Impact of Data Presentation on Physician Performance Utilizing Artificial Intelligence-Based Computer-Aided Diagnosis and Decision Support Systems.

Ultrasound (US) is a valuable imaging modality used to detect primary breast malignancy. However, radiologists have a limited ability to distinguish between benign and malignant lesions on US, leading to false-positive and false-negative results, which limit the positive predictive value of lesions...

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Publicado en:Journal of Digital Imaging Vol. 32; no. 3; pp. 408 - 417
Autores principales: Jairaj, A., Seymour, S, Barinov, L., Becker, M., Lee, E., Schram, A., Goldszal, A., Paster, L., Lane, E., Quigley, D.
Formato: pictorial research tables/charts Journal Article
Publicado: Springer Nature Jun2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2019
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10278-018-0132-5
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        atl: Impact of Data Presentation on Physician Performance Utilizing Artificial Intelligence-Based Computer-Aided Diagnosis and Decision Support Systems.
      aug:
        au:
          Jairaj, A.
          Seymour, S
          Barinov, L.
          Becker, M.
          Lee, E.
          Schram, A.
          Goldszal, A.
          Paster, L.
          Lane, E.
          Quigley, D.
        affil: Koios Medical, New York, NY, USA
      sug:
        subj:
          Artificial Intelligence
          Diagnosis, Computer Assisted Methods
          Decision Support Systems, Clinical
          Breast Neoplasms Ultrasonography
          Workflow
          Human
          Biopsy
          ROC Curve
          Kendall's tau
          Technology
          Machine Learning
      ab: Ultrasound (US) is a valuable imaging modality used to detect primary breast malignancy. However, radiologists have a limited ability to distinguish between benign and malignant lesions on US, leading to false-positive and false-negative results, which limit the positive predictive value of lesions sent for biopsy (PPV3) and specificity. A recent study demonstrated that incorporating an AI-based decision support (DS) system into US image analysis could help improve US diagnostic performance. While the DS system is promising, its efficacy in terms of its impact also needs to be measured when integrated into existing clinical workflows. The current study evaluates workflow schemas for DS integration and its impact on diagnostic accuracy. The impact on two different reading methodologies, sequential and independent, was assessed. This study demonstrates significant accuracy differences between the two workflow schemas as measured by area under the receiver operating curve (AUC), as well as inter-operator variability differences as measured by Kendall's tau-b. This evaluation has practical implications on the utilization of such technologies in diagnostic environments as compared to previous studies.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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