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AI may estimate chest fluid with similar efficacy to radiologists

  • By

  • Andrea Surnit

  • October 6, 2026

  • 4 min

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  • 1

    An AI model demonstrated comparable accuracy to radiologists in estimating pleural effusion volume on chest radiography.

  • 2

    Moderate agreement was observed between all three approaches and computed tomography, with substantial estimation errors.

  • 3

    Mean estimation errors were 300 mL for radiologist 1, 250 mL for radiologist 2, and 264 mL for AI.

  • 4

    Radiologist 2 outperformed AI in identifying pleural effusions, while performance did not differ statistically between radiologist 1 and AI.

  • 5

    The study's limitations included its retrospective nature, single-institution setting, and potential spectrum bias affecting generalizability.

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