Evidence map›Paper›PMID 41113659›Full record

ArticleTrauma surgery & acute care open2025

Artificial intelligence-assisted chest radiograph interpretation in Role 2 military field hospital settings: a controlled experimental study.

Martin Májovský, Vojtěch Sedlák, Martin Komarc, Tomáš Henlín, Martin Černý, Peter Májovský, Tomáš Tůma, Petr Šustek, Lucie Široká, Martin Šolc and 13 more

Abstract read
In one paragraph

Article in Trauma surgery & acute care open, 2025. 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
–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

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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

5 · Who and what money

Authors and funding

23 authors.

Martin MájovskýDepartment of Neurosurgery and Neurooncology, First Faculty of Medicine, Charles University and Military University Hospital, Praha, Czech Republic.ORCID https://orcid.org/0000-0001-7725-5181
Vojtěch SedlákDepartment of Radiodiagnostic, Military University Hospital, Prague, Czech Republic.
Martin KomarcInstitute of Biophysics and Informatics, First Faculty of Medicine, Charles University, Praha, Czech Republic.
Tomáš HenlínDepartment of Anesthesiology, First Faculty of Medicine, Charles University and Military University Hospital, Prague, Czech Republic.
Martin ČernýDepartment of Neurosurgery and Neurooncology, First Faculty of Medicine, Charles University and Military University Hospital, Praha, Czech Republic.
Peter MájovskýIndependent Researcher, Prague, Czech Republic.
Tomáš TůmaDepartment of Radiodiagnostic, Military University Hospital, Prague, Czech Republic.
Petr ŠustekDepartment of Medical Law, Faculty of Law, Charles University, Praha, Czech Republic.
Lucie ŠirokáDepartment of Medical Law, Faculty of Law, Charles University, Praha, Czech Republic.
Martin ŠolcDepartment of Medical Law, Faculty of Law, Charles University, Praha, Czech Republic.ORCID https://orcid.org/0000-0002-6274-8562
Lukáš MiklasFaculty of Biomedical Engineering, Czech Technical University in Prague, Praha, Czech Republic.
Jan KolouchDepartment of Law and Cybersecurity, Ambis University, Praha, Czech Republic.
Norbert SvobodaDepartment of Neurosurgery and Neurooncology, First Faculty of Medicine, Charles University and Military University Hospital, Praha, Czech Republic.
Jan PáleníkDepartment of Anesthesiology, First Faculty of Medicine, Charles University and Military University Hospital, Prague, Czech Republic.
Jan BrixiDepartment of Anesthesiology, First Faculty of Medicine, Charles University and Military University Hospital, Prague, Czech Republic.
Tomáš GottvaldDepartment of Anesthesiology, First Faculty of Medicine, Charles University and Military University Hospital, Prague, Czech Republic.
Ladislav ŠindelářDepartment of Anesthesiology, First Faculty of Medicine, Charles University and Military University Hospital, Prague, Czech Republic.
Štěpán KašperDepartment of Orthopedics, First Faculty of Medicine of Charles University and Military University Hospital, Prague, Czech Republic.
Jaroslav ChomičDepartment of Orthopedics, First Faculty of Medicine of Charles University and Military University Hospital, Prague, Czech Republic.
Ondřej KulihaDepartment of Surgery, Military Hospital Brno, Brno, Czech Republic.
Petr SvobodaDepartment of Thoracic Surgery, Third Faculty of Medicine, Charles University, Thomayer University Hospital, Praha, Czech Republic.
David NetukaDepartment of Neurosurgery and Neurooncology, First Faculty of Medicine, Charles University and Military University Hospital, Praha, Czech Republic.
Václav MasopustDepartment of Neurosurgery and Neurooncology, First Faculty of Medicine, Charles University and Military University Hospital, Praha, Czech Republic.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Forward military field hospitals often operate in battle zone environments where access to specialized personnel, such as radiologists, is limited, complicating the accuracy of diagnostic imaging. Chest radiographs are crucial for assessing thoracic injuries and other conditions, but their interpretation frequently falls to non-radiologist personnel. This study evaluates the effectiveness of an artificial intelligence (AI)-assisted model in enhancing the diagnostic accuracy of chest radiographs in such resource-limited settings. Methods: Nine board-certified military physicians from various non-radiology specialties interpreted 159 anonymized chest radiographs, both with and without the support of AI. The AI model, INSIGHT CXR, generated automated descriptions for 80 radiographs, whereas 79 were interpreted without AI support. A linear mixed-effects model was used to assess the difference in diagnostic accuracy between the two conditions. Secondary analyses examined the effects of radiograph type and physician specialty on diagnostic performance. Results: AI support increased mean diagnostic accuracy by 9.4% (p<0.001) from pretest to post-test, representing a 23.15% relative improvement. This improvement was consistent across both normal and abnormal findings, with no significant differences observed based on radiograph type or physician specialty. These findings suggest that AI tools can serve as effective support in field hospitals, improving diagnostic precision and decision-making in the absence of radiologists. Conclusions: This study highlights the potential for AI-assisted radiograph interpretation to enhance diagnostic accuracy in military field hospitals. If AI tools are proven reliable, they could be integrated into the workflow of forward field hospitals, improving the quality of care for injured personnel. Immediate benefits may include faster diagnoses, increased personnel readiness, optimized performance, and cost savings, leading to better outcomes in combat operations. Level of evidence: II. Diagnostic Test.

Indexed as

artificial intelligencediagnosisdiagnostic accuracyMachine learningmilitary medicineThorax

Identifiers

PMID41113659
PMCPMC12530378

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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.