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Related Concept Videos

Sensitivity, Specificity, and Predicted Value01:13

Sensitivity, Specificity, and Predicted Value

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In healthcare diagnostics, laboratory tests play a crucial role in identifying and diagnosing a wide range of medical conditions. However, interpreting test results is not always straightforward. An abnormal test result does not always confirm the presence of a disease, just as a normal result does not guarantee its absence. To assess the reliability of these diagnostic tools, healthcare practitioners rely on two key statistical indicators: sensitivity and specificity.
Sensitivity is the...
534

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Evaluating Listening Performance for COVID-19 Detection by Clinicians and Machine Learning: Comparative Study.

Jing Han1, Marco Montagna2, Andreas Grammenos1

  • 1Department of Computer Science and Technology, University of Cambridge, Cambridge, United Kingdom.

Journal of Medical Internet Research
|May 1, 2023
PubMed
Summary
This summary is machine-generated.

Machine learning models show promise in diagnosing COVID-19 from respiratory sounds, outperforming clinicians. Combining AI and human expertise offers the best diagnostic accuracy and confidence in audio-based respiratory assessments.

Keywords:
COVID-19 detectionaudio analysisclinical decisionscliniciansdeep learningdetectionmachine learningmobile healthrespiratoryrespiratory diagnosisrespiratory disease diagnosis

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Area of Science:

  • Medical Informatics
  • Artificial Intelligence in Medicine
  • Respiratory Medicine

Background:

  • Machine learning (ML) and human performance in audio-based respiratory diagnosis are underexplored.
  • Previous comparisons between humans and machines exist in various health domains.

Purpose of the Study:

  • To compare the performance of human clinicians and an ML model in predicting COVID-19 using respiratory sound recordings.
  • To investigate the potential of combining human and ML predictions for improved diagnostic outcomes.

Main Methods:

  • Compared predictions from 36 clinicians and an ML model on 24 audio samples (12 COVID-19 positive).
  • ML model was trained on 1162 respiratory sound samples.
  • Audio samples included voice, cough, and breathing sounds (approx. 20 seconds each).

Main Results:

  • The ML model achieved higher sensitivity (0.75) and specificity (0.83) than the best clinician (0.67 sensitivity, 0.75 specificity).
  • Combining clinician and ML model predictions significantly improved performance, reaching 0.83 sensitivity and 0.92 specificity.
  • Cooperative approach enhanced both accuracy and confidence in predictions.

Conclusions:

  • ML models can effectively predict COVID-19 from respiratory sounds.
  • A collaborative approach between clinicians and ML models can lead to superior diagnostic decisions.
  • Integrating AI with human expertise enhances confidence and accuracy in audio-based respiratory diagnosis.