Implementing an AI algorithm in the clinical setting: a case study for the accuracy paradox.

Journal: European radiology
Published Date:

Abstract

OBJECTIVES: We report our experience implementing an algorithm for the detection of large vessel occlusion (LVO) for suspected stroke in the emergency setting, including its performance, and offer an explanation as to why it was poorly received by radiologists.

Authors

  • John A Scaringi
    Department of Diagnostic Imaging, Warren Alpert Medical School of Brown University, Providence, RI, USA.
  • Ryan A McTaggart
    From the Departments of Diagnostic Imaging (M.T.S., M.J., J.L.B., G.L.B., R.A.M.), Diagnostic Imaging (A.D.Y.), and Neurosurgery (M.J., R.A.M.), Warren Alpert School of Medicine at Brown University, Rhode Island Hospital, 593 Eddy St, APC 701, Providence, RI 02903; Department of Computer Science, Brown University, Providence, RI (J.V., M.P.D., Y.H.K., S.S.S., H.J.T., A.W., H.L.C.W., C.E., U.C.); and the Norman Prince Neuroscience Institute, Rhode Island Hospital, Providence, RI (M.J., R.A.M.).
  • Matthew D Alvin
    Department of Diagnostic Imaging, Warren Alpert Medical School of Brown University, Providence, RI, USA.
  • Michael Atalay
    Department of Diagnostic Imaging, Rhode Island Hospital, Providence, RI, USA.
  • Michael H Bernstein
    School of Public Health, Brown University, Providence, RI, United States.
  • Mahesh V Jayaraman
    Department of Diagnostic Imaging, Warren Alpert Medical School of Brown University, Providence, RI, USA.
  • Gaurav Jindal
    Department of Diagnostic Imaging, Warren Alpert Medical School of Brown University, Providence, RI, USA.
  • Jonathan S Movson
    Department of Diagnostic Imaging, Warren Alpert Medical School of Brown University, Providence, RI, USA.
  • David W Swenson
    Department of Diagnostic Imaging, Warren Alpert Medical School of Brown University, Providence, RI, USA.
  • Grayson L Baird
    From the Departments of Diagnostic Imaging (M.T.S., M.J., J.L.B., G.L.B., R.A.M.), Diagnostic Imaging (A.D.Y.), and Neurosurgery (M.J., R.A.M.), Warren Alpert School of Medicine at Brown University, Rhode Island Hospital, 593 Eddy St, APC 701, Providence, RI 02903; Department of Computer Science, Brown University, Providence, RI (J.V., M.P.D., Y.H.K., S.S.S., H.J.T., A.W., H.L.C.W., C.E., U.C.); and the Norman Prince Neuroscience Institute, Rhode Island Hospital, Providence, RI (M.J., R.A.M.).