Evidence map›Paper›PMID 41949143›Full record

ArticleThe Indian journal of medical research2026

Artificial intelligence (AI)-driven ensemble model for comprehensive chest X-ray abnormality detection and deployment.

Agraj Abhishek, Manjeet Singh Chalga, Reetika Malik Yadav, Kshitij Agarwal, Vikram Vohra, Atul Tayade, Amber Kumar, Mandira Varma-Basil, Parul Mrigpuri, Hirva Manek and 29 more

Abstract read
In one paragraph

Article in The Indian journal of medical research, 2026. 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. Authors' Response.The Indian journal of medical research · 2026
    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

39 authors.

Agraj AbhishekDepartment of AI and Digital Twin Division, Institute for Plasma Research, Ahmadabad, Gujarat, India.
Manjeet Singh ChalgaDivisions of Informatics and Data Centre, Indian Council of Medical Research, New Delhi, India.
Reetika Malik YadavDepartment of Paediatric Immunology, ICMR-National Institute of Immunohaematology, Mumbai, India.
Kshitij AgarwalDepartment of Respiratory Medicine, Critical Care Medicine, University College of Medical Sciences, University of Delhi and Guru Teg Bahadur Hospital, New Delhi, India.
Vikram VohraDepartment of TB and Respiratory Diseases, National Institute of Tuberculosis and Respiratory Diseases, New Delhi, India.
Atul TayadeDepartment of Radiodiagnosis, Mahatma Gandhi Institute of Medical Sciences, Wardha, India.
Amber KumarDepartment of Paediatrics, All India Institute of Medical Sciences, Bhopal, India.
Mandira Varma-BasilDepartment of Microbiology, Vallabhbhai Patel Chest Institute, All India Institute of Medical Sciences, New Delhi, India.
Parul MrigpuriDepartment of Pulmonary Medicine, Vallabhbhai Patel Chest Institute, All India Institute of Medical Sciences, New Delhi, India.
Hirva ManekDepartment of Radiology, Bai Jerbai Wadia Hospital for Children, Mumbai, India.
Padma Vikram BadheDepartment of Radiology, King Edward Memorial Hospital & Seth Govardhandas Sunderdas Medical College, Mumbai, India.
Sarika GuptaDepartment of Paediatrics, King George's Medical University, Lucknow, Uttar Pradesh, India.
Shuchi BhattDepartment of Radiology, University College of Medical Sciences, University of Delhi, New Delhi, India.
Anjan DasDepartment of Respiratory Medicine, Agartala Government Medical College and G. B. Pant Hospital, Agartala, Tripura, Tamil Nadu, India.
Dhruvendra PandeyDepartment of Community Medicine, Dr Laxminarayan Pandey Government Medical College, Ratlam, Madhya Pradesh, India.
C PonnurajaDepartment of Statistics and Probability, ICMR-National Institute for Research in Tuberculosis, Chennai, Tamil Nadu, India.
Sanghamitra PatiDepartment of AI and Digital Twin Division, Institute for Plasma Research, Ahmadabad, Gujarat, India.
Jyotirmayee TurukDepartment of Public Health Research, #ICMR-Regional Medical Research Center, Bhubaneshwar, India.
Pratibha NarangDepartment of Microbiology, Mahatma Gandhi Institute of Medical Sciences, Wardha, India.
Amita AthavaleDepartment of Pulmonary Medicine, King Edward Memorial Hospital & Seth Govardhandas Sunderdas Medical College, Mumbai, India.
Ira ShahDepartment of Paediatric infectious diseases, Bai Jerbai Wadia Hospital for Children, Mumbai, India.
S S MohantyDepartment of Virology Laboratory, National Institute for Implementation Research on Non-Communicable Diseases, Jodhpur, Rajasthan, India.
Arun GeorgeDepartment of Radiology, St. John Medical College, Bengaluru, Karnataka, India.
Rashmi RodriguesDepartment of Community Medicine, St. John Medical College, Bengaluru, Karnataka, India.
Sushant Satish ManeDepartment of Paediatrics, Grant Government Medical College & Sir J.J. Group of Hospitals, Mumbai, India.
Anant MohanDepartment of Pulmonary, Critical care and Sleep Medicine, All India Institute of Medical Sciences, New Delhi, India.
C R ChaudharyDepartment of Pulmonary Medicine, Dr. S. N. Medical College, Jodhpur, Rajasthan, India.
Manoranjan PattnaikDepartment of Pulmonary Medicine, Srirama Chandra Bhanja Medical College and Hospital, Cuttack, Odisha, India.
Radha MunjeDepartment of Respiratory Medicine, Indira Gandhi Govt. Medical College & Hospital, Nagpur, Maharashtra, India.
Bhavna DhingraDepartment of Paediatrics, All India Institute of Medical Sciences, Bhopal, India.
Anurag SinghDepartment of Pulmonary Medicine, Dr. S. N. Medical College, Jodhpur, Rajasthan, India.
Rajesh Kumar MeenaDepartment of Paediatrics, University College of Medical Sciences, University of Delhi, New Delhi, India.
Kirti ChaturvedyDepartment of Pulmonary Medicine, Dr. S. N. Medical College, Jodhpur, Rajasthan, India.
Dhruva ChaudharyDepartment of Pulmonary and Critical Care, Postgraduate Institute of Medical Sciences, Rohtak, Haryana, India.
Pavan Kumar SinghDepartment of Pulmonary and Critical Care, Postgraduate Institute of Medical Sciences, Rohtak, Haryana, India.
Jeetendra Kumar PatraDepartment of Pulmonary Medicine, Srirama Chandra Bhanja Medical College and Hospital, Cuttack, Odisha, India.
Abhishek SharmaDepartment of AI and Digital Twin Division, Institute for Plasma Research, Ahmadabad, Gujarat, India.
Manika SharmaDepartment of AI and Digital Twin Division, Institute for Plasma Research, Ahmadabad, Gujarat, India.
Manjula SinghDivisions of Delivery Research, Indian Council of Medical Research, New Delhi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and objectives Chest X-rays (CXR) are widely used for screening of thoracic abnormalities, particularly for tuberculosis (TB) in public health settings. However, the lack of trained radiologists in peripheral areas limits timely interpretation. This study presents the development and validation of DeepCXR v1.1, an artificial intelligence (AI)-powered tool designed to identify radiological chest abnormalities without relying on metadata or clinical inputs, making it ideal for large-scale screening programmes. Methods In present multicentric study, AI tool was trained on over 282,000 annotated data points from 54,000 CXR images (36,500 abnormal and 17,500 normal) collected from children and adults from 18 centres across 11 States in India. The tool employs a multi-model ensemble architecture including lung segmentation and lesion-specific models to classify images as normal or abnormal. The tool was validated on multiple datasets, and the final independent validation was done on 13927 CXR images collected prospectively from patients coming to the outpatient clinics of the departments of Medicine and Chest of participating centres. Results The tool demonstrated strong generalisability across training and validation datasets, achieving sensitivity of 92.2% [95% confidence interval (CI) 91.6, 92.7] and specificity of 77.4% (95% CI 76.1, 78.6) in a blind prospective validation. Its performance was independently validated by expert committees and health technology assessment panels. Advanced post-processing modules were integrated to enhance detection accuracy, particularly for complex anatomical regions such as the heart and diaphragm. Interpretation and conclusions DeepCXR v1.1, an indigenously developed AI tool for detecting abnormalities in chest X-rays offers a scalable, interpretable, and robust solution for augmenting radiological screening and improving early disease detection. The tool's ability to function offline on basic hardware further supports its use in resource-limited settings.

Indexed as

Artificial IntelligenceLungRadiography, ThoracicTuberculosisTuberculosis, PulmonaryAdultChildFemaleHumansIndiaMaleAbnormality detectionArtificial intelligenceChest X-RayLung segmentationTuberculosis

Identifiers

PMID41949143
PMCPMC13104747

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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.