Sign in to use this feature.

Years

Between: -

Subjects

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Journals

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Article Types

Countries / Regions

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Search Results (158)

Search Parameters:
Keywords = addendum

Order results
Result details
Results per page
Select all
Export citation of selected articles as:
20 pages, 3488 KiB  
Article
A Novel Cycloid Tooth Profile for Harmonic Drive with Fully Conjugate Features
by Yunpeng Yao, Longsheng Lu, Xiaoxia Chen, Yingxi Xie, Yuankai Yang and Jingzhong Xing
Actuators 2025, 14(4), 187; https://doi.org/10.3390/act14040187 - 11 Apr 2025
Cited by 1 | Viewed by 517
Abstract
A harmonic drive (HD) is a precision reduction device widely utilized in the core joints of high-end equipment such as spacecraft and robots. The design of an excellent tooth profile is the core challenge related to the performance of HD. This investigation aims [...] Read more.
A harmonic drive (HD) is a precision reduction device widely utilized in the core joints of high-end equipment such as spacecraft and robots. The design of an excellent tooth profile is the core challenge related to the performance of HD. This investigation aims to propose a design method of a fully conjugated cycloid tooth profile (CTP) for HD. Firstly, the rationality of CTP use for HD is analyzed, and the cycloidal characteristics of the tooth trajectory are studied by use of canonical warping distance. Then, initial CTP equations are constructed, adopting the trajectory mapping results. Presetting the addendum CTP of circular spline, the conjugate CTP of flexspline is then designed using the envelope method. Subsequently, the envelope of the designed flexspline addendum is used to reverse-design the circular spline dedendum. The backlash is calculated to evaluate the CTPs designed with different radial displacement coefficients. Research shows that the tooth trajectory has cycloidal characteristics; therefore, the HDs that use CTP can realize a fully conjugate engagement. Moreover, the variable control parameters enable the proposed CTP expression to have excellent fitting characteristics, resulting in small and uniform mesh backlash distribution. The CTP is expected to become one of the ideal tooth profiles of HD. Full article
(This article belongs to the Section Precision Actuators)
Show Figures

Figure 1

18 pages, 5424 KiB  
Article
A Geographical Complementary Approach to Unveiling the Spatial Dynamics of Bradyseismic Events at the Campi Flegrei Caldera
by Stefano De Falco and Claudio Martino
Geographies 2025, 5(1), 4; https://doi.org/10.3390/geographies5010004 - 29 Jan 2025
Cited by 2 | Viewed by 1612
Abstract
Concerning the monitoring of the resumption of seismic activity at the Campi Flegrei caldera, which is causing concern to the inhabitants and involving various protection efforts by research bodies, this work intends to constitute a complementary and auxiliary tool with respect to the [...] Read more.
Concerning the monitoring of the resumption of seismic activity at the Campi Flegrei caldera, which is causing concern to the inhabitants and involving various protection efforts by research bodies, this work intends to constitute a complementary and auxiliary tool with respect to the geophysical studies in progress. In particular, a geographical analysis of the phenomenon is proposed here aimed at identifying any spatial dynamics that can be added to the interpretation of seismic activity in a strictly geological and geophysical manner. The research study is focused on the comparison between the historical series of data starting from the year 2005 and those data relating to the last two years 2023 and 2024, in which the phenomenon resumed; particularly, the month of May 2024 is analyzed, which was characterized by high intensity of seismic events in the area. The results obtained through the joint use of spatial analysis tools aim, therefore, to identify any geographical seismic clusters that can then be interpreted in a geophysical way and can be used as an addendum in the current risk maps. Indeed, this geographical approach revealed complex spatial heterogeneities demonstrating the value of combining multiple methodological tools. The findings highlight the importance of multidisciplinary approaches in volcanic research and their critical role in improving hazard assessment and risk mitigation efforts. Full article
Show Figures

Figure 1

13 pages, 1094 KiB  
Perspective
An Addendum to the Chemiosmotic Theory of Mitochondrial Activity: The Role of RNA as a Proton Sink
by Ramin M. Farahani
Biomolecules 2025, 15(1), 87; https://doi.org/10.3390/biom15010087 - 8 Jan 2025
Viewed by 1793
Abstract
Mitochondrial ATP synthesis is driven by harnessing the electrochemical gradient of protons (proton motive force) across the mitochondrial inner membrane via the process of chemiosmosis. While there is consensus that the proton gradient is generated by components of the electron transport chain, the [...] Read more.
Mitochondrial ATP synthesis is driven by harnessing the electrochemical gradient of protons (proton motive force) across the mitochondrial inner membrane via the process of chemiosmosis. While there is consensus that the proton gradient is generated by components of the electron transport chain, the mechanism by which protons are supplied to ATP synthase remains controversial. As opposed to a global coupling model whereby protons diffuse into the intermembrane space, a localised coupling model predicts that protons remain closely associated with the lipid membrane prior to interaction with ATP synthase. Herein, a revised version of the chemiosmotic theory is proposed by introducing an RNA-based proton sink which aligns the release of sequestered protons to availability of ADP and Pi thereby maximising the efficiency of oxidative phosphorylation. Full article
(This article belongs to the Section Cellular Biochemistry)
Show Figures

Figure 1

16 pages, 9411 KiB  
Article
Modeling Investigation on Gas Backflow Performances in Screw Vacuum Pump
by Li Zhang, Yang Liu, Yongju Zhang, Xue Liu, Wenfei Liu and Ziyun Chen
Processes 2024, 12(12), 2744; https://doi.org/10.3390/pr12122744 - 3 Dec 2024
Viewed by 898
Abstract
Rotor structure has a great influence on the gas backflow in a screw vacuum pump. The characteristics of the gas main flow along the spiral groove of the screw rotor and the gas reverse flow along the tooth-shaped, tooth side, radial, and circumferential [...] Read more.
Rotor structure has a great influence on the gas backflow in a screw vacuum pump. The characteristics of the gas main flow along the spiral groove of the screw rotor and the gas reverse flow along the tooth-shaped, tooth side, radial, and circumferential clearances are investigated. A new mathematical model of the pumping flow and backflow involved in a flow balance model is proposed to investigate the actions of the shearing force and pressure difference force. The calculated backflow is verified by comparing the experimental measured results. The relationships of the structural parameters of the screw rotor are established. The effects of the rotor parameters, such as pitch, diameter, and compression ratio, on backflow are revealed. The results show that the rotor diameter and compression ratio remain constant and that the influence of pitch on the backflow is slightly weak, with backflow variations of less than 3%, whereas the pitch, rotor length, and compression ratio are constant and the rotor addendum diameter is directly proportional to the backflow. The addendum diameter of rotor #4 is the largest, and its backflow is about 1.5 times larger than that of rotor #1. When the rotor radial sizes and the pitch of the suction end are constant, the compression ratio is inversely proportional to the backflow in the low-pressure region and proportional to the backflow in the high-pressure regions. Therefore, for a vacuum pump operating in low-pressure areas, the use of the compression ratio of 2.2 or higher is favorable for the reduction in backflow. Full article
(This article belongs to the Section Particle Processes)
Show Figures

Figure 1

23 pages, 10799 KiB  
Article
The Development and Experimental Validation of a Real-Time Coupled Gear Wear Prediction Model Considering Initial Surface Topography, Dynamics, and Thermal Deformation
by Jingqi Zhang, Jianxing Zhou, Quanwei Cui, Ning Dong, Hong Jiang and Zhong Fang
Machines 2024, 12(10), 734; https://doi.org/10.3390/machines12100734 - 17 Oct 2024
Viewed by 1309
Abstract
Errors affect the actual meshing process of gears, alter the actual wear pattern of the tooth profile, and may even impact the overall service life of machinery. While existing research predominantly focuses on individual errors or a narrow set of factors, this study [...] Read more.
Errors affect the actual meshing process of gears, alter the actual wear pattern of the tooth profile, and may even impact the overall service life of machinery. While existing research predominantly focuses on individual errors or a narrow set of factors, this study explores the combined effects of multiple errors on tooth profile wear. A comprehensive gear wear prediction model was developed, integrating the slice method, lumped mass method, Hertz contact model, and Archard’s wear theory. This model accounts for initial tooth surface topography, thermal deformation, dynamic effects, and wear, establishing strong correlations between gear wear prediction and key factors such as tooth surface morphology, temperature, and vibration. Experimental validation demonstrated the model’s high accuracy, with relatively small deviations from the observed wear. Initial profile errors (IPEs) at different positions along the tooth width result in varying relative sliding distances, leading to differences in wear depth despite a consistent overall trend. Notably, large IPEs at the dedendum and addendum can influence wear progression, either accelerating or decelerating the wear process over time. Full article
(This article belongs to the Section Machines Testing and Maintenance)
Show Figures

Figure 1

4 pages, 1371 KiB  
Correction
Correction: Wieder, R.; Adam, N. Racial Disparities in Breast Cancer Treatments and Adverse Events in the SEER-Medicare Data. Cancers 2023, 15, 4333
by Robert Wieder and Nabil Adam
Cancers 2024, 16(13), 2292; https://doi.org/10.3390/cancers16132292 - 21 Jun 2024
Viewed by 816
Abstract
Text Addendum [...] Full article
20 pages, 9826 KiB  
Article
Coral Tissue Regeneration and Growth Is Associated with the Presence of Stem-like Cells
by Jonathan Levanoni, Amalia Rosner, Ziva Lapidot, Guy Paz and Baruch Rinkevich
J. Mar. Sci. Eng. 2024, 12(2), 343; https://doi.org/10.3390/jmse12020343 - 17 Feb 2024
Cited by 3 | Viewed by 2967
Abstract
Members of the Cnidaria phylum were studied for centuries to depict the source of their unprecedented regeneration capacity. Although adult stem cells (ASCs) have been recognized in tissue growth/regeneration in many hydrozoans, there has not been any evidence of them in the ancestral [...] Read more.
Members of the Cnidaria phylum were studied for centuries to depict the source of their unprecedented regeneration capacity. Although adult stem cells (ASCs) have been recognized in tissue growth/regeneration in many hydrozoans, there has not been any evidence of them in the ancestral Anthozoa class. This study sheds light on the development of epidermal epithelium expansion, akin to blastema, during tissue regeneration after small circular incisions (each 2.77 mm2) and during the natural expansion of tissue across a flat surface in the scleractinian coral Stylophora pistillata. Regeneration was completed within 9 days in 84.5% (n = 64) of the assays. About 35% of the samples regrew a single polyp, 60% showed no polyp regrowth, and approximately 6% exhibited multiple new polyps. We further used histological staining, pH3, Piwi immuno-histochemistry, and qPCR for eight stemness markers: Piwi-1, Nanos-1, Nanos-1-like, Tudor-5, Tudor-7, Boule, Sox-2, and Myc-1. The results revealed the formation of an “addendum”, an epidermal epithelium in the growing edges (in regenerating and normal-growing fronts) inhabited by a cluster of small cells featuring dense nuclei, resembling ASCs, many expressing pH3 as well as Piwi proteins. Most of the stemness genes tested were upregulated. These results indicate the participation of ASCs-like cells in tissue regeneration and growth in scleractinian corals. Full article
(This article belongs to the Section Marine Biology)
Show Figures

Figure 1

11 pages, 456 KiB  
Article
The Role of Next-Generation Sequencing in the Management of Patients with Suspected Non-Ischemic Cardiomyopathy after Syncope or Termination of Sudden Arrhythmic Death
by Damijan Vokač, Špela Stangler Herodež, Danijela Krgović and Nadja Kokalj Vokač
Genes 2024, 15(1), 72; https://doi.org/10.3390/genes15010072 - 5 Jan 2024
Cited by 1 | Viewed by 2230
Abstract
Cardiac arrhythmias and sudden death are frequent in patients with non-ischemic cardiomyopathy and can precede heart failure or additional symptoms where malignant cardiac arrhythmias are mostly the consequence of advanced cardiomyopathy and heart failure. Finding these subgroups and making an early diagnosis could [...] Read more.
Cardiac arrhythmias and sudden death are frequent in patients with non-ischemic cardiomyopathy and can precede heart failure or additional symptoms where malignant cardiac arrhythmias are mostly the consequence of advanced cardiomyopathy and heart failure. Finding these subgroups and making an early diagnosis could be lifesaving. In our retrospective study, we are presenting arrhythmic types of frequent cardiomyopathies where an arrhythmogenic substrate is less well defined, as in ischemic or structural heart disease. In the period of 2 years, next-generation sequencing (NGS) tests along with standard clinical tests were performed in 208 patients (67 women and 141 men; mean age, 51.2 ± 19.4 years) without ischemic or an overt structural heart disease after syncope or aborted sudden cardiac death. Genetic variants were detected in 34.4% of the study population, with a significant proportion of pathogenic variants (P) (14.4%) and variants of unknown significance (VUS) (20%). Regardless of genotype, all patients were stratified according to clinical guidelines for aggressive treatment of sudden cardiac death with an implantable cardioverter defibrillator (ICD). The P variant identified by NGS serves for an accurate diagnosis and, thus, better prevention and specific treatment of patients and their relatives. Results in our study suggest that targeted sequencing of genes associated with cardiovascular disease is an important addendum for final diagnosis, allowing the identification of a molecular genetic cause in a vast proportion of patients for a definitive diagnosis and a more specific way of treatment. VUS in this target population poses a high risk and should be considered possibly pathogenic in reanalysis. Full article
(This article belongs to the Special Issue Molecular and Genetic Diagnosis of Rare Diseases)
Show Figures

Figure 1

23 pages, 28512 KiB  
Article
Study on the Coupling Relationship between Wear and Dynamics in Planetary Gear Systems
by Jun Chen, Ning Dong and Jiahua Min
Machines 2023, 11(11), 986; https://doi.org/10.3390/machines11110986 - 25 Oct 2023
Cited by 4 | Viewed by 2039
Abstract
The occurrence of wear is hard to avoid in gear systems because of their transmission principle. Wear will lead to a deviation of the system’s performance from the design objectives or even failure. In this paper, a dynamic wear prediction model considering the [...] Read more.
The occurrence of wear is hard to avoid in gear systems because of their transmission principle. Wear will lead to a deviation of the system’s performance from the design objectives or even failure. In this paper, a dynamic wear prediction model considering the friction and wear of all meshing gears is proposed for planetary gear systems. The differences between different wear prediction methods are compared. The interactions among the wear, the dynamic response, and the uniform load performance of the planetary gears are investigated. The results show that considering friction and wear on all tooth surfaces can significantly reduce errors in the simulation. Wear mainly affects meshing stiffness in the double tooth contact region. The degree of fluctuation of stiffness and meshing force increases significantly with wear. The load-sharing factor in the dedendum and addendum regions decreases. Accordingly, the position of maximum wear on the tooth surface moves slowly towards the pitch line. Early wear improves the dynamic performance of the system. As the wear deteriorates, the higher harmonics of the meshing frequency increase significantly. The uniform load performance of planet gears exhibits the same trend of dynamic response as the others during the wear process. Full article
(This article belongs to the Special Issue Dry Friction: Theory, Analysis and Applications)
Show Figures

Figure 1

20 pages, 9113 KiB  
Article
Research on the Strength Calculation Method and Effects of Gear Parameters for High-Coincidence High-Tooth Gears
by Jiachi Zhang, Haiwei Wang, Yi Liu, Shengwen Hou, Zhe Liu and Huan Wang
Processes 2023, 11(6), 1807; https://doi.org/10.3390/pr11061807 - 14 Jun 2023
Cited by 2 | Viewed by 2827
Abstract
This article studies the calculation method for the tooth root bending stress of a high-tooth gear pair with a high contact ratio. The boundary point of the double-tooth meshing zone of the high-tooth gear pair is used as the loading point for the [...] Read more.
This article studies the calculation method for the tooth root bending stress of a high-tooth gear pair with a high contact ratio. The boundary point of the double-tooth meshing zone of the high-tooth gear pair is used as the loading point for the load, and the calculation formula for the bending stress at the dangerous section of the tooth root is obtained. By using ANSYS finite element simulation, the effect of the addendum coefficient, pressure angle, and other gear parameters on the bending stress of the tooth root is studied. The analysis shows that increasing the pressure angle will reduce the bending strength of the tooth root. Increasing the coefficient of a tooth’s top height will lead to an increase in the bending strength of the tooth root. Comparing the finite element analysis (FEA) results with the theoretical calculation results, the analysis shows that under low loads, the maximum error of the theoretical calculation values of the driving toothed gear and driven gear shall not exceed 13.53% and 15.42%, respectively. Under high loads, the maximum theoretical errors of the driving toothed gear and driven gear shall not exceed 8.78% and 10.91%, respectively. This verifies the correctness of the calculation method, which is of great significance for improving the load-bearing capacity of high-tooth gears and for guiding tooth shape design. Full article
Show Figures

Figure 1

21 pages, 970 KiB  
Article
Modeling the Nexus of Renewable and Non-Renewable Energy Consumption and Economic Progress in Southeastern Europe: A Panel Data Analysis
by Sanel Halilbegović, Zana Pekmez and Abdul Rehman
Sustainability 2023, 15(12), 9413; https://doi.org/10.3390/su15129413 - 12 Jun 2023
Cited by 12 | Viewed by 2235
Abstract
As the fourth industrial revolution drives innovation and economic growth, the energy sector is increasingly recognized for its significant economic contribution. This research aims to investigate the relationship between economic growth and renewable and non-renewable energy consumption in nine southeastern European countries using [...] Read more.
As the fourth industrial revolution drives innovation and economic growth, the energy sector is increasingly recognized for its significant economic contribution. This research aims to investigate the relationship between economic growth and renewable and non-renewable energy consumption in nine southeastern European countries using panel estimation techniques and causal inference. This research employs a unique approach to modeling the energy–growth nexus, incorporating interaction terms to better understand the impact of renewable energy on real GDP growth. The findings are a valuable addendum to the current body of research on the effects of renewable energy consumption on economic growth, and the results contribute to narrowing the empirical research gap in the econometrical field of panel data estimation and endogeneity. This study uses the fully modified OLS (FMOLS) technique for heterogeneous panels to estimate coefficients, while the error correction model (ECM) is used to estimate the cointegration vector between energy variables and GDP. The non-causality test by Dumitrescu and Hurlin (2012) evaluates the causation between energy variables and economic output. Empirical findings indicate that both renewable and non-renewable energy consumption positively affect economic growth. The outcomes of this study hold significant policy ramifications in terms of prioritizing reformation and investment towards specific sectors to foster capital infusion into renewable energy and energy efficiency projects and initiatives, consequently advancing sustainable economic growth. Full article
(This article belongs to the Special Issue Energy and Environment: Policy, Economics and Modeling)
Show Figures

Figure 1

14 pages, 3399 KiB  
Article
Gut-Associated Lymphatic Tissue in Food-Restricted Rats: Influence of Refeeding and Probiotic Supplementation
by Stefanie Trinh, Larissa Käver, Anna Schlösser, Anna Simon, Vanessa Kogel, Clara Voelz, Cordian Beyer and Jochen Seitz
Microorganisms 2023, 11(6), 1411; https://doi.org/10.3390/microorganisms11061411 - 26 May 2023
Cited by 5 | Viewed by 2100
Abstract
Anorexia nervosa (AN) is a severe and often chronic eating disorder that leads to alterations in the gut microbiome, which is known to influence several processes, such as appetite and body weight regulation, metabolism, gut permeability, inflammation, and gut–brain interactions. Using a translational [...] Read more.
Anorexia nervosa (AN) is a severe and often chronic eating disorder that leads to alterations in the gut microbiome, which is known to influence several processes, such as appetite and body weight regulation, metabolism, gut permeability, inflammation, and gut–brain interactions. Using a translational activity-based anorexia (ABA) rat model, this study examined the effect of chronic food starvation, as well as multistrain probiotic supplementation and refeeding, on the structure of the gut and gut-associated lymphatic tissue (GALT). Our results indicated that ABA had an atrophic influence on intestinal morphology and increased the formation of GALT in the small bowel and colon. Higher formation of GALT in ABA rats appeared to be reversible upon application of a multistrain probiotic mixture and refeeding of the starved animals. This is the first time that increased GALT was found following starvation in the ABA model. Our results underscore a potential role of gut inflammatory alterations in the underlying pathophysiology of AN. Increased GALT could be linked to the gut microbiome, as probiotics were able to reverse this finding. These results emphasize the role of the microbiome–gut–brain axis in the pathomechanisms of AN and point to probiotics as potentially beneficial addendum in the treatment of AN. Full article
(This article belongs to the Special Issue Effects of Probiotics on Health)
Show Figures

Figure 1

13 pages, 1367 KiB  
Article
Highly Dispersive Optical Solitons in Birefringent Fibers of Complex Ginzburg–Landau Equation of Sixth Order with Kerr Law Nonlinear Refractive Index
by Elsayed M. E. Zayed, Khaled A. Gepreel, Mahmoud El-Horbaty and Mohamed E. M. Alngar
Eng 2023, 4(1), 665-677; https://doi.org/10.3390/eng4010040 - 17 Feb 2023
Cited by 3 | Viewed by 1717
Abstract
In this paper, we derived optical soliton solutions with a highly dispersive nonlinear complex Ginzburg–Landau (CGL) equation in birefringent fibers that have Kerr law nonlinearity. We applied two mathematical methods, namely the addendum Kudryashov’s method and the unified Riccati equation expansion method. Straddled [...] Read more.
In this paper, we derived optical soliton solutions with a highly dispersive nonlinear complex Ginzburg–Landau (CGL) equation in birefringent fibers that have Kerr law nonlinearity. We applied two mathematical methods, namely the addendum Kudryashov’s method and the unified Riccati equation expansion method. Straddled solitary solutions, bright soliton, dark soliton and singular soliton solutions were obtained.This model represents the propagation of a dispersive optical soliton through a birefringent fiber. This happens when pulses propagating through an optical fiber split into two pulses. Full article
(This article belongs to the Section Electrical and Electronic Engineering)
Show Figures

Figure 1

14 pages, 319 KiB  
Study Protocol
The BRAVO Clinical Study Protocol: Oral Varespladib for Inhibition of Secretory Phospholipase A2 in the Treatment of Snakebite Envenoming
by Rebecca W. Carter, Charles J. Gerardo, Stephen P. Samuel, Surendra Kumar, Suneetha D. Kotehal, Partha P. Mukherjee, Farshad M. Shirazi, Peter D. Akpunonu, Chanaveerappa Bammigatti, Ashish Bhalla, Neeraj Manikath, Timothy F. Platts-Mills and Matthew R. Lewin
Toxins 2023, 15(1), 22; https://doi.org/10.3390/toxins15010022 - 28 Dec 2022
Cited by 28 | Viewed by 5064
Abstract
Introduction: Snakebite is an urgent, unmet global medical need causing significant morbidity and mortality worldwide. Varespladib is a potent inhibitor of venom secretory phospholipase A2 (sPLA2) that can be administered orally via its prodrug, varespladib-methyl. Extensive preclinical data support clinical [...] Read more.
Introduction: Snakebite is an urgent, unmet global medical need causing significant morbidity and mortality worldwide. Varespladib is a potent inhibitor of venom secretory phospholipase A2 (sPLA2) that can be administered orally via its prodrug, varespladib-methyl. Extensive preclinical data support clinical evaluation of varespladib as a treatment for snakebite envenoming (SBE). The protocol reported here was designed to evaluate varespladib-methyl for SBE from any snake species in multiple geographies. Methods and Analysis: BRAVO (Broad-spectrum Rapid Antidote: Varespladib Oral for snakebite) is a multicenter, randomized, double-blind, placebo-controlled, phase 2 study to evaluate the safety, tolerability, and efficacy of oral varespladib-methyl plus standard of care (SoC) vs. SoC plus placebo in patients presenting with acute SBE by any venomous snake species. Male and female patients 5 years of age and older who meet eligibility criteria will be randomly assigned 1:1 to varespladib-methyl or placebo. The primary outcome is the Snakebite Severity Score (SSS) that has been modified for international use. This composite outcome is based on the sum of the pulmonary, cardiovascular, nervous, hematologic, and renal systems components of the updated SSS. Ethics and Dissemination: This protocol was submitted to regulatory authorities in India and the US. A Clinical Trial No Objection Certificate from the India Central Drugs Standard Control Organisation, Drug Controller General-India, and a Notice to Proceed from the US Food and Drug Administration have been obtained. The study protocol was approved by properly constituted, valid institutional review boards or ethics committees at each study site. This study is being conducted in compliance with the April 1996 ICH Guidance for Industry GCP E6, the Integrated Addendum to ICH E6 (R2) of November 2016, and the applicable regulations of the country in which the study is conducted. The trial is registered on Clinical trials.gov, NCT#04996264 and Clinical Trials Registry-India, 2021/07/045079 000062. Full article
11 pages, 1328 KiB  
Article
Performance of a Chest Radiography AI Algorithm for Detection of Missed or Mislabeled Findings: A Multicenter Study
by Parisa Kaviani, Subba R. Digumarthy, Bernardo C. Bizzo, Bhargava Reddy, Manoj Tadepalli, Preetham Putha, Ammar Jagirdar, Shadi Ebrahimian, Mannudeep K. Kalra and Keith J. Dreyer
Diagnostics 2022, 12(9), 2086; https://doi.org/10.3390/diagnostics12092086 - 28 Aug 2022
Cited by 16 | Viewed by 8824
Abstract
Purpose: We assessed whether a CXR AI algorithm was able to detect missed or mislabeled chest radiograph (CXR) findings in radiology reports. Methods: We queried a multi-institutional radiology reports search database of 13 million reports to identify all CXR reports with [...] Read more.
Purpose: We assessed whether a CXR AI algorithm was able to detect missed or mislabeled chest radiograph (CXR) findings in radiology reports. Methods: We queried a multi-institutional radiology reports search database of 13 million reports to identify all CXR reports with addendums from 1999–2021. Of the 3469 CXR reports with an addendum, a thoracic radiologist excluded reports where addenda were created for typographic errors, wrong report template, missing sections, or uninterpreted signoffs. The remaining reports contained addenda (279 patients) with errors related to side-discrepancies or missed findings such as pulmonary nodules, consolidation, pleural effusions, pneumothorax, and rib fractures. All CXRs were processed with an AI algorithm. Descriptive statistics were performed to determine the sensitivity, specificity, and accuracy of the AI in detecting missed or mislabeled findings. Results: The AI had high sensitivity (96%), specificity (100%), and accuracy (96%) for detecting all missed and mislabeled CXR findings. The corresponding finding-specific statistics for the AI were nodules (96%, 100%, 96%), pneumothorax (84%, 100%, 85%), pleural effusion (100%, 17%, 67%), consolidation (98%, 100%, 98%), and rib fractures (87%, 100%, 94%). Conclusions: The CXR AI could accurately detect mislabeled and missed findings. Clinical Relevance: The CXR AI can reduce the frequency of errors in detection and side-labeling of radiographic findings. Full article
(This article belongs to the Section Machine Learning and Artificial Intelligence in Diagnostics)
Show Figures

Figure 1

Back to TopTop