Potential added value of an AI software with prediction of malignancy for the management of incidental lung nodules

  • 0Department of Diagnostic Imaging (Radio B), Hôpitaux universitaires de Strasbourg, Strasbourg 67000, France.

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.