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Development and cost analysis of a lung nodule management strategy combining artificial intelligence and lung reporting and data systems for baseline lung cancer screening

Journal of the American College of Radiology Jan 23, 2021

Adams SJ, Mondal P, Penz E, et al. - This study was intended to help construct a lung nodule management strategy combining the Lung CT Screening Reporting and Data System (Lung-RADS) with an artificial intelligence (AI) malignancy-risk score and ascertain its effect on follow-up investigations and related costs in a baseline lung cancer screening population. For 192 baseline low-dose CT studies, a secondary analysis was done using a data set of AI malignancy risk scores and Lung-RADS classifications from six radiologists. Researchers ascertained Lung-RADS and the AI-informed management strategy. The findings exhibited that fewer follow-up investigations and substantial cost savings may result from lung cancer screening using an AI risk score combined with Lung-RADS at baseline. The AI-informed management strategy achieved sensitivity of 91% and a specificity of 96%.

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