{"id":"https://openalex.org/W4362720395","doi":"https://doi.org/10.1038/s41746-023-00797-9","title":"Collaborative strategies for deploying artificial intelligence to complement physician diagnoses of acute respiratory distress syndrome","display_name":"Collaborative strategies for deploying artificial intelligence to complement physician diagnoses of acute respiratory distress syndrome","publication_year":2023,"publication_date":"2023-04-08","ids":{"openalex":"https://openalex.org/W4362720395","doi":"https://doi.org/10.1038/s41746-023-00797-9","pmid":"https://pubmed.ncbi.nlm.nih.gov/37031252"},"language":"en","primary_location":{"id":"doi:10.1038/s41746-023-00797-9","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-023-00797-9","pdf_url":"https://www.nature.com/articles/s41746-023-00797-9.pdf","source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"npj Digital Medicine","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.nature.com/articles/s41746-023-00797-9.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5064289969","display_name":"Negar Farzaneh","orcid":"https://orcid.org/0000-0003-1200-5274"},"institutions":[{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]},{"id":"https://openalex.org/I4210114445","display_name":"Michigan Medicine","ror":"https://ror.org/01zcpa714","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210114445"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Negar Farzaneh","raw_affiliation_strings":["Department of Emergency Medicine, University of Michigan Medical School, Ann Arbor, MI, USA. negarf@umich.edu","The Max Harry Weil Institute for Critical Care Research & Innovation, University of Michigan, Ann Arbor, MI, USA. negarf@umich.edu","The Max Harry Weil Institute for Critical Care Research & Innovation, University of Michigan, Ann Arbor, MI, USA"],"raw_orcid":"https://orcid.org/0000-0003-1200-5274","affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, University of Michigan Medical School, Ann Arbor, MI, USA. negarf@umich.edu","institution_ids":["https://openalex.org/I27837315","https://openalex.org/I4210114445"]},{"raw_affiliation_string":"The Max Harry Weil Institute for Critical Care Research & Innovation, University of Michigan, Ann Arbor, MI, USA. negarf@umich.edu","institution_ids":["https://openalex.org/I27837315"]},{"raw_affiliation_string":"The Max Harry Weil Institute for Critical Care Research & Innovation, University of Michigan, Ann Arbor, MI, USA","institution_ids":["https://openalex.org/I27837315"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5030205118","display_name":"Sardar Ansari","orcid":"https://orcid.org/0000-0002-3471-316X"},"institutions":[{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sardar Ansari","raw_affiliation_strings":["Department of Emergency Medicine, University of Michigan Medical School, Ann Arbor, MI, USA","The Max Harry Weil Institute for Critical Care Research & Innovation, University of Michigan, Ann Arbor, MI, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, University of Michigan Medical School, Ann Arbor, MI, USA","institution_ids":["https://openalex.org/I27837315"]},{"raw_affiliation_string":"The Max Harry Weil Institute for Critical Care Research & Innovation, University of Michigan, Ann Arbor, MI, USA","institution_ids":["https://openalex.org/I27837315"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5071789952","display_name":"Elizabeth Lee","orcid":"https://orcid.org/0000-0001-5404-1447"},"institutions":[{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Elizabeth Lee","raw_affiliation_strings":["Department of Radiology, University of Michigan, Ann Arbor, MI, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Radiology, University of Michigan, Ann Arbor, MI, USA","institution_ids":["https://openalex.org/I27837315"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5045618287","display_name":"Kevin R. Ward","orcid":"https://orcid.org/0000-0001-5939-409X"},"institutions":[{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kevin R. Ward","raw_affiliation_strings":["Department of Biomedical Engineering, University of Michigan, Ann Arbor, MI, USA","Department of Emergency Medicine, University of Michigan Medical School, Ann Arbor, MI, USA","The Max Harry Weil Institute for Critical Care Research & Innovation, University of Michigan, Ann Arbor, MI, USA"],"raw_orcid":"https://orcid.org/0000-0001-5939-409X","affiliations":[{"raw_affiliation_string":"Department of Biomedical Engineering, University of Michigan, Ann Arbor, MI, USA","institution_ids":["https://openalex.org/I27837315"]},{"raw_affiliation_string":"Department of Emergency Medicine, University of Michigan Medical School, Ann Arbor, MI, USA","institution_ids":["https://openalex.org/I27837315"]},{"raw_affiliation_string":"The Max Harry Weil Institute for Critical Care Research & Innovation, University of Michigan, Ann Arbor, MI, USA","institution_ids":["https://openalex.org/I27837315"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5044681439","display_name":"Michael W. Sjoding","orcid":"https://orcid.org/0000-0002-0535-9659"},"institutions":[{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michael W. Sjoding","raw_affiliation_strings":["Department of Internal Medicine, Division of Pulmonary and Critical Care, University of Michigan Medical School, Ann Arbor, MI, USA","The Max Harry Weil Institute for Critical Care Research & Innovation, University of Michigan, Ann Arbor, MI, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Internal Medicine, Division of Pulmonary and Critical Care, University of Michigan Medical School, Ann Arbor, MI, USA","institution_ids":["https://openalex.org/I27837315"]},{"raw_affiliation_string":"The Max Harry Weil Institute for Critical Care Research & Innovation, University of Michigan, Ann Arbor, MI, USA","institution_ids":["https://openalex.org/I27837315"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5064289969"],"corresponding_institution_ids":["https://openalex.org/I27837315","https://openalex.org/I4210114445"],"apc_list":{"value":3060,"currency":"USD","value_usd":3060},"apc_paid":{"value":3060,"currency":"USD","value_usd":3060},"fwci":7.5081,"has_fulltext":true,"cited_by_count":36,"citation_normalized_percentile":{"value":0.98049973,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":97,"max":100},"biblio":{"volume":"6","issue":"1","first_page":"62","last_page":"62"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10218","display_name":"Sepsis Diagnosis and Treatment","score":0.9991000294685364,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"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/T10218","display_name":"Sepsis Diagnosis and Treatment","score":0.9991000294685364,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"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/T10322","display_name":"Respiratory Support and Mechanisms","score":0.9976999759674072,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"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":0.9912999868392944,"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/ards","display_name":"ARDS","score":0.6270751953125},{"id":"https://openalex.org/keywords/acute-respiratory-distress","display_name":"Acute respiratory distress","score":0.6165589094161987},{"id":"https://openalex.org/keywords/medical-diagnosis","display_name":"Medical diagnosis","score":0.6024515628814697},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.5637832880020142},{"id":"https://openalex.org/keywords/artificial-intelligence","display_name":"Artificial intelligence","score":0.5027740001678467},{"id":"https://openalex.org/keywords/software-deployment","display_name":"Software deployment","score":0.49411681294441223},{"id":"https://openalex.org/keywords/clinical-practice","display_name":"Clinical Practice","score":0.42096686363220215},{"id":"https://openalex.org/keywords/intensive-care-medicine","display_name":"Intensive care medicine","score":0.365291953086853},{"id":"https://openalex.org/keywords/machine-learning","display_name":"Machine learning","score":0.3568536937236786},{"id":"https://openalex.org/keywords/family-medicine","display_name":"Family medicine","score":0.23251989483833313},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.229082852602005},{"id":"https://openalex.org/keywords/pathology","display_name":"Pathology","score":0.18185412883758545},{"id":"https://openalex.org/keywords/internal-medicine","display_name":"Internal medicine","score":0.15183857083320618},{"id":"https://openalex.org/keywords/lung","display_name":"Lung","score":0.09431988000869751}],"concepts":[{"id":"https://openalex.org/C2776348555","wikidata":"https://www.wikidata.org/wiki/Q344873","display_name":"ARDS","level":3,"score":0.6270751953125},{"id":"https://openalex.org/C2909621147","wikidata":"https://www.wikidata.org/wiki/Q344873","display_name":"Acute respiratory distress","level":3,"score":0.6165589094161987},{"id":"https://openalex.org/C534262118","wikidata":"https://www.wikidata.org/wiki/Q177719","display_name":"Medical diagnosis","level":2,"score":0.6024515628814697},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5637832880020142},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.5027740001678467},{"id":"https://openalex.org/C105339364","wikidata":"https://www.wikidata.org/wiki/Q2297740","display_name":"Software deployment","level":2,"score":0.49411681294441223},{"id":"https://openalex.org/C2779974597","wikidata":"https://www.wikidata.org/wiki/Q28448986","display_name":"Clinical Practice","level":2,"score":0.42096686363220215},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.365291953086853},{"id":"https://openalex.org/C119857082","wikidata":"https://www.wikidata.org/wiki/Q2539","display_name":"Machine learning","level":1,"score":0.3568536937236786},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.23251989483833313},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.229082852602005},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.18185412883758545},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.15183857083320618},{"id":"https://openalex.org/C2777714996","wikidata":"https://www.wikidata.org/wiki/Q7886","display_name":"Lung","level":2,"score":0.09431988000869751},{"id":"https://openalex.org/C111919701","wikidata":"https://www.wikidata.org/wiki/Q9135","display_name":"Operating system","level":1,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1038/s41746-023-00797-9","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-023-00797-9","pdf_url":"https://www.nature.com/articles/s41746-023-00797-9.pdf","source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"npj Digital Medicine","raw_type":"journal-article"},{"id":"pmid:37031252","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37031252","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,"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":"NPJ digital medicine","raw_type":null},{"id":"pmh:oai:pubmedcentral.nih.gov:10082784","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10082784","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10082784/pdf/41746_2023_Article_797.pdf","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,"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":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"NPJ Digit Med","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:2b2d7a5e40a84111b97feb98ab8b107b","is_oa":true,"landing_page_url":"https://doaj.org/article/2b2d7a5e40a84111b97feb98ab8b107b","pdf_url":null,"source":{"id":"https://openalex.org/S112646816","display_name":"SHILAP Revista de lepidopterolog\u00eda","issn_l":"0300-5267","issn":["0300-5267","2340-4078"],"is_oa":true,"is_in_doaj":true,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"npj Digital Medicine, Vol 6, Iss 1, Pp 1-8 (2023)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1038/s41746-023-00797-9","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-023-00797-9","pdf_url":"https://www.nature.com/articles/s41746-023-00797-9.pdf","source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"npj Digital Medicine","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[{"id":"https://openalex.org/G1645421982","display_name":null,"funder_award_id":"W81XWH2010496","funder_id":"https://openalex.org/F4320306078","funder_display_name":"U.S. Department of Defense"}],"funders":[{"id":"https://openalex.org/F4320306078","display_name":"U.S. Department of Defense","ror":"https://ror.org/0447fe631"}],"has_content":{"grobid_xml":false,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4362720395.pdf"},"referenced_works_count":25,"referenced_works":["https://openalex.org/W1549656520","https://openalex.org/W1803784511","https://openalex.org/W1876804189","https://openalex.org/W2068854215","https://openalex.org/W2084007633","https://openalex.org/W2093852073","https://openalex.org/W2169732472","https://openalex.org/W2286228001","https://openalex.org/W2620241325","https://openalex.org/W2770241596","https://openalex.org/W2774525674","https://openalex.org/W2790660115","https://openalex.org/W2902644322","https://openalex.org/W2902874468","https://openalex.org/W2908201961","https://openalex.org/W2921891964","https://openalex.org/W3007453563","https://openalex.org/W3036298167","https://openalex.org/W3084346490","https://openalex.org/W3120894151","https://openalex.org/W3155436984","https://openalex.org/W4200245798","https://openalex.org/W4225831763","https://openalex.org/W4294658238","https://openalex.org/W6638284746"],"related_works":["https://openalex.org/W3109505888","https://openalex.org/W2493937886","https://openalex.org/W103021685","https://openalex.org/W2024271466","https://openalex.org/W3032464864","https://openalex.org/W161659851","https://openalex.org/W2219169088","https://openalex.org/W2024847614","https://openalex.org/W4362509846","https://openalex.org/W2257177611"],"abstract_inverted_index":{"There":[0],"is":[1,140],"a":[2,31,66,136,145,155,158,161,209],"growing":[3],"gap":[4],"between":[5],"studies":[6],"describing":[7],"the":[8,79,125,130,180,183,192,196,205,215,231],"capabilities":[9],"of":[10,78,97,225,235],"artificial":[11],"intelligence":[12],"(AI)":[13],"diagnostic":[14,63,147],"systems":[15,29],"using":[16],"deep":[17],"learning":[18],"versus":[19],"efforts":[20],"to":[21,26,35,57,75,135,154,167,218,223],"investigate":[22,46],"how":[23],"or":[24,177,191],"when":[25],"integrate":[27],"AI":[28,51,72,126,169,193,206,216],"into":[30],"real-world":[32],"clinical":[33],"practice":[34],"support":[36],"physicians":[37,93,228],"and":[38,54,133,165],"improve":[39],"diagnosis.":[40],"To":[41],"address":[42],"this":[43,90,142,213],"gap,":[44],"we":[45,69,121],"four":[47],"potential":[48,60],"strategies":[49,119,178],"for":[50,221],"model":[52,73,91,127,170,194,207],"deployment":[53],"physician":[55,137,159,181],"collaboration":[56,118],"determine":[58],"their":[59],"impact":[61],"on":[62,85,230],"accuracy.":[64],"As":[65],"case":[67],"study,":[68],"examine":[70],"an":[71,168],"trained":[74],"identify":[76],"findings":[77,96],"acute":[80],"respiratory":[81],"distress":[82],"syndrome":[83],"(ARDS)":[84],"chest":[86,131,162,184,197,210,236],"X-ray":[87,132,163,185,198,211],"images.":[88],"While":[89],"outperforms":[92],"at":[94],"identifying":[95],"ARDS,":[98],"there":[99],"are":[100],"several":[101,117],"reasons":[102],"why":[103],"fully":[104],"automated":[105],"ARDS":[106],"detection":[107],"may":[108],"not":[109],"be":[110],"optimal":[111],"nor":[112],"feasible":[113],"in":[114],"practice.":[115],"Among":[116],"tested,":[120],"find":[122],"that":[123],"if":[124,138,171],"first":[128,164],"reviews":[129,160,182,195,208],"defers":[134,166],"it":[139],"uncertain,":[141],"strategy":[143,156],"achieves":[144],"higher":[146],"accuracy":[148],"(0.869,":[149],"95%":[150,174,188,201],"CI":[151,175,189,202],"0.835-0.903)":[152],"compared":[153],"where":[157,179],"uncertain":[172],"(0.824,":[173],"0.781-0.862),":[176],"alone":[186,199],"(0.808,":[187],"0.767-0.85)":[190],"(0.847,":[200],"0.806-0.887).":[203],"If":[204],"first,":[212],"allows":[214],"system":[217],"make":[219],"decisions":[220],"up":[222],"79%":[224],"cases,":[226],"letting":[227],"focus":[229],"most":[232],"challenging":[233],"subsets":[234],"X-rays.":[237]},"counts_by_year":[{"year":2026,"cited_by_count":5},{"year":2025,"cited_by_count":13},{"year":2024,"cited_by_count":14},{"year":2023,"cited_by_count":4}],"updated_date":"2026-03-27T05:58:40.876381","created_date":"2025-10-10T00:00:00"}