# Can Deep Learning Reliably Recognize Abnormality Patterns on Chest X-rays? A Multi-Reader Study Examining One Month of AI Implementation in Everyday Radiology Clinical Practice

arXiv: https://arxiv.org/abs/2305.10116 · HTML: https://mlsanity.com/paper/2305.10116/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 3 of its 23 references that are in the map.
- First posted on arXiv 17 May 2023.

## Builds on (most cited first, 3 of 3)

- [Exploring large scale public medical image datasets](https://mlsanity.com/paper/1907.12720/) (2019)
- [Checklist for responsible deep learning modeling of medical images based on COVID-19 detection studies](https://mlsanity.com/paper/2012.08333/) (2020)
- [Towards Clinical Practice: Design and Implementation of Convolutional Neural Network-Based Assistive Diagnosis System for COVID-19 Case Detection from Chest X-Ray Images](https://mlsanity.com/paper/2203.10596/) (2022)

## Abstract (arXiv)

In this study, we developed a deep-learning-based automatic detection algorithm (DLAD, Carebot AI CXR) to detect and localize seven specific radiological findings (atelectasis (ATE), consolidation (CON), pleural effusion (EFF), pulmonary lesion (LES), subcutaneous emphysema (SCE), cardiomegaly (CMG), pneumothorax (PNO)) on chest X-rays (CXR). We collected 956 CXRs and compared the performance of the DLAD with that of six individual radiologists who assessed the images in a hospital setting. The proposed DLAD achieved high sensitivity (ATE 1.000 (0.624-1.000), CON 0.864 (0.671-0.956), EFF 0.953 (0.887-0.983), LES 0.905 (0.715-0.978), SCE 1.000 (0.366-1.000), CMG 0.837 (0.711-0.917), PNO 0.875 (0.538-0.986)), even when compared to the radiologists (LOWEST: ATE 0.000 (0.000-0.376), CON 0.182 (0.070-0.382), EFF 0.400 (0.302-0.506), LES 0.238 (0.103-0.448), SCE 0.000 (0.000-0.634), CMG 0.347 (0.228-0.486), PNO 0.375 (0.134-0.691), HIGHEST: ATE 1.000 (0.624-1.000), CON 0.864 (0.671-0.956), EFF 0.953 (0.887-0.983), LES 0.667 (0.456-0.830), SCE 1.000 (0.366-1.000), CMG 0.980 (0.896-0.999), PNO 0.875 (0.538-0.986)). The findings of the study demonstrate that the suggested DLAD holds potential for integration into everyday clinical practice as a decision support system, effectively mitigating the false negative rate associated with junior and intermediate radiologists.