{"id":"https://openalex.org/W7134887213","doi":"https://doi.org/10.2196/88626","title":"AI-Assisted Chest X-Ray Interpretation in Resource-Limited Settings: LuAna Stepped-Wedge Trial Protocol","display_name":"AI-Assisted Chest X-Ray Interpretation in Resource-Limited Settings: LuAna Stepped-Wedge Trial Protocol","publication_year":2026,"publication_date":"2026-03-10","ids":{"openalex":"https://openalex.org/W7134887213","doi":"https://doi.org/10.2196/88626","pmid":"https://pubmed.ncbi.nlm.nih.gov/42441741","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13361621"},"language":"en","primary_location":{"id":"doi:10.2196/88626","doi":"https://doi.org/10.2196/88626","is_oa":true,"landing_page_url":"https://doi.org/10.2196/88626","pdf_url":null,"source":{"id":"https://openalex.org/S2739058702","display_name":"JMIR Research Protocols","issn_l":"1929-0748","issn":["1929-0748"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320608","host_organization_name":"JMIR Publications","host_organization_lineage":["https://openalex.org/P4310320608"],"host_organization_lineage_names":["JMIR Publications"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JMIR Research Protocols","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.2196/88626","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5006573733","display_name":"Maria Carolina Bueno da Silva","orcid":"https://orcid.org/0000-0001-6616-302X","observed_orcids":["https://orcid.org/0000-0001-6616-302X"]},"institutions":[{"id":"https://openalex.org/I2800288331","display_name":"Hospital Israelita Albert Einstein","ror":"https://ror.org/04cwrbc27","country_code":"BR","type":"funder","lineage":["https://openalex.org/I2800288331"]}],"countries":["BR"],"is_corresponding":true,"raw_author_name":"Maria Carolina Bueno da Silva","raw_affiliation_strings":["Department of Radiology, Hospital Israelita Albert Einstein, Av. Albert Einstein 627, Bldg. D, 4th Floor, 627/701, S\u00e3o Paulo, S\u00e3o Paulo, 05652-900, Brazil, 55 11998314571"],"raw_orcid":"https://orcid.org/0000-0001-6616-302X","affiliations":[{"raw_affiliation_string":"Department of Radiology, Hospital Israelita Albert Einstein, Av. Albert Einstein 627, Bldg. D, 4th Floor, 627/701, S\u00e3o Paulo, S\u00e3o Paulo, 05652-900, Brazil, 55 11998314571","institution_ids":["https://openalex.org/I2800288331"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5119664154","display_name":"Paula Bresciani de Andrade","orcid":"https://orcid.org/0000-0002-1601-3055","observed_orcids":["https://orcid.org/0000-0002-1601-3055","https://orcid.org/0000-0001-7015-3297"]},"institutions":[{"id":"https://openalex.org/I2800288331","display_name":"Hospital Israelita Albert Einstein","ror":"https://ror.org/04cwrbc27","country_code":"BR","type":"funder","lineage":["https://openalex.org/I2800288331"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Paula Bresciani M de Andrade","raw_affiliation_strings":["Department of Radiology, Hospital Israelita Albert Einstein, Av. Albert Einstein 627, Bldg. D, 4th Floor, 627/701, S\u00e3o Paulo, S\u00e3o Paulo, 05652-900, Brazil, 55 11998314571"],"raw_orcid":"https://orcid.org/0000-0002-1601-3055","affiliations":[{"raw_affiliation_string":"Department of Radiology, Hospital Israelita Albert Einstein, Av. Albert Einstein 627, Bldg. D, 4th Floor, 627/701, S\u00e3o Paulo, S\u00e3o Paulo, 05652-900, Brazil, 55 11998314571","institution_ids":["https://openalex.org/I2800288331"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5054112453","display_name":"Henrique Min Ho Lee","orcid":"https://orcid.org/0000-0002-1266-0095","observed_orcids":["https://orcid.org/0000-0002-1266-0095"]},"institutions":[{"id":"https://openalex.org/I2800288331","display_name":"Hospital Israelita Albert Einstein","ror":"https://ror.org/04cwrbc27","country_code":"BR","type":"funder","lineage":["https://openalex.org/I2800288331"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Henrique Min Ho Lee","raw_affiliation_strings":["Department of Radiology, Hospital Israelita Albert Einstein, Av. Albert Einstein 627, Bldg. D, 4th Floor, 627/701, S\u00e3o Paulo, S\u00e3o Paulo, 05652-900, Brazil, 55 11998314571"],"raw_orcid":"https://orcid.org/0000-0002-1266-0095","affiliations":[{"raw_affiliation_string":"Department of Radiology, Hospital Israelita Albert Einstein, Av. Albert Einstein 627, Bldg. D, 4th Floor, 627/701, S\u00e3o Paulo, S\u00e3o Paulo, 05652-900, Brazil, 55 11998314571","institution_ids":["https://openalex.org/I2800288331"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5114239812","display_name":"Pedro Vinicius Alves Silva","orcid":"https://orcid.org/0009-0006-3048-8264","observed_orcids":["https://orcid.org/0009-0006-3048-8264"]},"institutions":[{"id":"https://openalex.org/I2800288331","display_name":"Hospital Israelita Albert Einstein","ror":"https://ror.org/04cwrbc27","country_code":"BR","type":"funder","lineage":["https://openalex.org/I2800288331"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Pedro Vinicius Alves Silva","raw_affiliation_strings":["Department of Radiology, Hospital Israelita Albert Einstein, Av. Albert Einstein 627, Bldg. D, 4th Floor, 627/701, S\u00e3o Paulo, S\u00e3o Paulo, 05652-900, Brazil, 55 11998314571"],"raw_orcid":"https://orcid.org/0009-0006-3048-8264","affiliations":[{"raw_affiliation_string":"Department of Radiology, Hospital Israelita Albert Einstein, Av. Albert Einstein 627, Bldg. D, 4th Floor, 627/701, S\u00e3o Paulo, S\u00e3o Paulo, 05652-900, Brazil, 55 11998314571","institution_ids":["https://openalex.org/I2800288331"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103557351","display_name":"Ana Cristina Ferreira","orcid":"https://orcid.org/0000-0001-8922-7890","observed_orcids":["https://orcid.org/0000-0001-8922-7890"]},"institutions":[{"id":"https://openalex.org/I2800288331","display_name":"Hospital Israelita Albert Einstein","ror":"https://ror.org/04cwrbc27","country_code":"BR","type":"funder","lineage":["https://openalex.org/I2800288331"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Ana Cristina Ferreira","raw_affiliation_strings":["Department of Radiology, Hospital Israelita Albert Einstein, Av. Albert Einstein 627, Bldg. D, 4th Floor, 627/701, S\u00e3o Paulo, S\u00e3o Paulo, 05652-900, Brazil, 55 11998314571"],"raw_orcid":"https://orcid.org/0000-0001-8922-7890","affiliations":[{"raw_affiliation_string":"Department of Radiology, Hospital Israelita Albert Einstein, Av. Albert Einstein 627, Bldg. D, 4th Floor, 627/701, S\u00e3o Paulo, S\u00e3o Paulo, 05652-900, Brazil, 55 11998314571","institution_ids":["https://openalex.org/I2800288331"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5120489673","display_name":"Cintia Pereira Kuss","orcid":"https://orcid.org/0009-0000-8360-1642","observed_orcids":["https://orcid.org/0009-0000-8360-1642"]},"institutions":[{"id":"https://openalex.org/I2800288331","display_name":"Hospital Israelita Albert Einstein","ror":"https://ror.org/04cwrbc27","country_code":"BR","type":"funder","lineage":["https://openalex.org/I2800288331"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Cintia Pereira Kuss","raw_affiliation_strings":["Department of Radiology, Hospital Israelita Albert Einstein, Av. Albert Einstein 627, Bldg. D, 4th Floor, 627/701, S\u00e3o Paulo, S\u00e3o Paulo, 05652-900, Brazil, 55 11998314571"],"raw_orcid":"https://orcid.org/0009-0000-8360-1642","affiliations":[{"raw_affiliation_string":"Department of Radiology, Hospital Israelita Albert Einstein, Av. Albert Einstein 627, Bldg. D, 4th Floor, 627/701, S\u00e3o Paulo, S\u00e3o Paulo, 05652-900, Brazil, 55 11998314571","institution_ids":["https://openalex.org/I2800288331"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5068323773","display_name":"Maria Rodrigues","orcid":"https://orcid.org/0000-0002-9606-0328","observed_orcids":["https://orcid.org/0000-0002-9606-0328","https://orcid.org/0000-0002-8883-4944"]},"institutions":[{"id":"https://openalex.org/I2800288331","display_name":"Hospital Israelita Albert Einstein","ror":"https://ror.org/04cwrbc27","country_code":"BR","type":"funder","lineage":["https://openalex.org/I2800288331"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Maria Gabriela de Almeida Rodrigues","raw_affiliation_strings":["Department of Radiology, Hospital Israelita Albert Einstein, Av. Albert Einstein 627, Bldg. D, 4th Floor, 627/701, S\u00e3o Paulo, S\u00e3o Paulo, 05652-900, Brazil, 55 11998314571"],"raw_orcid":"https://orcid.org/0000-0002-9606-0328","affiliations":[{"raw_affiliation_string":"Department of Radiology, Hospital Israelita Albert Einstein, Av. Albert Einstein 627, Bldg. D, 4th Floor, 627/701, S\u00e3o Paulo, S\u00e3o Paulo, 05652-900, Brazil, 55 11998314571","institution_ids":["https://openalex.org/I2800288331"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5063575747","display_name":"Guilherme Ribeiro","orcid":"https://orcid.org/0000-0002-2230-9573","observed_orcids":["https://orcid.org/0000-0002-2230-9573"]},"institutions":[{"id":"https://openalex.org/I2800288331","display_name":"Hospital Israelita Albert Einstein","ror":"https://ror.org/04cwrbc27","country_code":"BR","type":"funder","lineage":["https://openalex.org/I2800288331"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Guilherme Alberto Sousa Ribeiro","raw_affiliation_strings":["Department of Radiology, Hospital Israelita Albert Einstein, Av. Albert Einstein 627, Bldg. D, 4th Floor, 627/701, S\u00e3o Paulo, S\u00e3o Paulo, 05652-900, Brazil, 55 11998314571"],"raw_orcid":"https://orcid.org/0000-0002-2230-9573","affiliations":[{"raw_affiliation_string":"Department of Radiology, Hospital Israelita Albert Einstein, Av. Albert Einstein 627, Bldg. D, 4th Floor, 627/701, S\u00e3o Paulo, S\u00e3o Paulo, 05652-900, Brazil, 55 11998314571","institution_ids":["https://openalex.org/I2800288331"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5064395399","display_name":"Thiago Fellipe Ortiz de Camargo","orcid":"https://orcid.org/0000-0002-6917-8339","observed_orcids":["https://orcid.org/0000-0002-6917-8339"]},"institutions":[{"id":"https://openalex.org/I2800288331","display_name":"Hospital Israelita Albert Einstein","ror":"https://ror.org/04cwrbc27","country_code":"BR","type":"funder","lineage":["https://openalex.org/I2800288331"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Thiago Fellipe Ortiz Camargo","raw_affiliation_strings":["Department of Radiology, Hospital Israelita Albert Einstein, Av. Albert Einstein 627, Bldg. D, 4th Floor, 627/701, S\u00e3o Paulo, S\u00e3o Paulo, 05652-900, Brazil, 55 11998314571"],"raw_orcid":"https://orcid.org/0000-0002-6917-8339","affiliations":[{"raw_affiliation_string":"Department of Radiology, Hospital Israelita Albert Einstein, Av. Albert Einstein 627, Bldg. D, 4th Floor, 627/701, S\u00e3o Paulo, S\u00e3o Paulo, 05652-900, Brazil, 55 11998314571","institution_ids":["https://openalex.org/I2800288331"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5119306681","display_name":"William Yang Chen Fan","orcid":"https://orcid.org/0009-0004-3050-3829","observed_orcids":["https://orcid.org/0009-0004-3050-3829"]},"institutions":[{"id":"https://openalex.org/I2800288331","display_name":"Hospital Israelita Albert Einstein","ror":"https://ror.org/04cwrbc27","country_code":"BR","type":"funder","lineage":["https://openalex.org/I2800288331"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"William Yang Chen Fan","raw_affiliation_strings":["Department of Radiology, Hospital Israelita Albert Einstein, Av. Albert Einstein 627, Bldg. D, 4th Floor, 627/701, S\u00e3o Paulo, S\u00e3o Paulo, 05652-900, Brazil, 55 11998314571"],"raw_orcid":"https://orcid.org/0009-0004-3050-3829","affiliations":[{"raw_affiliation_string":"Department of Radiology, Hospital Israelita Albert Einstein, Av. Albert Einstein 627, Bldg. D, 4th Floor, 627/701, S\u00e3o Paulo, S\u00e3o Paulo, 05652-900, Brazil, 55 11998314571","institution_ids":["https://openalex.org/I2800288331"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109257796","display_name":"Pedro Vieira Santana Netto","orcid":"https://orcid.org/0009-0007-0776-7051","observed_orcids":["https://orcid.org/0009-0007-0776-7051"]},"institutions":[{"id":"https://openalex.org/I2800288331","display_name":"Hospital Israelita Albert Einstein","ror":"https://ror.org/04cwrbc27","country_code":"BR","type":"funder","lineage":["https://openalex.org/I2800288331"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Pedro Vieira Santana Netto","raw_affiliation_strings":["Department of Radiology, Hospital Israelita Albert Einstein, Av. Albert Einstein 627, Bldg. D, 4th Floor, 627/701, S\u00e3o Paulo, S\u00e3o Paulo, 05652-900, Brazil, 55 11998314571"],"raw_orcid":"https://orcid.org/0009-0007-0776-7051","affiliations":[{"raw_affiliation_string":"Department of Radiology, Hospital Israelita Albert Einstein, Av. Albert Einstein 627, Bldg. D, 4th Floor, 627/701, S\u00e3o Paulo, S\u00e3o Paulo, 05652-900, Brazil, 55 11998314571","institution_ids":["https://openalex.org/I2800288331"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5055589065","display_name":"Giovanna de Souza Mendes","orcid":"https://orcid.org/0009-0004-1820-6151","observed_orcids":["https://orcid.org/0009-0004-1820-6151"]},"institutions":[{"id":"https://openalex.org/I2800288331","display_name":"Hospital Israelita Albert Einstein","ror":"https://ror.org/04cwrbc27","country_code":"BR","type":"funder","lineage":["https://openalex.org/I2800288331"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Giovanna de Souza Mendes","raw_affiliation_strings":["Department of Radiology, Hospital Israelita Albert Einstein, Av. Albert Einstein 627, Bldg. D, 4th Floor, 627/701, S\u00e3o Paulo, S\u00e3o Paulo, 05652-900, Brazil, 55 11998314571"],"raw_orcid":"https://orcid.org/0009-0004-1820-6151","affiliations":[{"raw_affiliation_string":"Department of Radiology, Hospital Israelita Albert Einstein, Av. Albert Einstein 627, Bldg. D, 4th Floor, 627/701, S\u00e3o Paulo, S\u00e3o Paulo, 05652-900, Brazil, 55 11998314571","institution_ids":["https://openalex.org/I2800288331"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5029710070","display_name":"Gilberto Szarf","orcid":"https://orcid.org/0000-0002-1941-7899","observed_orcids":["https://orcid.org/0000-0002-1941-7899"]},"institutions":[{"id":"https://openalex.org/I2800288331","display_name":"Hospital Israelita Albert Einstein","ror":"https://ror.org/04cwrbc27","country_code":"BR","type":"funder","lineage":["https://openalex.org/I2800288331"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Gilberto Szarf","raw_affiliation_strings":["Department of Radiology, Hospital Israelita Albert Einstein, Av. Albert Einstein 627, Bldg. D, 4th Floor, 627/701, S\u00e3o Paulo, S\u00e3o Paulo, 05652-900, Brazil, 55 11998314571"],"raw_orcid":"https://orcid.org/0000-0002-1941-7899","affiliations":[{"raw_affiliation_string":"Department of Radiology, Hospital Israelita Albert Einstein, Av. Albert Einstein 627, Bldg. D, 4th Floor, 627/701, S\u00e3o Paulo, S\u00e3o Paulo, 05652-900, Brazil, 55 11998314571","institution_ids":["https://openalex.org/I2800288331"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5023794463","display_name":"Rafael Maffei Loureiro","orcid":"https://orcid.org/0000-0002-1635-2225","observed_orcids":["https://orcid.org/0000-0002-1635-2225"]},"institutions":[{"id":"https://openalex.org/I2800288331","display_name":"Hospital Israelita Albert Einstein","ror":"https://ror.org/04cwrbc27","country_code":"BR","type":"funder","lineage":["https://openalex.org/I2800288331"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Rafael Maffei Loureiro","raw_affiliation_strings":["Department of Radiology, Hospital Israelita Albert Einstein, Av. Albert Einstein 627, Bldg. D, 4th Floor, 627/701, S\u00e3o Paulo, S\u00e3o Paulo, 05652-900, Brazil, 55 11998314571"],"raw_orcid":"https://orcid.org/0000-0002-1635-2225","affiliations":[{"raw_affiliation_string":"Department of Radiology, Hospital Israelita Albert Einstein, Av. Albert Einstein 627, Bldg. D, 4th Floor, 627/701, S\u00e3o Paulo, S\u00e3o Paulo, 05652-900, Brazil, 55 11998314571","institution_ids":["https://openalex.org/I2800288331"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5047839612","display_name":"Ary Serpa Neto","orcid":"https://orcid.org/0000-0003-1520-9387","observed_orcids":["https://orcid.org/0000-0003-1520-9387"]},"institutions":[{"id":"https://openalex.org/I165779595","display_name":"The University of Melbourne","ror":"https://ror.org/01ej9dk98","country_code":"AU","type":"education","lineage":["https://openalex.org/I165779595"]},{"id":"https://openalex.org/I2800288331","display_name":"Hospital Israelita Albert Einstein","ror":"https://ror.org/04cwrbc27","country_code":"BR","type":"funder","lineage":["https://openalex.org/I2800288331"]},{"id":"https://openalex.org/I2800453128","display_name":"Austin Hospital","ror":"https://ror.org/010mv7n52","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I2800453128","https://openalex.org/I4210163497"]},{"id":"https://openalex.org/I56590836","display_name":"Monash University","ror":"https://ror.org/02bfwt286","country_code":"AU","type":"education","lineage":["https://openalex.org/I56590836"]}],"countries":["AU","BR"],"is_corresponding":false,"raw_author_name":"Ary Serpa Neto","raw_affiliation_strings":["Australian and New Zealand Intensive Care Research Centre (ANZIC-RC), School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia","Department of Critical Care Medicine, Hospital Israelita Albert Einstein, S\u00e3o Paulo, S\u00e3o Paulo, Brazil","Department of Critical Care, Melbourne Medical School, University of Melbourne, Austin Hospital, Melbourne, Australia","Department of Intensive Care, Austin Hospital, Melbourne, Australia"],"raw_orcid":"https://orcid.org/0000-0003-1520-9387","affiliations":[{"raw_affiliation_string":"Australian and New Zealand Intensive Care Research Centre (ANZIC-RC), School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia","institution_ids":["https://openalex.org/I56590836"]},{"raw_affiliation_string":"Department of Critical Care Medicine, Hospital Israelita Albert Einstein, S\u00e3o Paulo, S\u00e3o Paulo, Brazil","institution_ids":["https://openalex.org/I2800288331"]},{"raw_affiliation_string":"Department of Critical Care, Melbourne Medical School, University of Melbourne, Austin Hospital, Melbourne, Australia","institution_ids":["https://openalex.org/I165779595","https://openalex.org/I2800453128"]},{"raw_affiliation_string":"Department of Intensive Care, Austin Hospital, Melbourne, Australia","institution_ids":["https://openalex.org/I2800453128"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018270851","display_name":"Joselisa P\u00e9res Queiroz de Paiva","orcid":"https://orcid.org/0000-0001-7487-397X","observed_orcids":["https://orcid.org/0000-0001-7487-397X"]},"institutions":[{"id":"https://openalex.org/I2800288331","display_name":"Hospital Israelita Albert Einstein","ror":"https://ror.org/04cwrbc27","country_code":"BR","type":"funder","lineage":["https://openalex.org/I2800288331"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Joselisa P\u00e9res Queiroz de Paiva","raw_affiliation_strings":["Department of Radiology, Hospital Israelita Albert Einstein, Av. Albert Einstein 627, Bldg. D, 4th Floor, 627/701, S\u00e3o Paulo, S\u00e3o Paulo, 05652-900, Brazil, 55 11998314571"],"raw_orcid":"https://orcid.org/0000-0001-7487-397X","affiliations":[{"raw_affiliation_string":"Department of Radiology, Hospital Israelita Albert Einstein, Av. Albert Einstein 627, Bldg. D, 4th Floor, 627/701, S\u00e3o Paulo, S\u00e3o Paulo, 05652-900, Brazil, 55 11998314571","institution_ids":["https://openalex.org/I2800288331"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5061473832","display_name":"Jaqueline Driemeyer Correia Horvath","orcid":"https://orcid.org/0000-0001-8440-6590","observed_orcids":["https://orcid.org/0000-0001-8440-6590"]},"institutions":[{"id":"https://openalex.org/I2800288331","display_name":"Hospital Israelita Albert Einstein","ror":"https://ror.org/04cwrbc27","country_code":"BR","type":"funder","lineage":["https://openalex.org/I2800288331"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Jaqueline Driemeyer Correia Horvath","raw_affiliation_strings":["Department of Radiology, Hospital Israelita Albert Einstein, Av. Albert Einstein 627, Bldg. D, 4th Floor, 627/701, S\u00e3o Paulo, S\u00e3o Paulo, 05652-900, Brazil, 55 11998314571"],"raw_orcid":"https://orcid.org/0000-0001-8440-6590","affiliations":[{"raw_affiliation_string":"Department of Radiology, Hospital Israelita Albert Einstein, Av. Albert Einstein 627, Bldg. D, 4th Floor, 627/701, S\u00e3o Paulo, S\u00e3o Paulo, 05652-900, Brazil, 55 11998314571","institution_ids":["https://openalex.org/I2800288331"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5006573733"],"corresponding_institution_ids":["https://openalex.org/I2800288331"],"apc_list":{"value":1900,"currency":"USD","value_usd":1900},"apc_paid":{"value":1900,"currency":"USD","value_usd":1900},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.08295658,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"15","issue":null,"first_page":"e88626","last_page":"e88626"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.9702000021934509,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.9702000021934509,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11775","display_name":"COVID-19 diagnosis using AI","score":0.02280000038444996,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11894","display_name":"Radiology practices and education","score":0.002099999925121665,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/diagnostic-support-system","display_name":"diagnostic support system","score":0.4300000071525574},{"id":"https://openalex.org/keywords/resource-limited-settings","display_name":"resource-limited settings","score":0.8560000061988831},{"id":"https://openalex.org/keywords/general-practitioners","display_name":"general practitioners","score":0.9210000038146973},{"id":"https://openalex.org/keywords/diagnostic-accuracy","display_name":"diagnostic accuracy","score":0.9049999713897705},{"id":"https://openalex.org/keywords/respiratory-diseases","display_name":"respiratory diseases","score":0.5040000081062317},{"id":"https://openalex.org/keywords/radiological-abnormalities","display_name":"radiographic abnormalities","score":0.640999972820282},{"id":"https://openalex.org/keywords/pneumothorax","display_name":"pneumothorax","score":0.765999972820282},{"id":"https://openalex.org/keywords/atelectasis","display_name":"atelectasis","score":0.8050000071525574},{"id":"https://openalex.org/keywords/pleural-effusion","display_name":"pleural effusion","score":0.8429999947547913},{"id":"https://openalex.org/keywords/cardiomegaly","display_name":"cardiomegaly","score":0.8830000162124634},{"id":"https://openalex.org/keywords/pulmonary-consolidation","display_name":"lung consolidation","score":0.5720000267028809},{"id":"https://openalex.org/keywords/stepped-wedge-cluster-randomized-trial","display_name":"stepped-wedge cluster randomized trial","score":0.6320000290870667},{"id":"https://openalex.org/keywords/brazil","display_name":"Brazil","score":0.46799999475479126},{"id":"https://openalex.org/keywords/deprived-areas","display_name":"underserved areas","score":0.4449999928474426},{"id":"https://openalex.org/keywords/physician-confidence","display_name":"physician confidence","score":0.4309999942779541},{"id":"https://openalex.org/keywords/workflow-efficiency","display_name":"workflow efficiency","score":0.5569999814033508},{"id":"https://openalex.org/keywords/consort-ai","display_name":"CONSORT-AI","score":0.6489999890327454}],"concepts":[{"id":"https://openalex.org/C2780385302","wikidata":"https://www.wikidata.org/wiki/Q367158","display_name":"Protocol (science)","level":3,"score":0.7099999785423279},{"id":"https://openalex.org/C527412718","wikidata":"https://www.wikidata.org/wiki/Q855395","display_name":"Interpretation (philosophy)","level":2,"score":0.6190999746322632},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5242999792098999},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.4887999892234802},{"id":"https://openalex.org/C19527891","wikidata":"https://www.wikidata.org/wiki/Q1120908","display_name":"Medical physics","level":1,"score":0.3926999866962433},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3102000057697296},{"id":"https://openalex.org/C535046627","wikidata":"https://www.wikidata.org/wiki/Q30612","display_name":"Clinical trial","level":2,"score":0.30959999561309814},{"id":"https://openalex.org/C133112747","wikidata":"https://www.wikidata.org/wiki/Q7251931","display_name":"Protocol analysis","level":2,"score":0.28700000047683716},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.2791999876499176},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.27459999918937683},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.27390000224113464},{"id":"https://openalex.org/C124101348","wikidata":"https://www.wikidata.org/wiki/Q172491","display_name":"Data mining","level":1,"score":0.2533000111579895},{"id":"https://openalex.org/C204321447","wikidata":"https://www.wikidata.org/wiki/Q30642","display_name":"Natural language processing","level":1,"score":0.2531000077724457},{"id":"https://openalex.org/C72280650","wikidata":"https://www.wikidata.org/wiki/Q210439","display_name":"Language interpretation","level":3,"score":0.2506999969482422}],"mesh":[{"descriptor_ui":"D000092943","descriptor_name":"Resource-Limited Settings","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001185","descriptor_name":"Artificial Intelligence","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013902","descriptor_name":"Radiography, Thoracic","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true}],"locations_count":5,"locations":[{"id":"doi:10.2196/88626","doi":"https://doi.org/10.2196/88626","is_oa":true,"landing_page_url":"https://doi.org/10.2196/88626","pdf_url":null,"source":{"id":"https://openalex.org/S2739058702","display_name":"JMIR Research Protocols","issn_l":"1929-0748","issn":["1929-0748"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320608","host_organization_name":"JMIR Publications","host_organization_lineage":["https://openalex.org/P4310320608"],"host_organization_lineage_names":["JMIR Publications"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JMIR Research Protocols","raw_type":"journal-article"},{"id":"doi:10.2196/preprints.88626","doi":"https://doi.org/10.2196/preprints.88626","is_oa":true,"landing_page_url":"https://doi.org/10.2196/preprints.88626","pdf_url":null,"source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"posted-content"},{"id":"pmid:42441741","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42441741","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JMIR research protocols","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13361621","doi":null,"is_oa":true,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42441741/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JMIR Res Protoc","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:88b102c2aa1c4173bcc4a11b8bb34e4d","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/88b102c2aa1c4173bcc4a11b8bb34e4d","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"JMIR Research Protocols, Vol 15, Pp e88626-e88626 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.2196/88626","doi":"https://doi.org/10.2196/88626","is_oa":true,"landing_page_url":"https://doi.org/10.2196/88626","pdf_url":null,"source":{"id":"https://openalex.org/S2739058702","display_name":"JMIR Research Protocols","issn_l":"1929-0748","issn":["1929-0748"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320608","host_organization_name":"JMIR Publications","host_organization_lineage":["https://openalex.org/P4310320608"],"host_organization_lineage_names":["JMIR Publications"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JMIR Research Protocols","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9537000060081482}],"study_designs":[{"id":"https://openalex.org/study-designs/study-protocol","display_name":"Study Protocol"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":46,"referenced_works":["https://openalex.org/W1988771307","https://openalex.org/W1998473914","https://openalex.org/W2032039690","https://openalex.org/W2055690472","https://openalex.org/W2106779732","https://openalex.org/W2168199261","https://openalex.org/W2510031061","https://openalex.org/W2559874490","https://openalex.org/W2592929672","https://openalex.org/W2811374795","https://openalex.org/W2910707576","https://openalex.org/W2939466230","https://openalex.org/W2980965120","https://openalex.org/W2982071196","https://openalex.org/W2982580298","https://openalex.org/W2995587866","https://openalex.org/W3007935259","https://openalex.org/W3008310671","https://openalex.org/W3013681994","https://openalex.org/W3021448502","https://openalex.org/W3083992516","https://openalex.org/W3118650257","https://openalex.org/W3139379779","https://openalex.org/W3160333010","https://openalex.org/W3185079644","https://openalex.org/W3196962123","https://openalex.org/W3211964211","https://openalex.org/W4200434450","https://openalex.org/W4246413330","https://openalex.org/W4280488363","https://openalex.org/W4281253460","https://openalex.org/W4313315664","https://openalex.org/W4313892667","https://openalex.org/W4366998893","https://openalex.org/W4386600292","https://openalex.org/W4395067202","https://openalex.org/W4399591362","https://openalex.org/W4402393378","https://openalex.org/W4402924370","https://openalex.org/W4403510073","https://openalex.org/W4404869649","https://openalex.org/W4405526581","https://openalex.org/W4407230564","https://openalex.org/W4407300520","https://openalex.org/W4410289560","https://openalex.org/W4414029053"],"related_works":["https://openalex.org/W4416872704","https://openalex.org/W4311178371","https://openalex.org/W7204210388","https://openalex.org/W7160509061","https://openalex.org/W4415207028","https://openalex.org/W2889510207","https://openalex.org/W4405729875","https://openalex.org/W4389614963","https://openalex.org/W4414029053","https://openalex.org/W4284972669"],"abstract_inverted_index":{"Background:":[0],"Artificial":[1],"intelligence":[2],"(AI)":[3],"has":[4],"the":[5,161,172,184,201,224,244,283,325,345,348,435],"potential":[6],"to":[7,85,123,133,141,266,338,377,386,397,452,471],"transform":[8],"chest":[9,27,90,229,236,260,440],"radiography":[10,28,91],"interpretation":[11,238,262],"by":[12,41,171,263,310,324,341,380,389,401],"enhancing":[13,288],"diagnostic":[14,112,165,225,409],"accuracy,":[15],"identifying":[16],"subtle":[17],"findings,":[18],"reducing":[19],"errors,":[20],"and":[21,32,44,120,155,210,293,335,406,422,449],"helping":[22],"prioritize":[23],"patient":[24],"care.":[25,473],"Although":[26],"remains":[29],"a":[30,191,194,306,418,454],"cost-effective":[31],"widely":[33],"used":[34],"imaging":[35,462],"tool,":[36],"its":[37,447],"effectiveness":[38],"is":[39,69,160,190,336,367,395],"limited":[40,469],"overlapping":[42],"anatomy":[43],"variability":[45],"in":[46,59,65,92,126,163,241,252,318,332,466],"clinical":[47,67,198,365,399,436],"expertise.":[48],"Integrating":[49],"AI":[50,79,136,173,459],"can":[51],"help":[52],"overcome":[53],"some":[54],"of":[55,205,247,347,352,438],"these":[56],"challenges,":[57],"especially":[58,465],"resource-constrained":[60],"settings.":[61],"However,":[62],"robust":[63],"validation":[64],"real-world":[66,286,432],"contexts":[68],"essential":[70],"before":[71],"widespread":[72],"implementation.":[73],"This":[74,130,188,314,393],"study":[75,131,189],"protocol":[76,192],"evaluates":[77],"whether":[78,135],"assistance":[80,137],"improves":[81],"general":[82,264],"practitioners'":[83],"ability":[84,140],"detect":[86,142],"radiographic":[87,144],"findings":[88],"on":[89,434],"adults":[93],"with":[94,105,176,243,269,305,370,413,468],"respiratory":[95,102,414],"complaints":[96],"or":[97,148],"those":[98],"undergoing":[99],"treatment":[100,404],"for":[101,193,216,228,360,411,457],"diseases":[103],"compared":[104,175,304],"unaided":[106,259],"interpretation.":[107],"Potential":[108],"benefits":[109],"include":[110],"increased":[111],"safety,":[113],"higher":[114],"physician":[115,424],"confidence,":[116],"more":[117,407],"efficient":[118],"workflows,":[119],"expanded":[121],"access":[122,470],"expert":[124,180],"support":[125,226],"underserved":[127],"areas.":[128],"Objective:":[129],"aims":[132],"evaluate":[134],"enhances":[138],"physicians'":[139,164],"key":[143],"abnormalities,":[145],"including":[146],"consolidation":[147],"pulmonary":[149],"opacity,":[150],"pneumothorax,":[151],"atelectasis,":[152],"pleural":[153],"effusion,":[154],"cardiomegaly.":[156],"The":[157,221,275,363],"primary":[158],"outcome":[159],"difference":[162],"accuracy":[166],"(per":[167],"examination)":[168],"when":[169],"assisted":[170],"tool":[174,239],"usual":[177],"practice,":[178],"using":[179],"radiologist":[181],"consensus":[182],"as":[183],"reference":[185,307],"value.":[186],"Methods:":[187],"multicenter,":[195],"stepped-wedge,":[196],"cluster-randomized":[197],"trial":[199,349,366,429],"following":[200],"CONSORT-AI":[202],"(Consolidated":[203],"Standards":[204],"Reporting":[206],"Trials-Artificial":[207,218],"Intelligence)":[208,219],"extension":[209],"SPIRIT-AI":[211],"(Standard":[212],"Protocol":[213],"Items:":[214],"Recommendations":[215],"Interventional":[217],"guidelines.":[220],"intervention":[222,394],"involves":[223],"solution":[227],"radiography,":[230],"Lung":[231],"Analysis":[232],"(LuAna),":[233],"an":[234],"AI-powered":[235],"X-ray":[237,261],"developed":[240],"partnership":[242],"Brazilian":[245],"Ministry":[246],"Health.":[248],"Across":[249],"9":[250],"cities":[251],"Brazil,":[253],"clusters":[254,281],"will":[255,302,430],"transition":[256],"monthly":[257],"from":[258,427],"practitioners":[265],"AI-assisted":[267,439],"interpretation,":[268],"performance":[270,301],"benchmarked":[271],"against":[272],"thoracic":[273,311],"radiologists.":[274,312],"stepped-wedge":[276],"design":[277],"ensures":[278],"that":[279],"all":[280],"receive":[282],"intervention,":[284],"reflecting":[285],"coordination,":[287],"acceptability,":[289],"improving":[290],"statistical":[291,374],"power,":[292],"strengthening":[294],"causal":[295],"inference":[296],"through":[297],"repeated":[298],"measures.":[299],"Diagnostic":[300],"be":[303,339,378,387],"standard":[308],"established":[309],"Results:":[313],"project":[315],"was":[316],"funded":[317],"October":[319],"2024":[320],"(following":[321],"ethics":[322],"approval":[323],"institutional":[326],"review":[327],"board).":[328],"Data":[329],"collection":[330],"commenced":[331],"January":[333,390],"2026":[334],"projected":[337],"completed":[340],"September":[342],"2026,":[343],"marking":[344],"end":[346],"period.":[350],"As":[351],"November":[353,381],"2025,":[354],"3":[355],"centers":[356],"were":[357],"fully":[358],"prepared":[359],"enrollment":[361],"initiation.":[362],"LuAna":[364,444],"currently":[368],"ongoing,":[369],"data":[371],"analysis":[372],"(including":[373],"analyses)":[375],"forecasted":[376],"finalized":[379],"2026.":[382],"Results":[383],"are":[384],"expected":[385,396],"published":[388],"2027.":[391],"Conclusions:":[392],"enhance":[398],"decision-making":[400],"supporting":[402],"earlier":[403],"initiation":[405],"appropriate":[408],"pathways":[410],"patients":[412],"symptoms":[415],"while":[416],"maintaining":[417],"favorable":[419],"safety":[420],"profile":[421],"high":[423],"usability.":[425],"Findings":[426],"this":[428],"provide":[431],"evidence":[433],"utility":[437],"radiography.":[441],"If":[442],"effective,":[443],"may":[445],"leverage":[446],"scalability":[448],"equity":[450],"advantages":[451],"become":[453],"replicable":[455],"model":[456],"integrating":[458],"into":[460],"routine":[461],"workflows":[463],"worldwide,":[464],"regions":[467],"specialist":[472]},"counts_by_year":[],"updated_date":"2026-11-05T12:25:35.769452","created_date":"2026-03-12T00:00:00"}
