Related Experiment Video
Updated: May 10, 2025

Lung CT Segmentation to Identify Consolidations and Ground Glass Areas for Quantitative Assesment of SARS-CoV Pneumonia
Published on: December 19, 2020
The performance of computer-aided detection for chest radiography in tuberculosis screening: a population-based
Henan Xin1,2, Wei Wang3, Xiaomeng Wang4
1NHC Key Laboratory of Systems Biology of Pathogens, National Institute of Pathogen Biology, and Center for Tuberculosis Research, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, People's Republic of China.
Abstract:
From 2020 to 2022, a pulmonary tuberculosis (PTB) active case finding project based on chest X-ray (CXR) examination was conducted targeting individuals aged ≥65 years old in Jiangshan County, Quzhou City. The current study used computer-aided detection (CAD) software (JF CXR-1 v2) to retrospectively analyze the CXR images and to estimate its potential capacity for identifying PTB cases. The information of notified microbiologically confirmed PTB among the participants were exported from the Tuberculosis Information Management System. A total of 49,919 subjects participated in the 2020 examinations. Of these, 40,741 and 39,185 completed the follow-up surveys in 2021 and 2022, respectively. The pooled prevalence of suspected PTB reported by radiologists was 1.21% (1579/129,776), compared with 12.43% (16,129/129,776) reported by CAD. Of 101 bacteriologically confirmed PTB cases notified over three years, radiologists and CAD reported 45.54% (46/101) and 83.16% (84/101) as suspected cases, respectively. Among subjects with abnormal CAD (CAD score>0.35), the majority of the notified confirmed PTB patients (63/84) had their CAD scores >75% quantiles (as>0.75). With 3 years' results, their CAD scores exhibited dynamic changes along with disease progression or treatment with median scores peaking in the year of diagnosis. This intriguing finding suggests that CAD for CXR reading assisted radiologists in PTB screening by reducing workload and improving case finding. The CAD primary score may have the potential to identify high-risk individuals and early PTB patients, adding a new dimension to our understanding of disease progression.
Related Concept Videos
Pulmonary Tuberculosis IV
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Radiological Investigation I: X-ray and CT
Pulmonary Tuberculosis V
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
Pulmonary Tuberculosis III
The first classification is based on the development of the disease, and it includes the following categories:
Radiological Investigation III: Pulmonary Angiogram and PET Scan
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pneumonia III: Complications and Assessment

