thoracic radiologists with at least 5 years of experience will independently review all studies to establish the ground truth reference standard with arbitration from a third senior radiologist in case of disagreement. The Lunit INSIGHT CXR tool (Seoul, Republic of Korea) will be applied and compared against the reference standard. Area under the receiver operating characteristic curve (AUROC) will be calculated for 10 abnormal findings: pulmonary nodules/mass, consolidation, pneumothorax, atelectasis, calcification, cardiomegaly, fibrosis, mediastinal widening, pleural effusion and pneumoperitoneum. Performance testing will be carried out with readers from various clinical professional groups with and without the assistance of Lunit INSIGHT CXR to evaluate the utility of the algorithm in improving reader accuracy (sensitivity, specificity, AUROC), confidence and speed (paired sample t-test). The study is currently ongoing with a planned end date of 31 December 2024. ETHICS AND DISSEMINATION: The study has been approved by the UK Healthcare Research Authority. The use of anonymised retrospective CXRs has been authorised by Oxford University Hospital's information governance teams. The results will be presented at relevant conferences and published in a peer-reviewed journal. TRIAL REGISTRATION NUMBER: Protocol ID 310995-B (awaiting approval), ClinicalTrials.gov.

Indexed as

Artificial IntelligenceLung DiseasesRadiographic Image Interpretation, Computer-AssistedRadiography, ThoracicAlgorithmsHumansMulticenter Studies as TopicRandomized Controlled Trials as TopicResearch DesignRetrospective StudiesROC CurveChest imagingDiagnostic ImagingRESPIRATORY MEDICINE (see Thoracic Medicine)

Identifiers

PMID39806695
PMCPMC11667380

What OpenQuestion holds

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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.