通过CT检测肺栓塞的人工智能:以工作流为导向的实施
Selim Abed1, Klaus Hergan1, Jan Dörrenberg1
1Department of Radiology, University Hospital Salzburg, Paracelsus Medical University, 5020 Salzburg, Austria.
Current medical imaging
|July 25, 2025
概括
随着时间的推移,人工智能 (AI) 在CTPA扫描上检测肺栓塞 (PE) 的准确性有所提高. 虽然接受度越来越大,但一些放射科医生仍然更喜欢人类的专业知识,而不是人工智能工具.
科学领域:
- 放射学 放射学是一门学科.
- 医疗成像医学成像
- 人工智能的人工智能
背景情况:
- 肺栓塞 (PE) 检测对于患者护理至关重要.
- 人工智能 (AI) 在协助放射科医生检测PE方面表现有前途.
- 评估AI诊断准确度和临床工作人员接受度对于工作流集成至关重要.
研究的目的:
- 评估AI算法在CTPA上检测PE的性能.
- 评估放射科部门人员对人工智能算法的接受程度.
主要方法:
- 来自大学诊所的匿名CTPA数据的回顾性分析.
- 在AI实施后3个月和9个月进行的调查.
- 胸部和心脏放射科医生提供的参考标准.
- 人工智能最初分析了59起病例,并在随访期间分析了46起病例.
主要成果:
- 人工智能灵敏度从84.6%提高到90.9%;特异性从94.3%提高到96.7%.
- 放射科医生对人工智能工具的接受度随着时间的推移而增加.
- 尽管接受度增加,但如果成本可比,一些人宁愿聘请额外的医生而不是人工智能.
结论:
- 人工智能算法显示高,提高了对CTPAPE检测的灵敏度和特异性.
- 观察到用户对人工智能工具的信心和信任越来越大.
- 人工智能显示出作为急诊放射学中支持性"第二次观察"工具的承诺,补充医生的专业知识.
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