{"id":1592,"date":"2020-03-11T20:11:33","date_gmt":"2020-03-11T20:11:33","guid":{"rendered":"https:\/\/www.lunit.io\/publication\/deep-learning-algorithm-for-surveillance-of-pneumothorax-after-lung-biopsy-a-multicenter-diagnostic-cohort-study\/"},"modified":"2025-11-01T16:03:50","modified_gmt":"2025-11-01T16:03:50","slug":"deep-learning-algorithm-for-surveillance-of-pneumothorax-after-lung-biopsy-a-multicenter-diagnostic-cohort-study","status":"publish","type":"publication","link":"https:\/\/www.lunit.io\/en\/publication\/deep-learning-algorithm-for-surveillance-of-pneumothorax-after-lung-biopsy-a-multicenter-diagnostic-cohort-study\/","title":{"rendered":"Deep learning algorithm for surveillance of pneumothorax after lung biopsy: a multicenter diagnostic cohort study"},"content":{"rendered":"<h3>Deep learning algorithm for surveillance of pneumothorax after lung biopsy: a multicenter diagnostic cohort study<\/h3>\n<p>Eui Jin Hwang, Jung Hee Hong, Kyung Hee Lee, et al.<\/p>\n<p><strong>European Radiology, 2020<\/strong><\/p>\n<p><strong>Abstract<\/strong><br \/>\n<strong>Objectives<\/strong><br \/>\nPneumothorax is the most common and potentially life-threatening complication arising from percutaneous lung biopsy. We evaluated the performance of a deep learning algorithm for detection of post-biopsy pneumothorax in chest radiographs (CRs), in consecutive cohorts reflecting actual clinical situation.<\/p>\n<p><strong>Methods<\/strong><br \/>\nWe retrospectively included post-biopsy CRs of 1757 consecutive patients (1055 men, 702 women; mean age of 65.1 years) undergoing percutaneous lung biopsies from three institutions. A commercially available deep learning algorithm analyzed each CR to identify pneumothorax. We compared the performance of the algorithm with that of radiology reports made in the actual clinical practice. We also conducted a reader study, in which the performance of the algorithm was compared with those of four radiologists. Performances of the algorithm and radiologists were evaluated by area under receiver operating characteristic curves (AUROCs), sensitivity, and specificity, with reference standards defined by thoracic radiologists.<\/p>\n<p><strong>Results<\/strong><br \/>\nPneumothorax occurred in 17.5% (308\/1757) of cases, out of which 16.6% (51\/308) required catheter drainage. The AUROC, sensitivity, and specificity of the algorithm were 0.937, 70.5%, and 97.7%, respectively, for identification of pneumothorax. The algorithm exhibited higher sensitivity (70.2% vs. 55.5%, p &lt; 0.001) and lower specificity (97.7% vs. 99.8%, p &lt; 0.001), compared with those of radiology reports. In the reader study, the algorithm exhibited lower sensitivity (77.3% vs. 81.8\u201397.7%) and higher specificity (97.6% vs. 81.7\u201396.0%) than the radiologists.<\/p>\n<p><strong>Conclusion<\/strong><br \/>\nThe deep learning algorithm appropriately identified pneumothorax in post-biopsy CRs in consecutive diagnostic cohorts. It may assist in accurate and timely diagnosis of post-biopsy pneumothorax in clinical practice.<\/p>\n<p style=\"text-align: center;\"><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s00330-020-06771-3\"><strong>Read the full paper<\/strong><\/a><\/p>\n","protected":false},"featured_media":0,"template":"","publication-oncology":[],"publication-region":[87],"publication-type":[],"radiology":[104,106,96],"class_list":["post-1592","publication","type-publication","status-publish","hentry","publication-region-asia","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>Deep learning algorithm for surveillance of pneumothorax after lung biopsy: a multicenter diagnostic cohort study - 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\/deep-learning-algorithm-for-surveillance-of-pneumothorax-after-lung-biopsy-a-multicenter-diagnostic-cohort-study\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Deep learning algorithm for surveillance of pneumothorax after lung biopsy: a multicenter diagnostic cohort study - Lunit\" \/>\n<meta property=\"og:description\" content=\"Deep learning algorithm for surveillance of pneumothorax after lung biopsy: a multicenter diagnostic cohort study Eui Jin Hwang, Jung Hee Hong, Kyung Hee Lee, et al. European Radiology, 2020 Abstract Objectives Pneumothorax is the most common and potentially life-threatening complication arising from percutaneous lung biopsy. 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