arXiv AI By Aawez Mansuri, Mohammadreza Chavoshi, Theodorus Dapamede, Wasif Bala, Beatrice Brown-Mulry, Rohan Isaac, Bardia Khosravi, Hanzhou Li, Frank Li, John T. Moon, Chad Robichaux, Dan I. G. Cohen-Addad, Ninad V. Salastekar, Janice Newsome, Judy W. Gichoya, Hari Trivedi

Multi-Site Real-World Performance of Commercial AI for Pulmonary and Incidental Pulmonary Embolism Detection

Read the original on arXiv AI →

The Flow has not summarised this story yet — read it at arXiv AI.

arXiv Computer Vision
Aug 26

Model Effect or Label Effect? Refined Annotations and a Human-Referenced Benchmark for Pulmonary Embolism Segmentation

The study investigates how refined annotations versus model training changes affect pulmonary embolism segmentation performance. By re‑annotating 149 CT pulmonary angiography cases and evaluating two pretrained nnU-Net models, the authors find that improving annotation quality increases the Dice similarity coefficient (DSC) by 0.143–0.188, far exceeding the 0.028 DSC change from altering training datasets. A new human‑referenced benchmark model (nnPE) was trained and publicly released, though it performed below all annotators in paired comparisons.

By Qihang Sun, Zhongxiao Liu, Bailiang Jian, Shenman Qiu, Jingyuan Wang, Lei Zhang, Lixiang Xie, Jiazhen Pan, Christian Wachinger
arXiv AI
Aug 24

Fine-tuning an ECG Foundation Model to Predict Coronary CT Angiography Outcomes

A multicenter study developed an AI-enabled electrocardiography (AI-ECG) model that predicts vessel-specific hemodynamically significant stenosis using coronary computed tomographic angiography (CCTA) as the reference. The model demonstrated strong discrimination in internal and external cohorts, including normal ECGs, and produced low-, intermediate-, and high-risk strata that correlated with stenosis severity and major adverse cardiovascular events. Calibration, decision curve analyses, and integration with guideline-based pre-test probability showed clinical utility, while waveform and attribution analyses revealed physiologically meaningful ECG features linked to high-risk predictions.

By Yujie Xiao, Qinghao Zhao, Gongzheng Tang, Hao Zhang, Zhuoran Kan, Deyun Zhang, Jun Li, Guangkun Nie, Xiaocheng Fang, Haoyu Wang, Shun Huang, Tong Liu, Jian Liu, Kangyin Chen, Shenda Hong
arXiv Computer Vision
Aug 27

Auditable CT Phenotyping Through Report-derived Radiological Observations

The study introduces Auditable CT Phenotyping (ACT), a method that uses report-derived radiological observations to predict 221 electronic-health-record phenotypes from CT scans. Trained on 38,317 patients and evaluated on 25,183 held‑out patients, ACT outperformed five vision‑language baselines and CT‑CLIP in both zero‑shot and linear probing settings. Analysis of the model’s probes revealed that a small set of observations, such as aortic and coronary calcification, dominated top predictions, but restricting the observation bank to clinician‑specified evidence improved interpretability without sacrificing accuracy.

By Riga Wu, Walter Witschey, Yicheng Li, Felix Barajas Ordonez, Keno K. Bressem, Lisa C. Adams, Gary E. Weissman, Li Shen, Christos Davatzikos, Eduardo Barbosa, Daniel Truhn, Tianyu Han
arXiv Computer Vision
Sep 7

Cross-dataset transportability of pediatric chest X-ray deep learning across three countries: discrimination, calibration, operating-point failure, and limited-label recovery

The study evaluates a deep‑learning model for pediatric pneumonia detection across chest X‑ray datasets from three countries, assessing discrimination, calibration, operating‑point transport, shortcut signals, and limited‑label recovery. Using a frozen DenseNet121 ensemble trained on Guangzhou data, the model achieved high internal AUROC (0.976) but performance dropped when applied zero‑shot to Bangladesh (AUROC 0.798) and Vietnam (AUROC 0.742). Limited‑label adaptation with Platt recalibration restored sensitivity but introduced significant specificity variability, highlighting the need to evaluate multiple performance dimensions in cross‑dataset transport studies.

By Nazim-E-Alam
arXiv AI
Jun 2

RadAgent: A tool-using AI agent for stepwise interpretation of chest computed tomography

arXiv:2604. 15231v2 Announce Type: replace Abstract: Vision-language models (VLM) have markedly advanced AI-driven interpretation and reporting of complex medical imaging, such as computed tomography (CT).

By M\'elanie Roschewitz, Kenneth Styppa, Yitian Tao, Jiwoong Sohn, Jean-Benoit Delbrouck, Benjamin Gundersen, Nicolas Deperrois, Christian Bluethgen, Julia E. Vogt, Bjoern Menze, Farhad Nooralahzadeh, Michael Krauthammer, Michael Moor