Agreement on Chest X-Rays in Home Hospitalization
Author Information
Author(s): Eitan Grossbard, Yehonatan Marziano, Adam Sharabi, Eliyahu Abutbul, Aya Berman, Reut Kassif-Lerner, Galia Barkai, Hila Hakim, Gad Segal
Primary Institution: Chaim Sheba Medical Center, Faculty of Medicine, Tel-Aviv University
Hypothesis
How do interpretations of chest x-rays by radiologists, internal medicine specialists, and AI compare in a hospital-at-home setting?
Conclusion
Chest x-rays are crucial in home hospitalization, showing substantial agreement between specialists and radiologists, but AI interpretation needs further validation.
Supporting Evidence
- 300 chest x-rays were performed at home for 260 patients.
- 95.3% of x-rays were interpreted by internal medicine specialists.
- Substantial agreement (κ=0.65) was found between internal medicine specialists and radiologists.
Takeaway
Doctors and AI looked at chest x-rays for patients at home, and they mostly agreed on what they saw, but the AI still needs to get better.
Methodology
A prospective observational study analyzing chest x-ray interpretations by different modalities in home hospitalization.
Potential Biases
Potential interpretation bias due to the limited number of physicians and specific AI algorithm used.
Limitations
The study was single-centered with a limited number of patients and used specific technology, which may introduce bias.
Participant Demographics
Median age of 74 years, with 55% women and 71% having cardiovascular disease.
Digital Object Identifier (DOI)
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