StudyFormer : Attention-Based and Dynamic Multi View Classifier for X-ray images

Chest X-ray images are commonly used in medical diagnosis, and AI models have been developed to assist with the interpretation of these images. However, many of these models rely on information from a single view of the X-ray, while multiple views may be available. In this work, we propose a novel approach for combining information from multiple views to improve the performance of X-ray image classification. Our approach is based on the use of a convolutional neural network to extract feature maps from each view, followed by an attention mechanism implemented using a Vision Transformer. The resulting model is able to perform multi-label classification on 41 labels and outperforms both single-view models and traditional multi-view classification architectures. We demonstrate the effectiveness of our approach through experiments on a dataset of 363,000 X-ray images.

Who Goes First? Influences of Human-AI Workflow on Decision Making in Clinical Imaging

Details of the designs and mechanisms in support of human-AI collaboration must be considered in the real-world fielding of AI technologies. A critical aspect of interaction design for AI-assisted human decision making are policies about the display and sequencing of AI inferences within larger decision-making workflows. We have a poor understanding of the influences of making AI inferences available before versus after human review of a diagnostic task at hand. We explore the effects of providing AI assistance at the start of a diagnostic session in radiology versus after the radiologist has made a provisional decision. We conducted a user study where 19 veterinary radiologists identified radiographic findings present in patients' X-ray images, with the aid of an AI tool. We employed two workflow configurations to analyze (i) anchoring effects, (ii) human-AI team diagnostic performance and agreement, (iii) time spent and confidence in decision making, and (iv) perceived usefulness of the AI. We found that participants who are asked to register provisional responses in advance of reviewing AI inferences are less likely to agree with the AI regardless of whether the advice is accurate and, in instances of disagreement with the AI, are less likely to seek the second opinion of a colleague. These participants also reported the AI advice to be less useful. Surprisingly, requiring provisional decisions on cases in advance of the display of AI inferences did not lengthen the time participants spent on the task. The study provides generalizable and actionable insights for the deployment of clinical AI tools in human-in-the-loop systems and introduces a methodology for studying alternative designs for human-AI collaboration. We make our experimental platform available as open source to facilitate future research on the influence of alternate designs on human-AI workflows.

RapidRead: Global Deployment of State-of-the-art Radiology AI for a Large Veterinary Teleradiology Practice

This work describes the development and real-world deployment of a deep learning-based AI system for evaluating canine and feline radiographs across a broad range of findings and abnormalities. We describe a new semi-supervised learning approach that combines NLP-derived labels with self-supervised training leveraging more than 2.5 million x-ray images. Finally we describe the clinical deployment of the model including system architecture, real-time performance evaluation and data drift detection.