拍摄的胸部X射线电影的计算机辅助分析与训练有素的放射科医生相比表现良好
Zerubabel Desita1, Temesgen Tadesse1, Anders Solitander Bohlbro2,3
1Department of Radiology, College of Medicine and Health Science, University of Gondar, Ethiopia.
胸部X射线 (CXR) 的计算机辅助检测 (CAD) 在低资源环境中诊断肺结核 (TB) 的表现与经验丰富的放射科医生相美. 这项技术有助于医生在放射科医生稀缺的地方,即使是通过手机图像.
科学领域:
- 医疗成像医学成像
- 医疗保健中的人工智能
- 传染病诊断 传染病诊断 传染病诊断
背景情况:
- 由于放射科医生稀缺,低资源环境在结核病 (TB) 诊断方面面临挑战.
- 胸部X射线 (CXR) 对于结核病查至关重要,但解释需要专业知识.
- 移动放射学提供了更广泛的潜力,但需要强大的解释工具.
研究的目的:
- 评估计算机辅助检测 (CAD) CXR软件在资源有限,高结核病流行地区识别肺结核 (PTB) 的有效性.
- 将CAD软件的诊断性能与经验丰富的放射科医生进行比较.
- 用手机拍摄的图像来评估CAD CXR的适用性.
主要方法:
- 一项回顾性试点研究分析了来自几内亚比绍和埃塞俄比亚的498个CXR.
- 计算机辅助检测 (CAD) 软件 (qXR) 解释与两位经验丰富的放射科医生进行了比较.
- 参考标准包括Xpert MTB/RIF确认的PTB和临床/实验室发现.
- 分析包括通过手机和数码相机捕获的CXR图像.
主要成果:
- 在Xpert确认的PTB病例中,CAD软件实现了0.84的曲线下的面积 (AUC).
- 在CAD CXR中,敏感度为76.5%,特异性为85.9%.
- 性能与经验丰富的放射科医生相当,在CAD和放射科医生之间存在中度一致 (κ=0.56).
结论:
- 计算机辅助检测 (CAD) CXR软件在肺结核检测方面表现与经验丰富的放射科医生相当.
- CAD CXR是一个可行的工具,以支持低资源环境中的医生,他们对放射科医生的访问有限.
- 该技术有望通过使用移动捕获的放射图像来提高结核病诊断的准确性.
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