Lung Imaging and Artificial Intelligence in ARDS

Author:

Chiumello Davide123,Coppola Silvia2ORCID,Catozzi Giulia1,Danzo Fiammetta45,Santus Pierachille45ORCID,Radovanovic Dejan45ORCID

Affiliation:

1. Department of Health Sciences, University of Milan, 20122 Milan, Italy

2. Department of Anesthesia and Intensive Care, ASST Santi Paolo e Carlo, San Paolo University Hospital Milan, 20142 Milan, Italy

3. Coordinated Research Center on Respiratory Failure, University of Milan, 20122 Milan, Italy

4. Division of Respiratory Diseases, Luigi Sacco University Hospital, ASST Fatebenefratelli-Sacco, 20157 Milan, Italy

5. Department of Biomedical and Clinical Sciences, Università degli Studi di Milano, 20157 Milan, Italy

Abstract

Artificial intelligence (AI) can make intelligent decisions in a manner akin to that of the human mind. AI has the potential to improve clinical workflow, diagnosis, and prognosis, especially in radiology. Acute respiratory distress syndrome (ARDS) is a very diverse illness that is characterized by interstitial opacities, mostly in the dependent areas, decreased lung aeration with alveolar collapse, and inflammatory lung edema resulting in elevated lung weight. As a result, lung imaging is a crucial tool for evaluating the mechanical and morphological traits of ARDS patients. Compared to traditional chest radiography, sensitivity and specificity of lung computed tomography (CT) and ultrasound are higher. The state of the art in the application of AI is summarized in this narrative review which focuses on CT and ultrasound techniques in patients with ARDS. A total of eighteen items were retrieved. The primary goals of using AI for lung imaging were to evaluate the risk of developing ARDS, the measurement of alveolar recruitment, potential alternative diagnoses, and outcome. While the physician must still be present to guarantee a high standard of examination, AI could help the clinical team provide the best care possible.

Publisher

MDPI AG

Subject

General Medicine

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