在胸部X射线上检测结核病的机器和深度学习:系统文献综述
Seng Hansun1,2, Ahmadreza Argha3,4,5, Siaw-Teng Liaw6
1South West Sydney (SWS), School of Clinical Medicine, University of New South Wales, Sydney, Australia.
Journal of medical Internet research
|July 3, 2023
概括
包括机器学习 (ML) 和深度学习 (DL) 在内的人工智能显示出在胸部X射线 (CXR) 上检测结核病 (TB) 的高潜力. 进一步的研究应侧重于改善偏差评估风险,以获得更可靠的诊断准确性.
科学领域:
- 医疗成像医学成像
- 人工智能在医学中的应用
- 放射学 放射学是一门学科.
背景情况:
- 结核病 (TB) 是全球主要的传染性死亡原因.
- 胸部放射 (CXR) 在结核病检测和诊断中起着至关重要的作用.
- 人类对CXR的解释具有显著的读者间变异性,影响了可靠性.
研究的目的:
- 系统地审查和评估机器学习 (ML) 和深度学习 (DL) 算法的性能,以使用CXR检测结核病.
- 与传统的人类解释相比,评估基于AI的方法的诊断准确性.
主要方法:
- 按照PRISMA指南进行系统文献审查 (SLR).
- 在Scopus,PubMed和IEEE数据库中搜索相关研究.
- 包括47项研究,进行了偏差风险评估 (QUADAS-2),并对10项研究进行了元分析.
主要成果:
- 深度学习 (DL) 比机器学习 (ML) (34项研究) (7项研究) 更为普遍.
- ML实现了更高的平均精度 (~93.71%) 和灵敏度 (~92.55%),而DL显示出更好的平均AUC (~92.12%) 和特异性 (~91.54%).
- 对于ML和DL方法的聚合灵敏度和特异性分别估计为0.9857和0.9805.
结论:
- 无论是ML还是DL,都显示出通过CXR检测结核病的巨大潜力.
- 未来的研究应该优先解决偏差风险,特别是关于参考标准和研究流程/时间.
- 只有两项研究从他们提出的AI解决方案中开发了实际应用.
关键词:
普里斯马的指导方针是什么这就是QUADAS-2.胸部X射线 胸部X射线卷积神经网络是一种卷积神经网络.诊断测试的准确性 诊断测试的准确性机器学习和深度学习.偏见的风险 偏见的风险灵敏度和特异性 灵敏度和特异性系统的文献审查 系统的文献审查结核病检测 结核病检测更多相关视频
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