Machine Learning Augmented Interpretation of Chest X-rays: A Systematic Review Article Swipe
YOU?
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· 2023
· Open Access
·
· DOI: https://doi.org/10.3390/diagnostics13040743
Limitations of the chest X-ray (CXR) have resulted in attempts to create machine learning systems to assist clinicians and improve interpretation accuracy. An understanding of the capabilities and limitations of modern machine learning systems is necessary for clinicians as these tools begin to permeate practice. This systematic review aimed to provide an overview of machine learning applications designed to facilitate CXR interpretation. A systematic search strategy was executed to identify research into machine learning algorithms capable of detecting >2 radiographic findings on CXRs published between January 2020 and September 2022. Model details and study characteristics, including risk of bias and quality, were summarized. Initially, 2248 articles were retrieved, with 46 included in the final review. Published models demonstrated strong standalone performance and were typically as accurate, or more accurate, than radiologists or non-radiologist clinicians. Multiple studies demonstrated an improvement in the clinical finding classification performance of clinicians when models acted as a diagnostic assistance device. Device performance was compared with that of clinicians in 30% of studies, while effects on clinical perception and diagnosis were evaluated in 19%. Only one study was prospectively run. On average, 128,662 images were used to train and validate models. Most classified less than eight clinical findings, while the three most comprehensive models classified 54, 72, and 124 findings. This review suggests that machine learning devices designed to facilitate CXR interpretation perform strongly, improve the detection performance of clinicians, and improve the efficiency of radiology workflow. Several limitations were identified, and clinician involvement and expertise will be key to driving the safe implementation of quality CXR machine learning systems.
Related Topics
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.3390/diagnostics13040743
- https://www.mdpi.com/2075-4418/13/4/743/pdf?version=1677050594
- OA Status
- gold
- Cited By
- 29
- References
- 122
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4321095938
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4321095938Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3390/diagnostics13040743Digital Object Identifier
- Title
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Machine Learning Augmented Interpretation of Chest X-rays: A Systematic ReviewWork title
- Type
-
reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-02-15Full publication date if available
- Authors
-
Hassan K. Ahmad, Michael Milne, Quinlan D. Buchlak, Nalan Ektas, Georgina Sanderson, Hadi Chamtie, Sajith Karunasena, Jason Chiang, Xavier Holt, Cyril Tang, Jarrel Seah, Georgina Bottrell, Nazanin Esmaili, Peter Brotchie, Catherine M JonesList of authors in order
- Landing page
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https://doi.org/10.3390/diagnostics13040743Publisher landing page
- PDF URL
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https://www.mdpi.com/2075-4418/13/4/743/pdf?version=1677050594Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
- OA URL
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https://www.mdpi.com/2075-4418/13/4/743/pdf?version=1677050594Direct OA link when available
- Concepts
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Interpretation (philosophy), Medical physics, Computer science, Artificial intelligence, Natural language processing, Medicine, Programming languageTop concepts (fields/topics) attached by OpenAlex
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29Total citation count in OpenAlex
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2025: 12, 2024: 9, 2023: 8Per-year citation counts (last 5 years)
- References (count)
-
122Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.characteristics, | 94 |
| cited_by_percentile_year.max | 99 |
| cited_by_percentile_year.min | 98 |
| corresponding_author_ids | https://openalex.org/A5090336817 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 15 |
| corresponding_institution_ids | https://openalex.org/I2800079252 |
| citation_normalized_percentile.value | 0.97921635 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |