Artificial Intelligence

Artificial intelligence (AI) is becoming a crucial component of healthcare to help augment physicians and make them more efficient. In medical imaging, it is helping radiologists more efficiently manage PACS worklists, enable structured reporting, auto detect injuries and diseases, and to pull in relevant prior exams and patient data. In cardiology, AI is helping automate tasks and measurements on imaging and in reporting systems, guides novice echo users to improve imaging and accuracy, and can risk stratify patients. AI includes deep learning algorithms, machine learning, computer-aided detection (CAD) systems, and convolutional neural networks. 

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High false-positive diagnoses tolerated with CT colonography

Patients and health care professionals are willing to tolerate high rates of false-positive diagnoses with CT colonography in exchange for diagnosis of extracolonic malignancy, according to a study published online May 22 by Radiology. 

C-RADS results could serve as benchmark for CT colonography screening

Results from the CT Colonography Reporting and Data Systems (C-RADS) could establish baseline values for CT colonography (CTC) screening, according to a study published in the June American Journal of Roentgenology. 

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Could multiparametric MRI be meaningful for bladder cancer?

Multiparametic MRI may be beneficial for the detection, staging and follow-up of bladder cancer, according to an article published in the June issue of the American Journal of Roentgenology.

Rethinking tumor response: Is RECIST categorization accurate?

Volumetric analysis of breast cancer liver metastasis using CT may provide a more accurate reflection of locoregional treatment response than Response Evaluation Criteria in Solid Tumors (RECIST) categorization, according to a study published online May 13 in Academic Radiology.

Iterative model reconstruction improves image quality, reduces dose in cCTA

Knowledge-based iterative model reconstruction (IMR) reduces intravascular noise on coronary computed tomography angiography (cCTA) by 86 to 88 percent and betters image quality at radiation exposure levels 80 percent below standard technique, according to a study published in the June issue of Academic Radiology.

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Questions about CAD

Computer-aided detection (CAD) seems like an obvious next step in the evolution of image interpretation. Automation is taking root in so many fields, and radiology is no exception. A tool that can help spot lesions or other areas of interest would be incredibly valuable, even if the technology can’t replace a highly trained professional (and it’s not likely that most people would be comfortable turning over image interpretation to a machine, anyway).

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Lung volume estimation feasible with automatic segmentation of chest CT

Automatic lung segmentation of routine chest CT scans allows for a technically stable estimation of lung volume, though work remains to reduce variation, according to a study published in the May issue of Radiology.

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CAD helps catch coronary artery stenosis, but what about false positives?

Use of a computer-assisted detection (CAD) algorithm to identify coronary artery stenosis on coronary CT angiography resulted in relatively high sensitivity and negative predictive value in a recent study from South Korea.

Around the web

A total of 16 cardiology practices from 12 states settled with the DOJ to resolve allegations they overbilled Medicare for imaging agents used to diagnose cardiovascular disease. 

CCTA is being utilized more and more for the diagnosis and management of suspected coronary artery disease. An international group of specialists shared their perspective on this ongoing trend.

The new technology shows early potential to make a significant impact on imaging workflows and patient care.