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Potential for AI as first reader in lung cancer screening

Authors
Roberta Eufrasia Ledda, Camilla Valsecchi, Federica Sabia, Gianluca Milanese, Maurizio Balbi, Luigi Rolli, Margherita Ruggirello, Nicola Sverzellati, Alfonso Vittorio Marchianò, Ugo Pastorino
Journal
European Journal of Radiology
Related Product

LCS

Date Published
2025-11
Summary

This study evaluated the potential of using AI as a first reader in lung cancer screening using low-dose CT (LDCT) data from 4,053 participants in the MILD trial. The performance of the Aview LCS AI system was assessed for identifying negative scans. The AI achieved a sensitivity of 88.1% and specificity of 71.4%, with a high negative predictive value of 99.4%. A large proportion of scans classified as negative by the AI were confirmed to be truly negative. These results suggest that AI can effectively function as a first reader, potentially reducing radiologists’ workload by approximately 71% while maintaining safety in screening programs. The study was conducted by researchers from the University of Parma and the Istituto Nazionale dei Tumori using the Aview LCS system.

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