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We investigated the use of equivalent relative utility (ERU) to evaluate the effectiveness of artificial intelligence (AI)-based rule-out algorithms designed to autonomously remove non-cancer patient images from radiologist review. Two evaluation metrics are explored: positive/negative predictive values and ERU. We applied both methods to a recent US study that concluded an improved specificity by retrospectively applying their AI algorithm to analyze a large mammography dataset. The ERU values are also calculated given the recall and cancer detection rates from a European mammography screening study. Without large prospective studies, ERU may provide insights in the effectiveness of a rule-out algorithm.
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(2024) Published by SPIE. Downloading of the abstract is permitted for personal use only.
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Kwok Lung Fan, Yee Lam Elim Thompson, Weijie Chen, Craig K. Abbey, Frank W. Samuelson, "Use of equivalent relative utility to evaluate artificial intelligence-based rule-out devices," Proc. SPIE 12929, Medical Imaging 2024: Image Perception, Observer Performance, and Technology Assessment, 129290P (29 March 2024); https://doi.org/10.1117/12.3008632