Example of a screening examination with a screen-detected cancer that would have been missed by AI (IMAGE)
Caption
The only example of a screening examination with a screen-detected cancer that would have been missed by AI in a hybrid reading strategy based on the AI uncertainty score of the entropy of the mean probability of malignancy (PoM) score of the most suspicious region. During screening, a 52-year-old woman was recalled following arbitration scoring of the right breast as Breast Imaging Reporting and Data System (BI-RADS) 4 after the first and second radiologists scored the right breast as BI-RADS 1 and 4, respectively. This woman would not have been recalled if the examination was read by the AI model, which assigned a PoM score of 30, which would be classified as a certain prediction with an uncertainty quantification of 0.57. Both the mediolateral oblique (left) and craniocaudal (right) views of the affected breast are shown. The boxes indicate the calcifications found during screening, and the final diagnosis of this examination was ductal carcinoma in situ.
Credit
Radiological Society of North America (RSNA)
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May use with credit.
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