Impact of artificial intelligence assistance on pulmonary nodule detection and localization in chest CT: a comparative study among radiologists of varying experience levels.

Journal: Scientific reports
PMID:

Abstract

The study aimed to evaluate the impact of AI assistance on pulmonary nodule detection rates among radiology residents and senior radiologists, along with assessing the effectiveness of two different commercialy available AI software systems in improving detection rates and LungRADS classification in chest CT. The study cohort included 198 participants with 221 pulmonary nodules. Residents' mean detection rate increased significantly from 64 to 77% with AI assist, while seniors' detection rate remained largely unchanged (85% vs. 86%). Residents showed significant improvement in segmental nodule localization with AI assistance, seniors did not. Software 2 slightly outperformed software 1 in increasing detection rates (67-77% vs. 80-86%), but neither significantly affected LungRADS classification. The study suggests that clinical experience mitigates the need for additional AI software, with the combination of CAD with residents being the most beneficial approach. Both software systems performed similarly, with software 2 showing a slightly higher but non-significant increase in detection rates.

Authors

  • Alan Arthur Peters
    Department of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, University of Bern, Rosenbühlgasse 27, 3010, Bern, Switzerland. alan.peters@insel.ch.
  • Nina Wiescholek
    Department of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, University of Bern, Rosenbühlgasse 27, 3010, Bern, Switzerland.
  • Martin Müller
    Digital Epidemiology Lab, School of Life Sciences, School of Computer and Communication Sciences, EPFL, Geneva, Switzerland.
  • Jeremias Klaus
    Department of Diagnostic, Interventional and Pediatric Radiology, Inselspital.
  • Felix Strodka
    Department of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, University of Bern, Rosenbühlgasse 27, 3010, Bern, Switzerland.
  • Ana Macek
    Department of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, University of Bern, Rosenbühlgasse 27, 3010, Bern, Switzerland.
  • Elias Primetis
    Department of Radiology, Division City and County Hospitals, Inselgroup, Bern University Hospital, University of Bern, Bern, Switzerland.
  • Dionysios Drakopulos
    Department of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, University of Bern, Rosenbühlgasse 27, 3010, Bern, Switzerland.
  • Adrian Thomas Huber
    Department of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, Freiburgstrasse 10, 3010, Bern, Switzerland. adrian.huber@insel.ch.
  • Verena Carola Obmann
    Department of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, Freiburgstrasse 10, 3010, Bern, Switzerland.
  • Thomas Daniel Ruder
    Department of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, University of Bern, Rosenbühlgasse 27, 3010, Bern, Switzerland.
  • Justus Erasmus Roos
    Radiology and Nuclear Medicine, Luzerner Kantonsspital, Luzern, Switzerland.
  • Johannes Thomas Heverhagen
    Department of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, University of Bern, Rosenbühlgasse 27, 3010, Bern, Switzerland.
  • Andreas Christe
  • Lukas Ebner