{"id":26828,"date":"2023-04-25T11:35:03","date_gmt":"2023-04-25T15:35:03","guid":{"rendered":"https:\/\/michigan.it.umich.edu\/news\/?p=26828"},"modified":"2024-07-08T06:04:18","modified_gmt":"2024-07-08T10:04:18","slug":"physician-aided-ai-improves-detection-of-acute-respiratory-distress-syndrome","status":"publish","type":"post","link":"https:\/\/michigan.it.umich.edu\/news\/2023\/04\/25\/physician-aided-ai-improves-detection-of-acute-respiratory-distress-syndrome\/","title":{"rendered":"Physician-aided AI improves detection of acute respiratory distress syndrome"},"content":{"rendered":"<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"500\" height=\"375\" src=\"https:\/\/michigan.it.umich.edu\/news\/wp-content\/uploads\/2023\/04\/shutterstock_2214659121-web-small.png\" alt=\"A dynamic illustration of lungs and a hand pointing to a specific area of a lung.\" class=\"wp-image-26830\" srcset=\"https:\/\/michigan.it.umich.edu\/news\/wp-content\/uploads\/2023\/04\/shutterstock_2214659121-web-small.png 500w, https:\/\/michigan.it.umich.edu\/news\/wp-content\/uploads\/2023\/04\/shutterstock_2214659121-web-small-300x225.png 300w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><figcaption class=\"wp-element-caption\">Researchers find that using artificial intelligence in a way that collaborates with physicians, rather than replaces them, could result in higher diagnostic accuracy while also potentially reducing physician workload.<\/figcaption><\/figure>\n<\/div>\n\n\n<p>Acute respiratory distress syndrome (ARDS) is a deadly critical illness that has a high mortality. However, recognition and diagnosis of ARDS is often missed or delayed, and patients do not receive evidenced-based care when ARDS goes unrecognized.<\/p>\n\n\n\n<p>To help physicians identify ARDS faster and more reliably, researchers at U-M\u2019s Max Harry Weil Institute for Critical Care Research and Innovation and Michigan Medicine developed <a href=\"https:\/\/www.thelancet.com\/journals\/landig\/article\/PIIS2589-7500(21)00056-X\/fulltext\">a deep learning algorithm trained to detect ARDS findings in chest X-rays. <\/a>Now, in <a rel=\"noreferrer noopener\" href=\"https:\/\/www.nature.com\/articles\/s41746-023-00797-9\" target=\"_blank\">a new study published in <em>npj Digital Medicine<\/em><\/a>, the team examined the unique strengths and weaknesses of this model compared to those of human expert physicians. They also explored how a model and physicians could potentially work together to improve ARDS diagnosis, ultimately improving outcomes for patients.<\/p>\n\n\n\n<p>\u201cThanks to recent advances in artificial intelligence&nbsp;(AI), we have deep learning systems that can diagnose health conditions based on clinical images with expert-level accuracy,\u201d said Dr. Negar Farzaneh, a Weil Institute Research Investigator and Data Scientist, as well as lead author on the study. \u201cBut we\u2019re also seeing a gap between studies describing the capabilities of these systems and efforts to investigate how or when to integrate them in a manner that supports physicians and improves diagnosis. That gap is something we wanted to address in our study.\u201d<\/p>\n\n\n\n<p>Using a reference standard of 414 chest X-rays from adult hospital patients with acute hypoxic respiratory failure, the team deployed the AI model alongside a group of physicians who had expertise in chest x-ray interpretation&nbsp;for ARDS detection. To determine the strengths and weaknesses of both groups, the team measured three factors: overall performance in ARDS detection, accuracy based on difficulty of X-ray interpretation, and level of AI\/physician certainty in their interpretations.<\/p>\n\n\n\n<p>Compared to the physicians, the AI model demonstrated higher overall performance in detecting whether ARDS findings were present. But while the model had a stronger showing at first, the team hypothesized that X-ray difficulty may play a key role.&nbsp;<\/p>\n\n\n\n<p>To explore this concept further, the team divided the X-rays based on how challenging they were to classify&#8211;with \u201cdifficult\u201d defined as those in which there was disagreement among the physicians regarding the interpretations. The researchers found that the AI model outperformed the physicians in interpreting chest X-rays that were not as difficult to review. However, the physicians were better at reviewing the minority of chest X-rays that were more difficult to review. Both physicians and the model also rated their confidences in the chest X-ray interpretation, and the team found that when one was less confident the other performed better.<\/p>\n\n\n\n<p>\u201cIt&#8217;s interesting to see how the AI model and physicians can complement each other&#8217;s strengths. In situations where physicians lacked confidence in interpreting a chest X-ray, the AI model provided more accurate results, and vice versa,\u201d said Dr. Farzaneh.<\/p>\n\n\n\n<p><a href=\"https:\/\/weilinstitute.med.umich.edu\/latest-news\/ai-ards\">Read the full article on the Weill Institute website<\/a>. <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Acute respiratory distress syndrome (ARDS) is a deadly critical illness that has a high mortality. However, recognition and diagnosis of ARDS is often missed or delayed, and patients do not receive evidenced-based care when ARDS goes unrecognized. To help physicians identify ARDS faster and more reliably, researchers at U-M\u2019s Max Harry Weil Institute for Critical Care Research and\u2026 <span class=\"read-more\"><a href=\"https:\/\/michigan.it.umich.edu\/news\/2023\/04\/25\/physician-aided-ai-improves-detection-of-acute-respiratory-distress-syndrome\/\">Read More &raquo;<\/a><\/span><\/p>\n","protected":false},"author":188,"featured_media":26830,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","_umich_oidc_access":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_ef_editorial_meta_date_first-draft-date":"","_ef_editorial_meta_paragraph_assignment":"","_ef_editorial_meta_checkbox_needs-photo":"","_ef_editorial_meta_number_word-count":"","footnotes":""},"categories":[5,4],"tags":[],"class_list":["post-26828","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-campus-news","category-features"],"uagb_featured_image_src":{"full":["https:\/\/michigan.it.umich.edu\/news\/wp-content\/uploads\/2023\/04\/shutterstock_2214659121-web-small.png",500,375,false],"thumbnail":["https:\/\/michigan.it.umich.edu\/news\/wp-content\/uploads\/2023\/04\/shutterstock_2214659121-web-small-400x266.png",400,266,true],"medium":["https:\/\/michigan.it.umich.edu\/news\/wp-content\/uploads\/2023\/04\/shutterstock_2214659121-web-small-300x225.png",300,225,true],"medium_large":["https:\/\/michigan.it.umich.edu\/news\/wp-content\/uploads\/2023\/04\/shutterstock_2214659121-web-small.png",500,375,false],"large":["https:\/\/michigan.it.umich.edu\/news\/wp-content\/uploads\/2023\/04\/shutterstock_2214659121-web-small.png",500,375,false],"1536x1536":["https:\/\/michigan.it.umich.edu\/news\/wp-content\/uploads\/2023\/04\/shutterstock_2214659121-web-small.png",500,375,false],"2048x2048":["https:\/\/michigan.it.umich.edu\/news\/wp-content\/uploads\/2023\/04\/shutterstock_2214659121-web-small.png",500,375,false],"excerpt-thumbnail":["https:\/\/michigan.it.umich.edu\/news\/wp-content\/uploads\/2023\/04\/shutterstock_2214659121-web-small-200x140.png",200,140,true],"themonic-thumbnail":["https:\/\/michigan.it.umich.edu\/news\/wp-content\/uploads\/2023\/04\/shutterstock_2214659121-web-small-60x42.png",60,42,true],"ioslider-thumbnail":["https:\/\/michigan.it.umich.edu\/news\/wp-content\/uploads\/2023\/04\/shutterstock_2214659121-web-small-500x300.png",500,300,true],"post-thumbnail":["https:\/\/michigan.it.umich.edu\/news\/wp-content\/uploads\/2023\/04\/shutterstock_2214659121-web-small.png",500,375,false],"400x250-crop":["https:\/\/michigan.it.umich.edu\/news\/wp-content\/uploads\/2023\/04\/shutterstock_2214659121-web-small-400x250.png",400,250,true]},"uagb_author_info":{"display_name":"Kate Murphy, Weil Institute","author_link":"https:\/\/michigan.it.umich.edu\/news\/author\/mukately\/"},"uagb_comment_info":0,"uagb_excerpt":"Acute respiratory distress syndrome (ARDS) is a deadly critical illness that has a high mortality. However, recognition and diagnosis of ARDS is often missed or delayed, and patients do not receive evidenced-based care when ARDS goes unrecognized. To help physicians identify ARDS faster and more reliably, researchers at U-M\u2019s Max Harry Weil Institute for Critical&hellip;","_links":{"self":[{"href":"https:\/\/michigan.it.umich.edu\/news\/wp-json\/wp\/v2\/posts\/26828","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/michigan.it.umich.edu\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/michigan.it.umich.edu\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/michigan.it.umich.edu\/news\/wp-json\/wp\/v2\/users\/188"}],"replies":[{"embeddable":true,"href":"https:\/\/michigan.it.umich.edu\/news\/wp-json\/wp\/v2\/comments?post=26828"}],"version-history":[{"count":2,"href":"https:\/\/michigan.it.umich.edu\/news\/wp-json\/wp\/v2\/posts\/26828\/revisions"}],"predecessor-version":[{"id":26831,"href":"https:\/\/michigan.it.umich.edu\/news\/wp-json\/wp\/v2\/posts\/26828\/revisions\/26831"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/michigan.it.umich.edu\/news\/wp-json\/wp\/v2\/media\/26830"}],"wp:attachment":[{"href":"https:\/\/michigan.it.umich.edu\/news\/wp-json\/wp\/v2\/media?parent=26828"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/michigan.it.umich.edu\/news\/wp-json\/wp\/v2\/categories?post=26828"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/michigan.it.umich.edu\/news\/wp-json\/wp\/v2\/tags?post=26828"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}