深度学习模型与放射科医生在COVID-19肺炎中的诊断性能:系统性审查和元分析
Mohammadreza Chavoshi1, Sara Zamani2, Seyed Ali Mirshahvalad3
1Department of Radiology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Clinical imaging
|February 1, 2024
概括
与放射科医生相比,深度学习 (DL) 模型在胸部CT扫描上检测COVID-19肺炎的灵敏度更高. 这些先进的AI工具显示出在临床环境中增强放射科医生的性能的潜力.
科学领域:
- 放射学 放射学是一门学科.
- 人工智能的人工智能
- 医疗成像医学成像
背景情况:
- 胸部计算机断层扫描 (CT) 对于诊断COVID-19肺炎至关重要.
- 之前的研究已经将深度学习 (DL) 模型与放射科医生进行了比较,以在CT上检测COVID-19.
- 缺乏对这些比较研究的全面评估.
研究的目的:
- 进行对原始文章进行元分析,比较DL模型和放射科医生在胸部CT上检测COVID-19肺炎.
- 为了集体评估DL模型与人类专家的诊断性能.
主要方法:
- 在Scopus,科学网络和PubMed上进行系统的文献搜索,直到2023年2月1日.
- 包括原始科学文章比较DL模型训练COVID-19肺炎检测CT与放射科医生.
- 进行元分析以确定聚合的灵敏度和特异性,并考虑异质性.
主要成果:
- 22篇文章符合元分析的纳入标准.
- 在DL模型中,比放射科医生 (0.829,p < 0.001) 显著更高的聚合灵敏度 (0.933).
- 在DL模型 (0.905) 和放射科医生 (0.897,p = 0.746) 之间,聚合特异性是相似的.
- 在区分COVID-19和社区获得的肺炎方面,DL模型显示出显著更高的灵敏度 (0.915对0.836,p=0.001).
结论:
- 深度学习模型在胸部CT上的COVID-19肺炎查方面取得了高性能.
- 在临床实践中,DL模型展示了作为一种工具来增强放射科医生的能力的潜力.
- 这些发现支持将AI整合到放射学工作流程中,以提高诊断准确度.
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