Potential added value of an AI software with prediction of malignancy for the management of incidental lung nodules
- Bastien Michelin 1, Aïssam Labani 1, Pascal Bilbault 2, Catherine Roy 1, Mickaël Ohana 1
- 1Department of Diagnostic Imaging (Radio B), Hôpitaux universitaires de Strasbourg, Strasbourg 67000, France.
- 2Emergency Department, Hpitaux universitaires de Strasbourg, Strasbourg 67000, France.
- 0Department of Diagnostic Imaging (Radio B), Hôpitaux universitaires de Strasbourg, Strasbourg 67000, France.
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View abstract on PubMed
Summary
This summary is machine-generated.Artificial intelligence software accurately identifies benign lung nodules, potentially reducing the need for follow-up scans. This AI tool shows high negative predictive value for incidental pulmonary nodules.
Area Of Science
- Radiology
- Artificial Intelligence
- Pulmonary Medicine
Background
- Incidental pulmonary nodules are frequently discovered on CT scans.
- Management guidelines often recommend follow-up for nodules, leading to patient anxiety and healthcare costs.
- Accurate risk stratification is crucial for efficient nodule management.
Purpose Of The Study
- To evaluate the impact of artificial intelligence (AI) software in managing incidentally discovered lung nodules.
- To assess the AI software's ability to predict malignancy in pulmonary nodules.
Main Methods
- Retrospective study of 90 incidental pulmonary nodules (6-30 mm) from emergency CT scans.
- AI software using deep learning algorithms assessed malignancy likelihood.
- AI predictions compared with two-year follow-up and Brock's model.
Main Results
- AI analysis was performed on 81 nodules.
- The AI software demonstrated 100% sensitivity and 100% negative predictive value (NPV) for malignant nodules at a 75% malignancy threshold.
- AI could have avoided follow-up in 50% of benign nodules.
Conclusions
- AI software shows a high NPV, suggesting its utility in reducing unnecessary follow-up for benign pulmonary nodules.
- Deep learning algorithms can aid in the management of incidental lung nodules.
- AI has the potential to streamline nodule management and decrease patient burden.
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