Implementation of artificial intelligence in thoracic imaging—a what, how, and why guide from the European Society of Thoracic Imaging (ESTI) - Summary - MDSpire

Implementation of artificial intelligence in thoracic imaging—a what, how, and why guide from the European Society of Thoracic Imaging (ESTI)

  • By

  • Fergus Gleeson

  • Marie-Pierre Revel

  • Jürgen Biederer

  • Anna Rita Larici

  • Katharina Martini

  • Thomas Frauenfelder

  • Nicholas Screaton

  • Helmut Prosch

  • Annemiek Snoeckx

  • Nicola Sverzellati

  • Benoit Ghaye

  • Anagha P. Parkar

  • February 2, 2023

  • 0 min

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Objective:

To explore the implementation of artificial intelligence (AI) in thoracic imaging, detailing its definitions, applications, evidence, and potential clinical utility, with a focus on enhancing diagnostic processes.

Key Findings:
  • AI can enhance image quality, reduce radiation dose, and assist in diagnosis, particularly in lung nodule detection.
  • Current evidence for AI applications in thoracic imaging is limited and often flawed, with many studies showing methodological issues.
  • AI tools like computer-aided detection (CAD) improve performance in lung nodule detection but face low acceptance in clinical settings due to high costs and workflow disruptions.
Interpretation:

AI has the potential to significantly improve thoracic imaging practices, but its integration into clinical workflows requires careful consideration of efficacy, cost, and acceptance by healthcare professionals.

Limitations:
  • Insufficient clinical studies on AI efficacy in thoracic imaging.
  • Many AI models developed during the COVID-19 pandemic exhibited systematic errors.
  • High costs of AI solutions may hinder their adoption in clinical practice, impacting overall healthcare costs.
Conclusion:

AI's integration into thoracic imaging is promising but necessitates rigorous validation and acceptance to enhance diagnostic processes effectively, alongside ongoing research to address current limitations.

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