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Intelligent and precise auxiliary diagnosis of breast tumors using deep learning and radiomics.

Wang T, Zang B, Kong C, Li Y, Yang X, Yu Y

pubmed logopapersJan 1 2025
Breast cancer is the most common malignant tumor among women worldwide, and early diagnosis is crucial for reducing mortality rates. Traditional diagnostic methods have significant limitations in terms of accuracy and consistency. Imaging is a common technique for diagnosing and predicting breast cancer, but human error remains a concern. Increasingly, artificial intelligence (AI) is being employed to assist physicians in reducing diagnostic errors. We developed an intelligent diagnostic model combining deep learning and radiomics to enhance breast tumor diagnosis. The model integrates MobileNet with ResNeXt-inspired depthwise separable and grouped convolutions, improving feature processing and efficiency while reducing parameters. Using AI-Dhabyani and TCIA breast ultrasound datasets, we validated the model internally and externally, comparing it to VGG16, ResNet, AlexNet, and MobileNet. Results: The internal validation set achieved an accuracy of 83.84% with an AUC of 0.92, outperforming other models. The external validation set showed an accuracy of 69.44% with an AUC of 0.75, demonstrating high robustness and generalizability. Conclusions: We developed an intelligent diagnostic model using deep learning and radiomics to improve breast tumor diagnosis. The model combines MobileNet with ResNeXt-inspired depthwise separable and grouped convolutions, enhancing feature processing and efficiency while reducing parameters. It was validated internally and externally using the AI-Dhabyani and TCIA breast ultrasound datasets and compared with VGG16, ResNet, AlexNet, and MobileNet.

AISIM: evaluating impacts of user interface elements of an AI assisting tool.

Wiratchawa K, Wanna Y, Junsawang P, Titapun A, Techasen A, Boonrod A, Laopaiboon V, Chamadol N, Bulathwela S, Intharah T

pubmed logopapersJan 1 2025
While Artificial Intelligence (AI) has demonstrated human-level capabilities in many prediction tasks, collaboration between humans and machines is crucial in mission-critical applications, especially in the healthcare sector. An important factor that enables successful human-AI collaboration is the user interface (UI). This paper evaluated the UI of BiTNet, an intelligent assisting tool for human biliary tract diagnosis via ultrasound images. We evaluated the UI of the assisting tool with 11 healthcare professionals through two main research questions: 1) did the assisting tool help improve the diagnosis performance of the healthcare professionals who use the tool? and 2) how did different UI elements of the assisting tool influence the users' decisions? To analyze the impacts of different UI elements without multiple rounds of experiments, we propose the novel AISIM strategy. We demonstrated that our proposed strategy, AISIM, can be used to analyze the influence of different elements in the user interface in one go. Our main findings show that the assisting tool improved the diagnostic performance of healthcare professionals from different levels of experience (OR  = 3.326, p-value <10-15). In addition, high AI prediction confidence and correct AI attention area provided higher than twice the odds that the users would follow the AI suggestion. Finally, the interview results agreed with the experimental result that BiTNet boosted the users' confidence when they were assigned to diagnose abnormality in the biliary tract from the ultrasound images.

The application of ultrasound artificial intelligence in the diagnosis of endometrial diseases: Current practice and future development.

Wei Q, Xiao Z, Liang X, Guo Z, Zhang Y, Chen Z

pubmed logopapersJan 1 2025
Diagnosis and treatment of endometrial diseases are crucial for women's health. Over the past decade, ultrasound has emerged as a non-invasive, safe, and cost-effective imaging tool, significantly contributing to endometrial disease diagnosis and generating extensive datasets. The introduction of artificial intelligence has enabled the application of machine learning and deep learning to extract valuable information from these datasets, enhancing ultrasound diagnostic capabilities. This paper reviews the progress of artificial intelligence in ultrasound image analysis for endometrial diseases, focusing on applications in diagnosis, decision support, and prognosis analysis. We also summarize current research challenges and propose potential solutions and future directions to advance ultrasound artificial intelligence technology in endometrial disease diagnosis, ultimately improving women's health through digital tools.

Application research of artificial intelligence software in the analysis of thyroid nodule ultrasound image characteristics.

Xu C, Wang Z, Zhou J, Hu F, Wang Y, Xu Z, Cai Y

pubmed logopapersJan 1 2025
Thyroid nodule, as a common clinical endocrine disease, has become increasingly prevalent worldwide. Ultrasound, as the premier method of thyroid imaging, plays an important role in accurately diagnosing and managing thyroid nodules. However, there is a high degree of inter- and intra-observer variability in image interpretation due to the different knowledge and experience of sonographers who have huge ultrasound examination tasks everyday. Artificial intelligence based on computer-aided diagnosis technology maybe improve the accuracy and time efficiency of thyroid nodules diagnosis. This study introduced an artificial intelligence software called SW-TH01/II to evaluate ultrasound image characteristics of thyroid nodules including echogenicity, shape, border, margin, and calcification. We included 225 ultrasound images from two hospitals in Shanghai, respectively. The sonographers and software performed characteristics analysis on the same group of images. We analyzed the consistency of the two results and used the sonographers' results as the gold standard to evaluate the accuracy of SW-TH01/II. A total of 449 images were included in the statistical analysis. For the seven indicators, the proportions of agreement between SW-TH01/II and sonographers' analysis results were all greater than 0.8. For the echogenicity (with very hypoechoic), aspect ratio and margin, the kappa coefficient between the two methods were above 0.75 (P < 0.001). The kappa coefficients of echogenicity (echotexture and echogenicity level), border and calcification between the two methods were above 0.6 (P < 0.001). The median time it takes for software and sonographers to interpret an image were 3 (2, 3) seconds and 26.5 (21.17, 34.33) seconds, respectively, and the difference were statistically significant (z = -18.36, P < 0.001). SW-TH01/II has a high degree of accuracy and great time efficiency benefits in judging the characteristics of thyroid nodule. It can provide more objective results and improve the efficiency of ultrasound examination. SW-TH01/II can be used to assist the sonographers in characterizing the thyroid nodule ultrasound images.
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