Content-based AI system decreases read times by 31% while increasing accuracy

Integrating content-based image retrieval systems into clinical workflows could improve radiologists’ efficiency and accuracy, as was told by experts recently in European Radiology

The July paper highlighted the benefits of content-based image retrieval systems (CBIRS) in radiology practices, revealing that radiologists who utilized them reduced their image interpretation times by an average of 31.3%. 

The study, which took place in Austria, was centered specifically on the impact CBIRS had on interpretations of chest CT scans on patients with suspected diffuse parenchymal lung disease (DPLD). For the CBIRS assisted reads, radiologists would indicate regions of interest in CT images. The system would then review a database of 6,542 thin-section CT scans and populate a small set of the most likely diagnoses based on 19 lung-specific patterns in addition to providing supporting information. 

In total, 108 scans were retrospectively analyzed. The scans contained 22 unique, clinically or histopathologically confirmed diagnoses and were interpreted by eight radiologists—four residents, four attendings. Half the scans were interpreted with CBIRS assistance, and half without. 

“The main hypothesized advantage of the CBIRS is the streamlined provision of relevant information for the case the radiologist is currently reporting on,” corresponding author Helmut Prosch, from the Department of Biomedical Imaging and Image-guided Therapy at the Medical University of Vienna, and colleagues explained. 

Using CBIRS decreased interpretation times despite the radiologists who utilized them having to review the additional information the system provided. Residents reduced their read times by an average of 27% and attending radiologists recorded a decrease of 35%. What’s more, CBIRS increased overall accuracy from 34.7% to 42.2%.

The authors noted that their results are of particular interest because other recent studies have implied that imaging exams that incorporate AI could actually increase workloads in some cases. Their contrasting findings are positive, but merit further research in larger clinical settings, the experts concluded. 

More on improving radiology workflows: 

SIIM 2022: 5 ways voice-triggered macros can improve radiologist workflow

VIDEO: What to look for in radiology workflow orchestration software

AI assists radiologists in detecting fractures, improves workflow

4 strategies to improve communication between radiologists and technologists that will optimize workflow

 

Reference: 

Röhrich, S., Heidinger, B.H., Prayer, F. et al. Impact of a content-based image retrieval system on the interpretation of chest CTs of patients with diffuse parenchymal lung disease. European Radiology (2022). 

Hannah murhphy headshot

In addition to her background in journalism, Hannah also has patient-facing experience in clinical settings, having spent more than 12 years working as a registered rad tech. She joined Innovate Healthcare in 2021 and has since put her unique expertise to use in her editorial role with Health Imaging.

Around the web

The nuclear imaging isotope shortage of molybdenum-99 may be over now that the sidelined reactor is restarting. ASNC's president says PET and new SPECT technologies helped cardiac imaging labs better weather the storm.

CMS has more than doubled the CCTA payment rate from $175 to $357.13. The move, expected to have a significant impact on the utilization of cardiac CT, received immediate praise from imaging specialists.

The newly cleared offering, AutoChamber, was designed with opportunistic screening in mind. It can evaluate many different kinds of CT images, including those originally gathered to screen patients for lung cancer. 

Trimed Popup
Trimed Popup