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Physician-Aided AI Enhances Detection of Acute Respiratory Distress Syndrome in Chest X-Rays

By MedImaging International staff writers
Posted on 14 Apr 2023

Acute respiratory distress syndrome (ARDS) is a highly fatal critical illness, with diagnosis often missed or delayed, resulting in patients not receiving evidence-based care. More...

Researchers have now developed a deep learning algorithm to help doctors identify ARDS more quickly and reliably in chest X-rays.

In a new study, the research team University of Michigan (Ann Arbor, MI, USA) assessed the strengths and weaknesses of the AI model compared to expert physicians and investigated how both could work together to improve ARDS diagnosis and patient outcomes. The team used 414 chest X-rays from adult hospital patients with acute hypoxic respiratory failure, and had the AI model and a group of physicians with expertise in chest X-ray interpretation for ARDS detection work side by side. They evaluated overall performance in ARDS detection, accuracy based on X-ray interpretation difficulty, and the level of AI/physician certainty in their interpretations. The AI model demonstrated a higher overall performance in detecting ARDS findings than physicians. However, the researchers discovered that the AI model outperformed the physicians in interpreting less challenging chest X-rays, while physicians were better at reviewing more difficult ones. In rating their confidences in the chest X-ray interpretation, one was found to be less confident while the other performed better.

The team's analysis suggests that AI and physician expertise could complement each other, potentially reducing ARDS misdiagnosis rates. They tested several strategies in which an AI and physician could collaborate to achieve the best performance. One effective method involved having the AI system review the chest X-ray first and then deferring to physicians if it was uncertain. This approach allowed physicians to review a smaller subset of chest X-rays, reducing workload and allowing them to focus on more challenging cases. Such an approach could ultimately transform care delivery to ARDS patients in the intensive care unit (ICU).

“Understanding how to effectively operationalize AI systems in the ICU is really important,” said study senior author Dr. Michael Sjoding, Associate Director of the Weil Institute and Associate Professor of Pulmonary and Critical Care Medicine. “These systems are becoming more common, but there has not been a lot of work done so far to understand how to bring them to the bedside to help clinicians provide the best care. This work opens the door to a future where AI systems and human experts work together to provide excellent ARDS care to all patients.”

“Because medical decisions are often high stakes, we know that patients and clinicians likely won’t accept completely replacing human expertise with AI algorithms,” added Dr. Negar Farzaneh, a Weil Institute Research Investigator and Data Scientist, as well as lead author on the study. “However, strategies where the model complements a physician’s diagnosis, rather than replaces it, might be a more reasonable alternative. Our work suggests that these collaborations, when optimized, can result in higher diagnostic accuracy and enable patients to receive more consistent care.”

Related Links:
University of Michigan 


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88 (69.141387939453): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294796851 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
89 (33.140182495117): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294796851 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
90 (35.04753112793): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`
91 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1
92 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1
93 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1
94 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1
95 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1
96 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1
97 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1
98 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1
99 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1
100 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1
101 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1
102 (48.87580871582): SELECT show_live FROM jos_com_show_setting LIMIT 1
103 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1
104 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1
105 (109.91096496582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796851 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796851 AND published='1' LIMIT 1
106 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796851 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796851 AND published='1' LIMIT 1
107 (67.949295043945): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294796851 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
108 (604.15267944336): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294796851 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
109 (152.1110534668): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796851 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796851 AND published='1' LIMIT 1
110 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796851 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796851 AND published='1' LIMIT 1
111 (52.213668823242): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294796851 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
112 (700.95062255859): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294796851 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
113 (649.92904663086): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1
114 (391.00646972656): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1
115 (79.870223999023): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796851 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796851 AND published='1' LIMIT 1
116 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796851 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796851 AND published='1' LIMIT 1
117 (69.856643676758): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796851 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796851 AND published='1' LIMIT 1
118 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796851 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796851 AND published='1' LIMIT 1
119 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796851 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796851 AND published='1' LIMIT 1
120 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796851 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796851 AND published='1' LIMIT 1
121 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796851 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796851 AND published='1' LIMIT 1
122 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796851 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796851 AND published='1' LIMIT 1
123 (390.05279541016): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`
124 (!!!!! 55258.989334106): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7
125 (600.09956359863): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294796851 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294796851 AND type='deeppockets_item' AND published='1' LIMIT 1
126 (!!!!! 16254.901885986): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3
127 (66.995620727539): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3
128 (41.007995605469): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1
129 (36.954879760742): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1
130 (81.062316894531): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1
131 (43.153762817383): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1
132 (390.05279541016): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1
133 (41.961669921875): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1
134 (35.04753112793): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1
135 (29.802322387695): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1
136 (550.98533630371): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796851 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
137 (461.10153198242): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796851 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
138 (257.96890258789): SELECT name FROM jos_deeppockets WHERE id=211
139 (41.007995605469): SELECT name FROM jos_deeppockets WHERE id=211
140 (591.99333190918): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3
141 (509.97734069824): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3
142 (83.92333984375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796851 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796851 AND published='1' LIMIT 1
143 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796851 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796851 AND published='1' LIMIT 1
144 (!!!!! 17377.138137817): TRUNCATE TABLE jos_trademed_module
145 (113.96408081055): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294796851 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
146 (59.127807617188): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294796851 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
147 (942.94548034668): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796851 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
148 (221.01402282715): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796851 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
149 (339.03121948242): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796851 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796851 AND published='1' LIMIT 1
150 (159.97886657715): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796851 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796851 AND published='1' LIMIT 1
151 (!!!!! 2148.8666534424): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6
152 (612.02049255371): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796851 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796851 AND published='1' LIMIT 1
153 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796851 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796851 AND published='1' LIMIT 1
154 (447.98851013184): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294796851 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294796851 AND type='deeppockets_item' AND published='1' LIMIT 1
155 (77.009201049805): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=211 or channel_id is null)
156 (37.193298339844): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=211 or channel_id is null)
157 (35.04753112793): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1
158 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796851 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796851 AND published='1' LIMIT 1
159 (195.98007202148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796851 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796851 AND published='1' LIMIT 1
160 (216.96090698242): select jos_twitters.link from jos_twitters where cat=10
161 (117.06352233887): select jos_facebook.link from jos_facebook where cat=10
162 (242.94853210449): select jos_google_plus.link from jos_google_plus where cat=10
163 (34.093856811523): select jos_linkedin.link from jos_linkedin where cat=10
164 (365.01884460449): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)
165 (!!!!! 1351.1180877686): insert into jos_banners_delta values (14615,'2025-08-03 03:12:24','216.73.216.210','view'),(14202,'2025-08-03 03:12:24','216.73.216.210','view'),(14203,'2025-08-03 03:12:24','216.73.216.210','view')