Impact of an AI software on the diagnostic performance and reading time for the detection of cerebral aneurysms on time of flight MR-angiography.

Purpose: To evaluate the impact of an AI-based software trained to detect cerebral aneurysms on TOF-MRA on the diagnostic performance and reading times across readers with varying experience levels. Methods: One hundred eighty-six MRI studies were reviewed by six readers to detect cerebral aneurysms...

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Publicado en:Neuroradiology Vol. 66; no. 7; pp. 1153 - 1161
Autores principales: Lehnen, Nils C., Schievelkamp, Arndt-Hendrik, Gronemann, Christian, Haase, Robert, Krause, Inga, Gansen, Max, Fleckenstein, Tobias, Dorn, Franziska, Radbruch, Alexander, Paech, Daniel
Formato: diagnostic images research tables/charts Journal Article
Publicado: Springer Nature Jul2024
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
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        atl: Impact of an AI software on the diagnostic performance and reading time for the detection of cerebral aneurysms on time of flight MR-angiography.
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          Lehnen, Nils C.
          Schievelkamp, Arndt-Hendrik
          Gronemann, Christian
          Haase, Robert
          Krause, Inga
          Gansen, Max
          Fleckenstein, Tobias
          Dorn, Franziska
          Radbruch, Alexander
          Paech, Daniel
        affil: Department of Neuroradiology, University Hospital Bonn, Rheinische Friedrich-Wilhelms-Universität Bonn, 53127, Bonn, Germany
      sug:
        subj:
          Artificial Intelligence Evaluation
          Software Utilization
          Cerebral Aneurysm Radiography
          Cerebral Aneurysm Diagnosis
          Magnetic Resonance Angiography Methods
          Diagnosis, Computer Assisted
          Reading Evaluation
          Time Factors
          Work Experiences
          Human
          Male
          Female
          Adolescence
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Image Interpretation, Computer Assisted Methods
          Sensitivity and Specificity
          Clinical Competence
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Purpose: To evaluate the impact of an AI-based software trained to detect cerebral aneurysms on TOF-MRA on the diagnostic performance and reading times across readers with varying experience levels. Methods: One hundred eighty-six MRI studies were reviewed by six readers to detect cerebral aneurysms. Initially, readings were assisted by the CNN-based software mdbrain. After 6 weeks, a second reading was conducted without software assistance. The results were compared to the consensus reading of two neuroradiological specialists and sensitivity (lesion and patient level), specificity (patient level), and false positives per case were calculated for the group of all readers, for the subgroup of physicians, and for each individual reader. Also, reading times for each reader were measured. Results: The dataset contained 54 aneurysms. The readers had no experience (three medical students), 2 years experience (resident in neuroradiology), 6 years experience (radiologist), and 12 years (neuroradiologist). Significant improvements of overall specificity and the overall number of false positives per case were observed in the reading with AI support. For the physicians, we found significant improvements of sensitivity on lesion and patient level and false positives per case. Four readers experienced reduced reading times with the software, while two encountered increased times. Conclusion: In the reading with the AI-based software, we observed significant improvements in terms of specificity and false positives per case for the group of all readers and significant improvements of sensitivity and false positives per case for the physicians. Further studies are needed to investigate the effects of the AI-based software in a prospective setting.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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