Evidence map›Paper›PMID 40276098›Full record

ArticleJournal of medical imaging (Bellingham, Wash.)2025

MIDRC mRALE Mastermind Grand Challenge: AI to predict COVID severity on chest radiographs.

Samuel G Armato, Karen Drukker, Lubomir Hadjiiski, Carol C Wu, Jayashree Kalpathy-Cramer, George Shih, Maryellen L Giger, Natalie Baughan, Benjamin Bearce, Adam E Flanders and 4 more

Abstract read
In one paragraph

Article in Journal of medical imaging (Bellingham, Wash.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. COVID-19 PNEUMONIA CHEST X-RAY PATTERN SYNTHESIS BY STABLE DIFFUSION.Proceedings. IEEE Southwest Symposium on Image Analysis and Interpretation · 2024
    Article
  4. Automatic Quantification of COVID-19 Pulmonary Edema by Self-supervised Contrastive Learning.Medical image learning with limited and noisy data : second international workshop, MILLanD 2023, held in conjunction with MICCAI 2023, Vancouver, BC, Canada, October 8, 2023, proceedings. MILLanD (Workshop) : (2nd : 2023 : Vancouver, B... · 2023
    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

14 authors.

Samuel G ArmatoThe University of Chicago, Department of Radiology, Chicago, Illinois, United States.ORCID https://orcid.org/0000-0002-5428-7997
Karen DrukkerThe University of Chicago, Department of Radiology, Chicago, Illinois, United States.ORCID https://orcid.org/0000-0001-6544-3476
Lubomir HadjiiskiUniversity of Michigan, Department of Radiology, Ann Arbor, Michigan, United States.
Carol C WuUniversity of Texas MD Anderson Cancer Center, Department of Thoracic Imaging, Houston, Texas, United States.
Jayashree Kalpathy-CramerUniversity of Colorado Anschutz Medical Campus, Department of Ophthalmology, Aurora, Colorado, United States.ORCID https://orcid.org/0000-0001-8906-9618
George ShihWeill Cornell Medicine, Department of Radiology, New York, New York, United States.ORCID https://orcid.org/0000-0002-8356-2011
Maryellen L GigerThe University of Chicago, Department of Radiology, Chicago, Illinois, United States.ORCID https://orcid.org/0000-0001-5482-9728
Natalie BaughanThe University of Chicago, Department of Radiology, Chicago, Illinois, United States.ORCID https://orcid.org/0000-0002-3219-9291
Benjamin BearceUniversity of Colorado Anschutz Medical Campus, Department of Ophthalmology, Aurora, Colorado, United States.ORCID https://orcid.org/0000-0002-1775-3899
Adam E FlandersThomas Jefferson University, Department of Radiology, Philadelphia, Pennsylvania, United States.
Robyn L BallThe Jackson Laboratory, Bar Harbor, Maine, United States.
Kyle J MyersPuente Solutions, Phoenix, Arizona, United States.ORCID https://orcid.org/0000-0001-7394-4932
Heather M WhitneyThe University of Chicago, Department of Radiology, Chicago, Illinois, United States.ORCID https://orcid.org/0000-0002-7258-1102
The Midrc Grand Challenge Working GroupThe University of Chicago, Department of Radiology, Chicago, Illinois, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The Medical Imaging and Data Resource Center (MIDRC) mRALE Mastermind Grand Challenge fostered the development of artificial intelligence (AI) techniques for the automated assignment of mRALE (modified radiographic assessment of lung edema) scores to portable chest radiographs from patients known to have COVID-19. Approach: The challenge utilized 2079 training cases obtained from the publicly available MIDRC data commons, with validation and test cases sampled from not-yet-public MIDRC cases that were inaccessible to challenge participants. The reference standard mRALE scores for the challenge cases were established by a pool of 22 radiologist annotators. Using the MedICI challenge platform, participants submitted their trained algorithms encapsulated in Docker containers. Algorithms were evaluated by the challenge organizers on 814 test cases through two performance assessment metrics: quadratic-weighted kappa and prediction probability concordance. Results: Nine AI algorithms were submitted to the challenge for assessment against the test set cases. The algorithm that demonstrated the highest agreement with the reference standard had a quadratic-weighted kappa of 0.885 and a prediction probability concordance of 0.875. Substantial variability in mRALE scores assigned by the annotators and output by the AI algorithms was observed. Conclusions: The MIDRC mRALE Mastermind Grand Challenge revealed the potential of AI to assess COVID-19 severity from portable CXRs, demonstrating promising performance against the reference standard. The observed variability in mRALE scores highlights the challenges in standardizing severity assessment. These findings contribute to ongoing efforts to develop AI technologies for potential use in clinical practice and offer insights for the enhancement of COVID-19 severity assessment.

Indexed as

artificial intelligencecoronavirus disease-19grand challenge

Identifiers

PMID40276098
PMCPMC12014941

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.