{"id":1503,"date":"2024-01-09T20:11:14","date_gmt":"2024-01-09T20:11:14","guid":{"rendered":"https:\/\/www.lunit.io\/publication\/comparison-of-commercial-ai-software-performance-for-radiograph-lung-nodule-detection-and-bone-age-prediction\/"},"modified":"2025-11-02T12:28:15","modified_gmt":"2025-11-02T12:28:15","slug":"comparison-of-commercial-ai-software-performance-for-radiograph-lung-nodule-detection-and-bone-age-prediction","status":"publish","type":"publication","link":"https:\/\/www.lunit.io\/en\/publication\/comparison-of-commercial-ai-software-performance-for-radiograph-lung-nodule-detection-and-bone-age-prediction\/","title":{"rendered":"Comparison of Commercial AI Software Performance for Radiograph Lung Nodule Detection and Bone Age Prediction"},"content":{"rendered":"<h3>Comparison of Commercial AI Software Performance for Radiograph Lung Nodule Detection and Bone Age Prediction<\/h3>\n<p>Kicky van Leeuwen KG, Schalekamp S, Rutten MJCM, Huisman M, Schaefer-Prokop CM, de Rooij M, van Ginneken B, Maresch B, Geurts BHJ, van Dijke CF, Laupman-Koedam E, Hulleman EV, Verhoeff EL, Meys EMJ, Mohamed Hoesein FAA, Ter Brugge FM, van Hoorn F, van der Wel F, van den Berk IAH, Luyendijk JM, Meakin J, Habets J, Verbeke JIML, Nederend J, Meys KME, Deden LN, Langezaal LCM, Nasrollah M, Meij M, Boomsma MF, Vermeulen M, Vestering MM, Vijlbrief O, Algra P, Algra S, Bollen SM, Samson T, von Brucken Fock YHG; Project AIR Working Group<\/p>\n<p><strong>European Journal of Radiology, 2024<\/strong><\/p>\n<p><strong>Abstract<\/strong><br \/>\n<strong>Background<\/strong><br \/>\nMultiple commercial artificial intelligence (AI) products exist for assessing radiographs; however, comparable performance data for these algorithms are limited.<\/p>\n<p><strong>Purpose<\/strong><br \/>\nTo perform an independent, stand-alone validation of commercially available AI products for bone age prediction based on hand radiographs and lung nodule detection on chest radiographs.<\/p>\n<p><strong>Materials and Methods<\/strong><br \/>\nThis retrospective study was carried out as part of Project AIR. Nine of 17 eligible AI products were validated on data from seven Dutch hospitals. For bone age prediction, the root mean square error (RMSE) and Pearson correlation coefficient were computed. The reference standard was set by three to five expert readers. For lung nodule detection, the area under the receiver operating characteristic curve (AUC) was computed. The reference standard was set by a chest radiologist based on CT. Randomized subsets of hand (n = 95) and chest (n = 140) radiographs were read by 14 and 17 human readers, respectively, with varying experience.<\/p>\n<p><strong>Results<\/strong><br \/>\nTwo bone age prediction algorithms were tested on hand radiographs (from January 2017 to January 2022) in 326 patients (mean age, 10 years \u00b1 4 [SD]; 173 female patients) and correlated strongly with the reference standard (r = 0.99; P &lt; .001 for both). No difference in RMSE was observed between algorithms (0.63 years [95% CI: 0.58, 0.69] and 0.57 years [95% CI: 0.52, 0.61]) and readers (0.68 years [95% CI: 0.64, 0.73]). Seven lung nodule detection algorithms were validated on chest radiographs (from January 2012 to May 2022) in 386 patients (mean age, 64 years \u00b1 11; 223 male patients). Compared with readers (mean AUC, 0.81 [95% CI: 0.77, 0.85]), four algorithms performed better (AUC range, 0.86\u20130.93; P value range, &lt;.001 to .04).<\/p>\n<p><strong>Conclusions<\/strong><br \/>\nCompared with human readers, four AI algorithms for detecting lung nodules on chest radiographs showed improved performance, whereas the remaining algorithms tested showed no evidence of a difference in performance.<\/p>\n<p style=\"text-align: center;\"><a href=\"https:\/\/pubs.rsna.org\/doi\/10.1148\/radiol.230981\"><strong>Read the full paper<\/strong><\/a><\/p>\n","protected":false},"featured_media":0,"template":"","publication-oncology":[],"publication-region":[89],"publication-type":[],"radiology":[104,106,96],"class_list":["post-1503","publication","type-publication","status-publish","hentry","publication-region-europe","radiology-chest","radiology-improving-accuracy","radiology-lunit-insight"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Comparison of Commercial AI Software Performance for Radiograph Lung Nodule Detection and Bone Age Prediction - Lunit<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.lunit.io\/en\/publication\/comparison-of-commercial-ai-software-performance-for-radiograph-lung-nodule-detection-and-bone-age-prediction\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Comparison of Commercial AI Software Performance for Radiograph Lung Nodule Detection and Bone Age Prediction - Lunit\" \/>\n<meta property=\"og:description\" content=\"Comparison of Commercial AI Software Performance for Radiograph Lung Nodule Detection and Bone Age Prediction Kicky van Leeuwen KG, Schalekamp S, Rutten MJCM, Huisman M, Schaefer-Prokop CM, de Rooij M, van Ginneken B, Maresch B, Geurts BHJ, van Dijke CF, Laupman-Koedam E, Hulleman EV, Verhoeff EL, Meys EMJ, Mohamed Hoesein FAA, Ter Brugge FM, van [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.lunit.io\/en\/publication\/comparison-of-commercial-ai-software-performance-for-radiograph-lung-nodule-detection-and-bone-age-prediction\/\" \/>\n<meta property=\"og:site_name\" content=\"Lunit\" \/>\n<meta property=\"article:modified_time\" content=\"2025-11-02T12:28:15+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@lunit_ai\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.lunit.io\\\/en\\\/publication\\\/comparison-of-commercial-ai-software-performance-for-radiograph-lung-nodule-detection-and-bone-age-prediction\\\/\",\"url\":\"https:\\\/\\\/www.lunit.io\\\/en\\\/publication\\\/comparison-of-commercial-ai-software-performance-for-radiograph-lung-nodule-detection-and-bone-age-prediction\\\/\",\"name\":\"Comparison of Commercial AI Software Performance for Radiograph Lung Nodule Detection and Bone Age Prediction - 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