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AI Helps Physicians Achieve Higher Diagnostic Accuracy in Interpreting Chest X-Rays

By MedImaging International staff writers
Posted on 12 Jan 2024

Image: Artificial intelligence improves detection during chest X-ray interpretation (Photo courtesy of 123RF)

Artificial intelligence (AI)–assisted diagnosis imparts high accuracy to chest radiography (CXR) interpretation; however, its benefit for non-radiologist physicians in detecting lung lesions on CXR remains unclear. Now, a new study has found that AI-assisted CXR interpretation improves the diagnostic performance of non-radiologist physicians in detecting abnormal lung findings.

The study was conducted by researchers at the Konyang University School of Medicine (Daejeon, Korea) to investigate whether AI assistance improves the diagnostic performance of physicians for CXR interpretation and affects their clinical decisions in clinical practice. The researchers randomly allocated eligible patients who visited an outpatient clinic to the intervention (with AI-assisted interpretation) and control (without AI-assisted interpretation) groups. Lung lesions on CXR were recorded by seven non-radiologists with or without AI assistance. The reference standard for lung lesions was established by three radiologists. The primary and secondary endpoints were the physicians’ diagnostic accuracy and clinical decision, respectively.

Between October 2020 and May 2021, 162 and 161 patients were assigned to the intervention and control groups, respectively. The area under the receiver operating characteristic curve was significantly larger in the intervention group than in the control group for the CXR level and lung lesion level. The intervention group had higher sensitivity in terms of both CXR and lung lesion level and a lower false referral rate for the lung lesion level. AI-assisted CXR interpretation did not affect the physicians’ clinical decisions. Based on their study results, the researchers concluded that AI-assisted CXR interpretation improves the diagnostic performance of non-radiologist physicians in detecting abnormal lung findings.

“Physicians showed a better performance in [chest radiography] interpretation with AI assistance than without it,” stated Hyun Woo Lee, MD. “AI assistance allowed physicians to find more lung lesions.”

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Konyang University School of Medicine

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93 (!!!!! 1865.8638000488): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799898 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799898 AND published='1' LIMIT 1

94 (140.90538024902): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799898 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799898 AND published='1' LIMIT 1

95 (991.1060333252): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294799898 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

96 (581.97975158691): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

97 (339.98489379883): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

98 (!!!!! 1255.989074707): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799898 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799898 AND published='1' LIMIT 1

99 (74.863433837891): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799898 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799898 AND published='1' LIMIT 1

100 (60.796737670898): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799898 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799898 AND published='1' LIMIT 1

101 (43.153762817383): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799898 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799898 AND published='1' LIMIT 1

102 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799898 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799898 AND published='1' LIMIT 1

103 (38.862228393555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799898 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799898 AND published='1' LIMIT 1

104 (293.01643371582): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

105 (!!!!! 41476.964950562): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

106 (85.830688476562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799898 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799898 AND published='1' LIMIT 1

107 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799898 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799898 AND published='1' LIMIT 1

108 (477.07557678223): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294799898 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294799898 AND type='deeppockets_item' AND published='1' LIMIT 1

109 (!!!!! 1113319.8738098): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

110 (!!!!! 1268.1484222412): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

111 (226.97448730469): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

112 (46.014785766602): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

113 (123.02398681641): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

114 (37.193298339844): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

115 (113.01040649414): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

116 (46.014785766602): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

117 (274.8966217041): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799898 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

118 (107.0499420166): SELECT name FROM jos_deeppockets WHERE id=211

119 (31.948089599609): SELECT name FROM jos_deeppockets WHERE id=211

120 (409.12628173828): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

121 (332.11708068848): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

122 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799898 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799898 AND published='1' LIMIT 1

123 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799898 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799898 AND published='1' LIMIT 1

124 (!!!!! 10222.911834717): TRUNCATE TABLE jos_trademed_module

125 (85.115432739258): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294799898 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

126 (439.88227844238): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799898 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

127 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799898 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

128 (48.160552978516): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799898 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799898 AND published='1' LIMIT 1

129 (38.862228393555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799898 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799898 AND published='1' LIMIT 1

130 (!!!!! 1044.9886322021): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

131 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799898 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799898 AND published='1' LIMIT 1

132 (109.91096496582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799898 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799898 AND published='1' LIMIT 1

133 (!!!!! 1357.0785522461): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294799898 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294799898 AND type='deeppockets_item' AND published='1' LIMIT 1

134 (36.001205444336): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=211 or channel_id is null)

135 (30.040740966797): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=211 or channel_id is null)

136 (34.093856811523): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

137 (104.90417480469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799898 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799898 AND published='1' LIMIT 1

138 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799898 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799898 AND published='1' LIMIT 1

139 (120.16296386719): select jos_twitters.link from jos_twitters where cat=10

140 (27.894973754883): select jos_facebook.link from jos_facebook where cat=10

141 (26.941299438477): select jos_google_plus.link from jos_google_plus where cat=10

142 (26.941299438477): select jos_linkedin.link from jos_linkedin where cat=10

143 (263.92936706543): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

144 (!!!!! 1868.9632415771): insert into jos_banners_delta values (14615,'2025-04-29 15:37:44','18.216.82.12','view'),(14202,'2025-04-29 15:37:44','18.216.82.12','view'),(14203,'2025-04-29 15:37:44','18.216.82.12','view')

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