J 2025

Artificial intelligence-assisted chest radiograph interpretation in Role 2 military field hospital settings: a controlled experimental study

MAJOVSKY, Martin; Vojtech SEDLAK; Martin KOMARC; Tomas HENLIN; Martin CERNY et al.

Základní údaje

Originální název

Artificial intelligence-assisted chest radiograph interpretation in Role 2 military field hospital settings: a controlled experimental study

Autoři

MAJOVSKY, Martin; Vojtech SEDLAK; Martin KOMARC; Tomas HENLIN; Martin CERNY; Peter MAJOVSKY; Tomas TUMA; Petr SUSTEK; Lucie SIROKA; Martin SOLC; Lukas MIKLAS; Jan KOLOUCH; Norbert SVOBODA; Jan PALENIK; Jan BRIXI; Tomas GOTTVALD; Ladislav SINDELAR; Stepan KASPER; Jaroslav CHOMIC; Ondrej KULIHA; Petr SVOBODA; David NETUKA a Vaclav MASOPUST

Vydání

TRAUMA SURGERY & ACUTE CARE OPEN, 2025, 2397-5776

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30212 Surgery

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 2.200 v roce 2024

Označené pro přenos do RIV

Ano

Organizační jednotka

Ambis Univerzita

DOI

https://doi.org/10.1136/tsaco-2024-001700

UT WoS

001596265300001

Klíčová slova česky

diagnostic accuracyMachine learningdiagnosisThoraxmilitary medicineartificial intelligence

Klíčová slova anglicky

diagnostic accuracy;Machine learning;diagnosis;Thorax;military medicine;artificial intelligence

Štítky

RIV_2025
Změněno: 2. 2. 2026 17:09, Ing. Kateřina Lendrová

Anotace

V originále

Introduction Forward military field hospitals often operate in battle zone environments where access to specialized personnel, such as radiologists, is limited, complicating the accuracy of diagnostic imaging. Chest radiographs are crucial for assessing thoracic injuries and other conditions, but their interpretation frequently falls to non-radiologist personnel. This study evaluates the effectiveness of an artificial intelligence (AI)-assisted model in enhancing the diagnostic accuracy of chest radiographs in such resource-limited settings. Methods Nine board-certified military physicians from various non-radiology specialties interpreted 159 anonymized chest radiographs, both with and without the support of AI. The AI model, INSIGHT CXR, generated automated descriptions for 80 radiographs, whereas 79 were interpreted without AI support. A linear mixed-effects model was used to assess the difference in diagnostic accuracy between the two conditions. Secondary analyses examined the effects of radiograph type and physician specialty on diagnostic performance. Results AI support increased mean diagnostic accuracy by 9.4% (p<0.001) from pretest to post-test, representing a 23.15% relative improvement. This improvement was consistent across both normal and abnormal findings, with no significant differences observed based on radiograph type or physician specialty. These findings suggest that AI tools can serve as effective support in field hospitals, improving diagnostic precision and decision-making in the absence of radiologists. Conclusions This study highlights the potential for AI-assisted radiograph interpretation to enhance diagnostic accuracy in military field hospitals. If AI tools are proven reliable, they could be integrated into the workflow of forward field hospitals, improving the quality of care for injured personnel. Immediate benefits may include faster diagnoses, increased personnel readiness, optimized performance, and cost savings, leading to better outcomes in combat operations. Level of evidence II. Diagnostic Test.
Zobrazeno: 19. 6. 2026 17:49