Chest radiographs (CXR) are the most performed imaging tests and rank high among the radiographic exams with suboptimal quality and high rejection rates. Suboptimal CXRs can cause delays in patient care and pitfalls in radiographic interpretation, given their ubiquitous use in the diagnosis and management of acute and chronic ailments. Suboptimal CXRs can also compound and lead to high inter-radiologist variations in CXR interpretation. While advances in radiography with transitions to computerized and digital radiography have reduced the prevalence of suboptimal exams, the problem persists. Advances in machine learning and artificial intelligence (AI), particularly in the radiographic acquisition, triage, and interpretation of CXRs, could offer a plausible solution for suboptimal CXRs. We review the literature on suboptimal CXRs and the potential use of AI to help reduce the prevalence of suboptimal CXRs.
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http://dx.doi.org/10.3390/diagnostics13030412 | DOI Listing |
Br J Radiol
February 2024
Omelea Ltd, London, United Kingdom.
Objectives: Nasogastric tube (NGT) placement is listed against Clinical Imaging in the upcoming Medical Licensing Assessment-compulsory for every graduating UK medical student from 2025. This study aims to establish the ability of medical students to correctly identify the position of an NGT on Chest X-ray (CXR) and to evaluate a learning tool to improve student outcome in this area.
Methods: Fourth-year (MB4) and fifth-year (MB5) medical students were invited to view 20 CXRs with 14 correctly sited and 6 mal-positioned NGT.
Emerg Med J
December 2023
Departments of Emergency Medicine and Pediatrics, University of California, Davis School of Medicine, Sacramento, California, USA.
Objective: The lack of evidence-based criteria to guide chest radiograph (CXR) use in young febrile infants results in variation in its use with resultant suboptimal quality of care. We sought to describe the features associated with radiographic pneumonias in young febrile infants.
Study Design: Secondary analysis of a prospective cohort study in 18 emergency departments (EDs) in the Pediatric Emergency Care Applied Research Network from 2016 to 2019.
Diagnostics (Basel)
May 2023
Department of Radiation Oncology, University of California at San Francisco, San Francisco, CA 94115, USA.
Background: Suppression of thoracic bone shadows on chest X-rays (CXRs) can improve the diagnosis of pulmonary disease. Previous approaches can be categorized as either unsupervised physical models or supervised deep learning models. Physical models can remove the entire ribcage and preserve the morphological lung details but are impractical due to the extremely long processing time.
View Article and Find Full Text PDFJ Med Imaging (Bellingham)
November 2023
KAIST Institute for Artificial Intelligence, Korea Advanced Institute of Science and Technology, Daejeon, Republic of Korea.
Purpose: Although there are several options for improving the generalizability of learned models, a data instance-based approach is desirable when stable data acquisition conditions cannot be guaranteed. Despite the wide use of data transformation methods to reduce data discrepancies between different data domains, detailed analysis for explaining the performance of data transformation methods is lacking.
Approach: This study compares several data transformation methods in the tuberculosis detection task with multi-institutional chest x-ray (CXR) data.
J Med Imaging (Bellingham)
February 2023
University of Utah, Salt Lake City, Utah, United States.
Purpose: Perceptual errors account for a significant percent of errors in radiology. Reasons for failure to identify significant lesions are partially due to suboptimal differences in image contrast. The goal of this study is to determine if teaching trainees how to adjust image contrast, window, and level helps trainees identify pulmonary nodules on chest radiographs (CXRs).
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