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  1. Article ; Online: FRODO: An In-Depth Analysis of a System to Reject Outlier Samples From a Trained Neural Network.

    Calli, Erdi / Van Ginneken, Bram / Sogancioglu, Ecem / Murphy, Keelin

    IEEE transactions on medical imaging

    2023  Volume 42, Issue 4, Page(s) 971–981

    Abstract: An important limitation of state-of-the-art deep learning networks is that they do not recognize when their input is dissimilar to the data on which they were trained and proceed to produce outputs that will be unreliable or nonsensical. In this work, we ...

    Abstract An important limitation of state-of-the-art deep learning networks is that they do not recognize when their input is dissimilar to the data on which they were trained and proceed to produce outputs that will be unreliable or nonsensical. In this work, we describe FRODO (Free Rejection of Out-of-Distribution), a publicly available method that can be easily employed for any trained network to detect input data from a different distribution than is expected. FRODO uses the statistical distribution of intermediate layer outputs to define the expected in-distribution (ID) input image properties. New samples are judged based on the Mahalanobis distance (MD) of their layer outputs from the defined distribution. The method can be applied to any network, and we demonstrate the performance of FRODO in correctly rejecting OOD samples on three distinct architectures for classification, localization, and segmentation tasks in chest X-rays. A dataset of 21,576 X-ray images with 3,655 in-distribution samples is defined for testing. The remaining images are divided into four OOD categories of varying levels of difficulty, and performance at rejecting each type is evaluated using receiver operating characteristic (ROC) analysis. FRODO achieves areas under the ROC (AUC) of between 0.815 and 0.999 in distinguishing OOD samples of different types. This is shown to be comparable with the best-performing state-of-the-art method tested, with the substantial advantage that FRODO integrates seamlessly with any network and requires no extra model to be constructed and trained.
    MeSH term(s) Neural Networks, Computer ; ROC Curve
    Language English
    Publishing date 2023-04-03
    Publishing country United States
    Document type Journal Article
    ZDB-ID 622531-7
    ISSN 1558-254X ; 0278-0062
    ISSN (online) 1558-254X
    ISSN 0278-0062
    DOI 10.1109/TMI.2022.3221898
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Pregnancy after stillbirth: maternal and neonatal outcomes and health service utilization.

    Roseingrave, Ruth / Murphy, Margaret / O'Donoghue, Keelin

    American journal of obstetrics & gynecology MFM

    2021  Volume 4, Issue 1, Page(s) 100486

    Abstract: Background: Stillbirth occurs in every 3.5 of 1000 pregnancies in Ireland and is a devastating event for a family. Women who have a pregnancy after stillbirth require increased antenatal support.: Objective: This study aimed to determine maternal and ...

    Abstract Background: Stillbirth occurs in every 3.5 of 1000 pregnancies in Ireland and is a devastating event for a family. Women who have a pregnancy after stillbirth require increased antenatal support.
    Objective: This study aimed to determine maternal and fetal outcomes and to quantify health service utilization in pregnancy after stillbirth.
    Study design: A retrospective cohort study of all pregnancies after stillbirth was conducted from 2011 to 2017 in a large tertiary referral university maternity teaching hospital with approximately 8000 births annually.
    Results: There were 222 stillbirths from 2011 to 2017. Two-thirds of women (145 of 222 [64.3%]) had a pregnancy after stillbirth. Almost one-fifth of these women (28 of 145 [19.3%]) had a miscarriage, but 16 of 28 women (57.1%) had a subsequent live birth, giving an overall live birth rate of 90.3% (131/145). The average interval from index loss to booking in the next pregnancy was 13 months, with almost half of the women (72 of 145 [49.7%]) booking within 1 year. The average number of antenatal appointments was twice than expected (10; range, 2-27), and the average number of ultrasound scans was 5 times higher than expected (5; range, 0-29). Rates of induction of labor (63 of 131 [48.1%]) and cesarean delivery (53 of 131 [40.5%]) were significantly higher than national rates for multiparous women. Almost two-thirds of women (40 of 63 [63.5%]) cited previous history of stillbirth as the indication for induction. There was a significantly higher rate of preterm delivery (30 of 131 [22.9%]). Moreover, 1 in 4 babies (35 of 137 [25.5%]) required admission to the neonatal intensive care unit, more than twice the number expected (median gestation, 37 0/7 weeks; range, 25 4/7 to 39 2/7 weeks).
    Conclusion: Pregnancy after stillbirth was associated with increased surveillance and intervention. The women in this study had higher rates of cesarean delivery, induction of labor, and preterm delivery than the general multiparous population. Decision-making for intervention was often based on previous history of stillbirth. Clinicians should be cognizant of additional supports required for this population and focus on evidence-based interventions that improve maternal well-being and perinatal outcomes in pregnancy after stillbirth.
    MeSH term(s) Cesarean Section ; Female ; Humans ; Infant ; Infant, Newborn ; Pregnancy ; Premature Birth/epidemiology ; Prenatal Care ; Retrospective Studies ; Stillbirth/epidemiology
    Language English
    Publishing date 2021-09-20
    Publishing country United States
    Document type Journal Article
    ISSN 2589-9333
    ISSN (online) 2589-9333
    DOI 10.1016/j.ajogmf.2021.100486
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Explainable emphysema detection on chest radiographs with deep learning.

    Erdi Çallı / Keelin Murphy / Ernst T Scholten / Steven Schalekamp / Bram van Ginneken

    PLoS ONE, Vol 17, Iss 7, p e

    2022  Volume 0267539

    Abstract: We propose a deep learning system to automatically detect four explainable emphysema signs on frontal and lateral chest radiographs. Frontal and lateral chest radiographs from 3000 studies were retrospectively collected. Two radiologists annotated these ... ...

    Abstract We propose a deep learning system to automatically detect four explainable emphysema signs on frontal and lateral chest radiographs. Frontal and lateral chest radiographs from 3000 studies were retrospectively collected. Two radiologists annotated these with 4 radiological signs of pulmonary emphysema identified from the literature. A patient with ≥2 of these signs present is considered emphysema positive. Using separate deep learning systems for frontal and lateral images we predict the presence of each of the four visual signs and use these to determine emphysema positivity. The ROC and AUC results on a set of 422 held-out cases, labeled by both radiologists, are reported. Comparison with a black-box model which predicts emphysema without the use of explainable visual features is made on the annotations from both radiologists, as well as the subset that they agreed on. DeLong's test is used to compare with the black-box model ROC and McNemar's test to compare with radiologist performance. In 422 test cases, emphysema positivity was predicted with AUCs of 0.924 and 0.946 using the reference standard from each radiologist separately. Setting model sensitivity equivalent to that of the second radiologist, our model has a comparable specificity (p = 0.880 and p = 0.143 for each radiologist respectively). Our method is comparable with the black-box model with AUCs of 0.915 (p = 0.407) and 0.935 (p = 0.291), respectively. On the 370 cases where both radiologists agreed (53 positives), our model achieves an AUC of 0.981, again comparable to the black-box model AUC of 0.972 (p = 0.289). Our proposed method can predict emphysema positivity on chest radiographs as well as a radiologist or a comparable black-box method. It additionally produces labels for four visual signs to ensure the explainability of the result. The dataset is publicly available at https://doi.org/10.5281/zenodo.6373392.
    Keywords Medicine ; R ; Science ; Q
    Language English
    Publishing date 2022-01-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article: Computer-aided detection thresholds for digital chest radiography interpretation in tuberculosis diagnostic algorithms.

    Vanobberghen, Fiona / Keter, Alfred Kipyegon / Jacobs, Bart K M / Glass, Tracy R / Lynen, Lutgarde / Law, Irwin / Murphy, Keelin / van Ginneken, Bram / Ayakaka, Irene / van Heerden, Alastair / Maama, Llang / Reither, Klaus

    ERJ open research

    2024  Volume 10, Issue 1

    Abstract: Objectives: Use of computer-aided detection (CAD) software is recommended to improve tuberculosis screening and triage, but threshold determination is challenging if reference testing has not been performed in all individuals. We aimed to determine such ...

    Abstract Objectives: Use of computer-aided detection (CAD) software is recommended to improve tuberculosis screening and triage, but threshold determination is challenging if reference testing has not been performed in all individuals. We aimed to determine such thresholds through secondary analysis of the 2019 Lesotho national tuberculosis prevalence survey.
    Methods: Symptom screening and chest radiographs were performed in participants aged ≥15 years; those symptomatic or with abnormal chest radiographs provided samples for Xpert MTB/RIF and culture testing. Chest radiographs were processed using CAD4TB version 7. We used six methodological approaches to deal with participants who did not have bacteriological test results to estimate pulmonary tuberculosis prevalence and assess diagnostic accuracy.
    Results: Among 17 070 participants, 5214 (31%) had their tuberculosis status determined; 142 had tuberculosis. Prevalence estimates varied between methodological approaches (0.83-2.72%). Using multiple imputation to estimate tuberculosis status for those eligible but not tested, and assuming those not eligible for testing were negative, a CAD4TBv7 threshold of 13 had a sensitivity of 89.7% (95% CI 84.6-94.8) and a specificity of 74.2% (73.6-74.9), close to World Health Organization (WHO) target product profile criteria. Assuming all those not tested were negative produced similar results.
    Conclusions: This is the first study to evaluate CAD4TB in a community screening context employing a range of approaches to account for unknown tuberculosis status. The assumption that those not tested are negative - regardless of testing eligibility status - was robust. As threshold determination must be context specific, our analytically straightforward approach should be adopted to leverage prevalence surveys for CAD threshold determination in other settings with a comparable proportion of eligible but not tested participants.
    Language English
    Publishing date 2024-01-08
    Publishing country England
    Document type Journal Article
    ZDB-ID 2827830-6
    ISSN 2312-0541
    ISSN 2312-0541
    DOI 10.1183/23120541.00508-2023
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Explainable emphysema detection on chest radiographs with deep learning.

    Çallı, Erdi / Murphy, Keelin / Scholten, Ernst T / Schalekamp, Steven / van Ginneken, Bram

    PloS one

    2022  Volume 17, Issue 7, Page(s) e0267539

    Abstract: We propose a deep learning system to automatically detect four explainable emphysema signs on frontal and lateral chest radiographs. Frontal and lateral chest radiographs from 3000 studies were retrospectively collected. Two radiologists annotated these ... ...

    Abstract We propose a deep learning system to automatically detect four explainable emphysema signs on frontal and lateral chest radiographs. Frontal and lateral chest radiographs from 3000 studies were retrospectively collected. Two radiologists annotated these with 4 radiological signs of pulmonary emphysema identified from the literature. A patient with ≥2 of these signs present is considered emphysema positive. Using separate deep learning systems for frontal and lateral images we predict the presence of each of the four visual signs and use these to determine emphysema positivity. The ROC and AUC results on a set of 422 held-out cases, labeled by both radiologists, are reported. Comparison with a black-box model which predicts emphysema without the use of explainable visual features is made on the annotations from both radiologists, as well as the subset that they agreed on. DeLong's test is used to compare with the black-box model ROC and McNemar's test to compare with radiologist performance. In 422 test cases, emphysema positivity was predicted with AUCs of 0.924 and 0.946 using the reference standard from each radiologist separately. Setting model sensitivity equivalent to that of the second radiologist, our model has a comparable specificity (p = 0.880 and p = 0.143 for each radiologist respectively). Our method is comparable with the black-box model with AUCs of 0.915 (p = 0.407) and 0.935 (p = 0.291), respectively. On the 370 cases where both radiologists agreed (53 positives), our model achieves an AUC of 0.981, again comparable to the black-box model AUC of 0.972 (p = 0.289). Our proposed method can predict emphysema positivity on chest radiographs as well as a radiologist or a comparable black-box method. It additionally produces labels for four visual signs to ensure the explainability of the result. The dataset is publicly available at https://doi.org/10.5281/zenodo.6373392.
    MeSH term(s) Deep Learning ; Emphysema/diagnostic imaging ; Humans ; Pulmonary Emphysema/diagnostic imaging ; Radiography ; Radiography, Thoracic/methods ; Radiologists ; Retrospective Studies
    Language English
    Publishing date 2022-07-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0267539
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Nodule detection and generation on chest X-rays: NODE21 Challenge.

    Sogancioglu, Ecem / Van Ginneken, Bram / Behrendt, Finn / Bengs, Marcel / Schlaefer, Alexander / Radu, Miron / Xu, Di / Sheng, Ke / Scalzo, Fabien / Marcus, Eric / Papa, Samuele / Teuwen, Jonas / Scholten, Ernst Th / Schalekamp, Steven / Hendrix, Nils / Jacobs, Colin / Hendrix, Ward / Sanchez, Clara I / Murphy, Keelin

    IEEE transactions on medical imaging

    2024  Volume PP

    Abstract: Pulmonary nodules may be an early manifestation of lung cancer, the leading cause of cancer-related deaths among both men and women. Numerous studies have established that deep learning methods can yield high-performance levels in the detection of lung ... ...

    Abstract Pulmonary nodules may be an early manifestation of lung cancer, the leading cause of cancer-related deaths among both men and women. Numerous studies have established that deep learning methods can yield high-performance levels in the detection of lung nodules in chest X-rays. However, the lack of gold-standard public datasets slows down the progression of the research and prevents benchmarking of methods for this task. To address this, we organized a public research challenge, NODE21, aimed at the detection and generation of lung nodules in chest X-rays. While the detection track assesses state-of-the-art nodule detection systems, the generation track determines the utility of nodule generation algorithms to augment training data and hence improve the performance of the detection systems. This paper summarizes the results of the NODE21 challenge and performs extensive additional experiments to examine the impact of the synthetically generated nodule training images on the detection algorithm performance.
    Language English
    Publishing date 2024-03-26
    Publishing country United States
    Document type Journal Article
    ZDB-ID 622531-7
    ISSN 1558-254X ; 0278-0062
    ISSN (online) 1558-254X
    ISSN 0278-0062
    DOI 10.1109/TMI.2024.3382042
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Deep learning for chest X-ray analysis: A survey.

    Çallı, Erdi / Sogancioglu, Ecem / van Ginneken, Bram / van Leeuwen, Kicky G / Murphy, Keelin

    Medical image analysis

    2021  Volume 72, Page(s) 102125

    Abstract: Recent advances in deep learning have led to a promising performance in many medical image analysis tasks. As the most commonly performed radiological exam, chest radiographs are a particularly important modality for which a variety of applications have ... ...

    Abstract Recent advances in deep learning have led to a promising performance in many medical image analysis tasks. As the most commonly performed radiological exam, chest radiographs are a particularly important modality for which a variety of applications have been researched. The release of multiple, large, publicly available chest X-ray datasets in recent years has encouraged research interest and boosted the number of publications. In this paper, we review all studies using deep learning on chest radiographs published before March 2021, categorizing works by task: image-level prediction (classification and regression), segmentation, localization, image generation and domain adaptation. Detailed descriptions of all publicly available datasets are included and commercial systems in the field are described. A comprehensive discussion of the current state of the art is provided, including caveats on the use of public datasets, the requirements of clinically useful systems and gaps in the current literature.
    MeSH term(s) Deep Learning ; Humans ; Radiography ; X-Rays
    Language English
    Publishing date 2021-06-05
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 1356436-5
    ISSN 1361-8423 ; 1361-8431 ; 1361-8415
    ISSN (online) 1361-8423 ; 1361-8431
    ISSN 1361-8415
    DOI 10.1016/j.media.2021.102125
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Automated estimation of total lung volume using chest radiographs and deep learning.

    Sogancioglu, Ecem / Murphy, Keelin / Th Scholten, Ernst / Boulogne, Luuk H / Prokop, Mathias / van Ginneken, Bram

    Medical physics

    2022  Volume 49, Issue 7, Page(s) 4466–4477

    Abstract: Background: Total lung volume is an important quantitative biomarker and is used for the assessment of restrictive lung diseases.: Purpose: In this study, we investigate the performance of several deep-learning approaches for automated measurement of ...

    Abstract Background: Total lung volume is an important quantitative biomarker and is used for the assessment of restrictive lung diseases.
    Purpose: In this study, we investigate the performance of several deep-learning approaches for automated measurement of total lung volume from chest radiographs.
    Methods: About 7621 posteroanterior and lateral view chest radiographs (CXR) were collected from patients with chest CT available. Similarly, 928 CXR studies were chosen from patients with pulmonary function test (PFT) results. The reference total lung volume was calculated from lung segmentation on CT or PFT data, respectively. This dataset was used to train deep-learning architectures to predict total lung volume from chest radiographs. The experiments were constructed in a stepwise fashion with increasing complexity to demonstrate the effect of training with CT-derived labels only and the sources of error. The optimal models were tested on 291 CXR studies with reference lung volume obtained from PFT. Mean absolute error (MAE), mean absolute percentage error (MAPE), and Pearson correlation coefficient (Pearson's r) were computed.
    Results: The optimal deep-learning regression model showed an MAE of 408 ml and an MAPE of 8.1% using both frontal and lateral chest radiographs as input. The predictions were highly correlated with the reference standard (Pearson's r = 0.92). CT-derived labels were useful for pretraining but the optimal performance was obtained by fine-tuning the network with PFT-derived labels.
    Conclusion: We demonstrate, for the first time, that state-of-the-art deep-learning solutions can accurately measure total lung volume from plain chest radiographs. The proposed model is made publicly available and can be used to obtain total lung volume from routinely acquired chest radiographs at no additional cost. This deep-learning system can be a useful tool to identify trends over time in patients referred regularly for chest X-ray.
    MeSH term(s) Deep Learning ; Humans ; Lung/diagnostic imaging ; Lung Volume Measurements ; Radiography, Thoracic/methods ; Retrospective Studies ; Thorax
    Language English
    Publishing date 2022-04-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 188780-4
    ISSN 2473-4209 ; 0094-2405
    ISSN (online) 2473-4209
    ISSN 0094-2405
    DOI 10.1002/mp.15655
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Incidental radiological findings during clinical tuberculosis screening in Lesotho and South Africa: a case series.

    Glaser, Naomi / Bosman, Shannon / Madonsela, Thandanani / van Heerden, Alastair / Mashaete, Kamele / Katende, Bulemba / Ayakaka, Irene / Murphy, Keelin / Signorell, Aita / Lynen, Lutgarde / Bremerich, Jens / Reither, Klaus

    Journal of medical case reports

    2023  Volume 17, Issue 1, Page(s) 365

    Abstract: Background: Chest X-ray offers high sensitivity and acceptable specificity as a tuberculosis screening tool, but in areas with a high burden of tuberculosis, there is often a lack of radiological expertise to interpret chest X-ray. Computer-aided ... ...

    Abstract Background: Chest X-ray offers high sensitivity and acceptable specificity as a tuberculosis screening tool, but in areas with a high burden of tuberculosis, there is often a lack of radiological expertise to interpret chest X-ray. Computer-aided detection systems based on artificial intelligence are therefore increasingly used to screen for tuberculosis-related abnormalities on digital chest radiographies. The CAD4TB software has previously been shown to demonstrate high sensitivity for chest X-ray tuberculosis-related abnormalities, but it is not yet calibrated for the detection of non-tuberculosis abnormalities. When screening for tuberculosis, users of computer-aided detection need to be aware that other chest pathologies are likely to be as prevalent as, or more prevalent than, active tuberculosis. However, non--tuberculosis chest X-ray abnormalities detected during chest X-ray screening for tuberculosis remain poorly characterized in the sub-Saharan African setting, with only minimal literature.
    Case presentation: In this case series, we report on four cases with non-tuberculosis abnormalities detected on CXR in TB TRIAGE + ACCURACY (ClinicalTrials.gov Identifier: NCT04666311), a study in adult presumptive tuberculosis cases at health facilities in Lesotho and South Africa to determine the diagnostic accuracy of two potential tuberculosis triage tests: computer-aided detection (CAD4TB v7, Delft, the Netherlands) and C-reactive protein (Alere Afinion, USA). The four Black African participants presented with the following chest X-ray abnormalities: a 59-year-old woman with pulmonary arteriovenous malformation, a 28-year-old man with pneumothorax, a 20-year-old man with massive bronchiectasis, and a 47-year-old woman with aspergilloma.
    Conclusions: Solely using chest X-ray computer-aided detection systems based on artificial intelligence as a tuberculosis screening strategy in sub-Saharan Africa comes with benefits, but also risks. Due to the limitation of CAD4TB for non-tuberculosis-abnormality identification, the computer-aided detection software may miss significant chest X-ray abnormalities that require treatment, as exemplified in our four cases. Increased data collection, characterization of non-tuberculosis anomalies and research on the implications of these diseases for individuals and health systems in sub-Saharan Africa is needed to help improve existing artificial intelligence software programs and their use in countries with high tuberculosis burden.
    MeSH term(s) Adult ; Male ; Female ; Humans ; Middle Aged ; Young Adult ; Lesotho ; South Africa ; Artificial Intelligence ; Radiography ; Radiographic Image Enhancement
    Language English
    Publishing date 2023-08-25
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 2269805-X
    ISSN 1752-1947 ; 1752-1947
    ISSN (online) 1752-1947
    ISSN 1752-1947
    DOI 10.1186/s13256-023-04097-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Optimising computer aided detection to identify intra-thoracic tuberculosis on chest x-ray in South African children.

    Palmer, Megan / Seddon, James A / van der Zalm, Marieke M / Hesseling, Anneke C / Goussard, Pierre / Schaaf, H Simon / Morrison, Julie / van Ginneken, Bram / Melendez, Jaime / Walters, Elisabetta / Murphy, Keelin

    PLOS global public health

    2023  Volume 3, Issue 5, Page(s) e0001799

    Abstract: Diagnostic tools for paediatric tuberculosis remain limited, with heavy reliance on clinical algorithms which include chest x-ray. Computer aided detection (CAD) for tuberculosis on chest x-ray has shown promise in adults. We aimed to measure and ... ...

    Abstract Diagnostic tools for paediatric tuberculosis remain limited, with heavy reliance on clinical algorithms which include chest x-ray. Computer aided detection (CAD) for tuberculosis on chest x-ray has shown promise in adults. We aimed to measure and optimise the performance of an adult CAD system, CAD4TB, to identify tuberculosis on chest x-rays from children with presumptive tuberculosis. Chest x-rays from 620 children <13 years enrolled in a prospective observational diagnostic study in South Africa, were evaluated. All chest x-rays were read by a panel of expert readers who attributed each with a radiological reference of either 'tuberculosis' or 'not tuberculosis'. Of the 525 chest x-rays included in this analysis, 80 (40 with a reference of 'tuberculosis' and 40 with 'not tuberculosis') were allocated to an independent test set. The remainder made up the training set. The performance of CAD4TB to identify 'tuberculosis' versus 'not tuberculosis' on chest x-ray against the radiological reference read was calculated. The CAD4TB software was then fine-tuned using the paediatric training set. We compared the performance of the fine-tuned model to the original model. Our findings were that the area under the receiver operating characteristic curve (AUC) of the original CAD4TB model, prior to fine-tuning, was 0.58. After fine-tuning there was an improvement in the AUC to 0.72 (p = 0.0016). In this first-ever description of the use of CAD to identify tuberculosis on chest x-ray in children, we demonstrate a significant improvement in the performance of CAD4TB after fine-tuning with a set of well-characterised paediatric chest x-rays. CAD has the potential to be a useful additional diagnostic tool for paediatric tuberculosis. We recommend replicating the methods we describe using a larger chest x-ray dataset from a more diverse population and evaluating the potential role of CAD to replace a human-read chest x-ray within treatment-decision algorithms for paediatric tuberculosis.
    Language English
    Publishing date 2023-05-16
    Publishing country United States
    Document type Journal Article
    ISSN 2767-3375
    ISSN (online) 2767-3375
    DOI 10.1371/journal.pgph.0001799
    Database MEDical Literature Analysis and Retrieval System OnLINE

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