Computer-assisted detection of pulmonary embolism: evaluation of pulmonary CT angiograms performed in an on-call setting.
Publication year
2010Source
European Radiology, 20, 4, (2010), pp. 801-6ISSN
Annotation
01 april 2010
Publication type
Article / Letter to editor

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Organization
Radiology
Journal title
European Radiology
Volume
vol. 20
Issue
iss. 4
Page start
p. 801
Page end
p. 6
Subject
NCEBP 14: Cardiovascular diseasesAbstract
PURPOSE: The purpose of the study was to assess the stand-alone performance of computer-assisted detection (CAD) for evaluation of pulmonary CT angiograms (CTPA) performed in an on-call setting. METHODS: In this institutional review board-approved study, we retrospectively included 292 consecutive CTPA performed during night shifts and weekends over a period of 16 months. Original reports were compared with a dedicated CAD system for pulmonary emboli (PE). A reference standard for the presence of PE was established using independent evaluation by two readers and consultation of a third experienced radiologist in discordant cases. RESULTS: Original reports had described 225 negative studies and 67 positive studies for PE. CAD found PE in seven patients originally reported as negative but identified by independent evaluation: emboli were located in segmental (n = 2) and subsegmental arteries (n = 5). The negative predictive value (NPV) of the CAD algorithm was 92% (44/48). On average there were 4.7 false positives (FP) per examination (median 2, range 0-42). In 72% of studies <or=5 FP were found, 13% of studies had >or=10 FP. CONCLUSION: CAD identified small emboli originally missed under clinical conditions and found 93% of the isolated subsegmental emboli. On average there were 4.7 FP per examination.
This item appears in the following Collection(s)
- Academic publications [227942]
- Faculty of Medical Sciences [86237]
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