{"id":"https://openalex.org/W4416344366","doi":"https://doi.org/10.3389/fdata.2025.1690955","title":"Implementation of a net benefit parameter in ROC curve decision thresholds for AI-powered mammography screening","display_name":"Implementation of a net benefit parameter in ROC curve decision thresholds for AI-powered mammography screening","publication_year":2025,"publication_date":"2025-11-18","ids":{"openalex":"https://openalex.org/W4416344366","doi":"https://doi.org/10.3389/fdata.2025.1690955","pmid":"https://pubmed.ncbi.nlm.nih.gov/41340715"},"language":"en","primary_location":{"id":"doi:10.3389/fdata.2025.1690955","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fdata.2025.1690955","pdf_url":"https://public-pages-files-2025.frontiersin.org/journals/big-data/articles/10.3389/fdata.2025.1690955/pdf","source":{"id":"https://openalex.org/S4210201220","display_name":"Frontiers in Big Data","issn_l":"2624-909X","issn":["2624-909X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Big Data","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://public-pages-files-2025.frontiersin.org/journals/big-data/articles/10.3389/fdata.2025.1690955/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5005378024","display_name":"A. P. Pamova","orcid":"https://orcid.org/0000-0002-0041-3281"},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Anastasia Petrovna Pamova","raw_affiliation_strings":["Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department, Moscow, Russia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department, Moscow, Russia","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5102823116","display_name":"Yuriy \u0410. Vasilev","orcid":"https://orcid.org/0000-0002-5283-5961"},"institutions":[{"id":"https://openalex.org/I4210113199","display_name":"National Medical and Surgical Center named after N.I. Pirogov","ror":"https://ror.org/01v2h2d39","country_code":"RU","type":"facility","lineage":["https://openalex.org/I4210113199"]}],"countries":["RU"],"is_corresponding":false,"raw_author_name":"Yuriy Aleksandrovich Vasilev","raw_affiliation_strings":["Pirogov National Medical and Surgical Center, Moscow, Russia","Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department, Moscow, Russia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Pirogov National Medical and Surgical Center, Moscow, Russia","institution_ids":["https://openalex.org/I4210113199"]},{"raw_affiliation_string":"Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department, Moscow, Russia","institution_ids":[]}]},{"author_position":"middle","author":{"id":null,"display_name":"Tatyana Mikhaylovna Bobrovskaya","orcid":null},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Tatyana Mikhaylovna Bobrovskaya","raw_affiliation_strings":["Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department, Moscow, Russia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department, Moscow, Russia","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034882149","display_name":"Anton V. Vladzymyrskyy","orcid":"https://orcid.org/0000-0002-2990-7736"},"institutions":[{"id":"https://openalex.org/I17877952","display_name":"Sechenov University","ror":"https://ror.org/02yqqv993","country_code":"RU","type":"education","lineage":["https://openalex.org/I17877952"]}],"countries":["RU"],"is_corresponding":false,"raw_author_name":"Anton Vyacheslavovich Vladzimirskyy","raw_affiliation_strings":["I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation, Moccow, Russia","Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department, Moscow, Russia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation, Moccow, Russia","institution_ids":["https://openalex.org/I17877952"]},{"raw_affiliation_string":"Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department, Moscow, Russia","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022236223","display_name":"Olga V. Omelyanskaya","orcid":"https://orcid.org/0000-0002-0245-4431"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Olga Vasilyevna Omelyanskaya","raw_affiliation_strings":["Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department, Moscow, Russia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department, Moscow, Russia","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5002252517","display_name":"Kirill M. Arzamasov","orcid":"https://orcid.org/0000-0001-7786-0349"},"institutions":[{"id":"https://openalex.org/I4210135186","display_name":"MIREA - Russian Technological University","ror":"https://ror.org/04qrtgy16","country_code":"RU","type":"education","lineage":["https://openalex.org/I4210135186"]}],"countries":["RU"],"is_corresponding":false,"raw_author_name":"Kirill Mikhailovich Arzamasov","raw_affiliation_strings":["RTU MIREA - Russian Technological University, Moscow, Russia","Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department, Moscow, Russia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"RTU MIREA - Russian Technological University, Moscow, Russia","institution_ids":["https://openalex.org/I4210135186"]},{"raw_affiliation_string":"Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department, Moscow, Russia","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5005378024"],"corresponding_institution_ids":[],"apc_list":{"value":1150,"currency":"USD","value_usd":1150},"apc_paid":{"value":1150,"currency":"USD","value_usd":1150},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.17830614,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"8","issue":null,"first_page":"1690955","last_page":"1690955"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10862","display_name":"AI in cancer detection","score":0.9509999752044678,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},"topics":[{"id":"https://openalex.org/T10862","display_name":"AI in cancer detection","score":0.9509999752044678,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T11775","display_name":"COVID-19 diagnosis using AI","score":0.00930000003427267,"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/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.005900000222027302,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/mammography","display_name":"Mammography","score":0.5942000150680542},{"id":"https://openalex.org/keywords/sensitivity","display_name":"Sensitivity (control systems)","score":0.5259000062942505},{"id":"https://openalex.org/keywords/mammography-screening","display_name":"Mammography screening","score":0.43799999356269836},{"id":"https://openalex.org/keywords/screening-mammography","display_name":"Screening mammography","score":0.3873000144958496},{"id":"https://openalex.org/keywords/receiver-operating-characteristic","display_name":"Receiver operating characteristic","score":0.37299999594688416},{"id":"https://openalex.org/keywords/breast-cancer","display_name":"Breast cancer","score":0.3700999915599823},{"id":"https://openalex.org/keywords/breast-cancer-screening","display_name":"Breast cancer screening","score":0.3612000048160553},{"id":"https://openalex.org/keywords/medical-screening","display_name":"Medical screening","score":0.3416999876499176}],"concepts":[{"id":"https://openalex.org/C2780472235","wikidata":"https://www.wikidata.org/wiki/Q324634","display_name":"Mammography","level":4,"score":0.5942000150680542},{"id":"https://openalex.org/C21200559","wikidata":"https://www.wikidata.org/wiki/Q7451068","display_name":"Sensitivity (control systems)","level":2,"score":0.5259000062942505},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4794999957084656},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.45809999108314514},{"id":"https://openalex.org/C2994436140","wikidata":"https://www.wikidata.org/wiki/Q17011492","display_name":"Mammography screening","level":5,"score":0.43799999356269836},{"id":"https://openalex.org/C19527891","wikidata":"https://www.wikidata.org/wiki/Q1120908","display_name":"Medical physics","level":1,"score":0.42750000953674316},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.4131999909877777},{"id":"https://openalex.org/C119857082","wikidata":"https://www.wikidata.org/wiki/Q2539","display_name":"Machine learning","level":1,"score":0.41100001335144043},{"id":"https://openalex.org/C2910710802","wikidata":"https://www.wikidata.org/wiki/Q17011492","display_name":"Screening mammography","level":5,"score":0.3873000144958496},{"id":"https://openalex.org/C58471807","wikidata":"https://www.wikidata.org/wiki/Q327120","display_name":"Receiver operating characteristic","level":2,"score":0.37299999594688416},{"id":"https://openalex.org/C530470458","wikidata":"https://www.wikidata.org/wiki/Q128581","display_name":"Breast cancer","level":3,"score":0.3700999915599823},{"id":"https://openalex.org/C2778491387","wikidata":"https://www.wikidata.org/wiki/Q17011492","display_name":"Breast cancer screening","level":5,"score":0.3612000048160553},{"id":"https://openalex.org/C2993880109","wikidata":"https://www.wikidata.org/wiki/Q1163564","display_name":"Medical screening","level":2,"score":0.3416999876499176},{"id":"https://openalex.org/C2776463041","wikidata":"https://www.wikidata.org/wiki/Q3044843","display_name":"Cancer screening","level":3,"score":0.33660000562667847},{"id":"https://openalex.org/C2985394991","wikidata":"https://www.wikidata.org/wiki/Q324634","display_name":"Breast screening","level":5,"score":0.3046000003814697},{"id":"https://openalex.org/C84525736","wikidata":"https://www.wikidata.org/wiki/Q831366","display_name":"Decision tree","level":2,"score":0.30390000343322754},{"id":"https://openalex.org/C2781281974","wikidata":"https://www.wikidata.org/wiki/Q324634","display_name":"Digital mammography","level":5,"score":0.2928999960422516},{"id":"https://openalex.org/C2779974597","wikidata":"https://www.wikidata.org/wiki/Q28448986","display_name":"Clinical Practice","level":2,"score":0.28940001130104065},{"id":"https://openalex.org/C124101348","wikidata":"https://www.wikidata.org/wiki/Q172491","display_name":"Data mining","level":1,"score":0.2842999994754791},{"id":"https://openalex.org/C59594135","wikidata":"https://www.wikidata.org/wiki/Q5249242","display_name":"Decision model","level":2,"score":0.2766000032424927},{"id":"https://openalex.org/C40993552","wikidata":"https://www.wikidata.org/wiki/Q514654","display_name":"Gold standard (test)","level":2,"score":0.2736000120639801},{"id":"https://openalex.org/C186116695","wikidata":"https://www.wikidata.org/wiki/Q5249226","display_name":"Decision analysis","level":2,"score":0.2669999897480011},{"id":"https://openalex.org/C12174686","wikidata":"https://www.wikidata.org/wiki/Q1058438","display_name":"Risk assessment","level":2,"score":0.2653000056743622},{"id":"https://openalex.org/C26517878","wikidata":"https://www.wikidata.org/wiki/Q228039","display_name":"Key (lock)","level":2,"score":0.25929999351501465},{"id":"https://openalex.org/C105795698","wikidata":"https://www.wikidata.org/wiki/Q12483","display_name":"Statistics","level":1,"score":0.25780001282691956},{"id":"https://openalex.org/C28901747","wikidata":"https://www.wikidata.org/wiki/Q177571","display_name":"Decision theory","level":2,"score":0.2563000023365021}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.3389/fdata.2025.1690955","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fdata.2025.1690955","pdf_url":"https://public-pages-files-2025.frontiersin.org/journals/big-data/articles/10.3389/fdata.2025.1690955/pdf","source":{"id":"https://openalex.org/S4210201220","display_name":"Frontiers in Big Data","issn_l":"2624-909X","issn":["2624-909X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Big Data","raw_type":"journal-article"},{"id":"pmid:41340715","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41340715","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":"Frontiers in big data","raw_type":null},{"id":"pmh:oai:doaj.org/article:86bebf74502c4e1dbb8ffe6d996374ad","is_oa":true,"landing_page_url":"https://doaj.org/article/86bebf74502c4e1dbb8ffe6d996374ad","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,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Big Data, Vol 8 (2025)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/fdata.2025.1690955","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fdata.2025.1690955","pdf_url":"https://public-pages-files-2025.frontiersin.org/journals/big-data/articles/10.3389/fdata.2025.1690955/pdf","source":{"id":"https://openalex.org/S4210201220","display_name":"Frontiers in Big Data","issn_l":"2624-909X","issn":["2624-909X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Big Data","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":false},"content_urls":{"pdf":"https://content.openalex.org/works/W4416344366.pdf"},"referenced_works_count":49,"referenced_works":["https://openalex.org/W1982611966","https://openalex.org/W2041990424","https://openalex.org/W2082893943","https://openalex.org/W2092610057","https://openalex.org/W2101668496","https://openalex.org/W2106028737","https://openalex.org/W2112316706","https://openalex.org/W2152575748","https://openalex.org/W2171448541","https://openalex.org/W2226880313","https://openalex.org/W2529940321","https://openalex.org/W2807915975","https://openalex.org/W2829068939","https://openalex.org/W2922512202","https://openalex.org/W2926385904","https://openalex.org/W2958943734","https://openalex.org/W2975029521","https://openalex.org/W2977262858","https://openalex.org/W2981182665","https://openalex.org/W2988716771","https://openalex.org/W3004691496","https://openalex.org/W3023668533","https://openalex.org/W3028248260","https://openalex.org/W3080906432","https://openalex.org/W3080997487","https://openalex.org/W3111942793","https://openalex.org/W3117399121","https://openalex.org/W3124018809","https://openalex.org/W3129780571","https://openalex.org/W3163849331","https://openalex.org/W3178805988","https://openalex.org/W3206841404","https://openalex.org/W3208818209","https://openalex.org/W4200544039","https://openalex.org/W4225597912","https://openalex.org/W4283162970","https://openalex.org/W4306316651","https://openalex.org/W4317815057","https://openalex.org/W4321494563","https://openalex.org/W4378220047","https://openalex.org/W4379210181","https://openalex.org/W4384347361","https://openalex.org/W4385649245","https://openalex.org/W4386866352","https://openalex.org/W4389781736","https://openalex.org/W4391232834","https://openalex.org/W4399086341","https://openalex.org/W4401031504","https://openalex.org/W4408812176"],"related_works":[],"abstract_inverted_index":{"Background:":[0],"The":[1,15,83],"rapid":[2],"integration":[3],"of":[4,17,62,80,86,97],"artificial":[5],"intelligence":[6],"(AI)":[7],"into":[8],"mammography":[9,55,88],"necessitates":[10],"robust":[11],"quality":[12],"control":[13],"methods.":[14],"lack":[16],"standardized":[18],"methods":[19],"for":[20,46,51,223],"establishing":[21],"decision":[22,49,103,226],"thresholds":[23],"on":[24],"the":[25,36,48,58,95,102,118,124,135,165,168,180,190,205,215,225,236],"Receiver":[26],"Operating":[27],"Characteristic":[28],"(ROC)":[29],"curves":[30],"makes":[31],"it":[32],"challenging":[33],"to":[34,42,56,109,116,175,179,197,201],"judge":[35],"AI":[37,52,72,143,213,237],"performance.":[38],"This":[39,233],"study":[40],"aims":[41],"develop":[43],"a":[44,65,78,106,147],"method":[45,100,140,195,222],"determining":[47,224],"threshold":[50,104,120,125,170,186,227],"in":[53,146,150,155,161,228],"screening":[54,87,229],"ensure":[57],"widest":[59],"possible":[60],"population":[61],"women":[63],"with":[64,123,138,204,219,230],"breast":[66,242],"pathology":[67],"is":[68],"diagnosed.":[69],"Methods:":[70],"Three":[71],"models":[73],"were":[74],"retrospectively":[75],"evaluated":[76],"using":[77,105,130,193,212],"dataset":[79,84],"digital":[81],"mammograms.":[82],"consisted":[85],"examinations":[89],"obtained":[90],"from":[91],"663,606":[92],"patients":[93],"over":[94],"age":[96],"40.":[98],"Our":[99,114],"estimates":[101],"novel":[107,221],"approach":[108,115,234],"net":[110],"benefit":[111],"(NB)":[112],"analysis.":[113],"setting":[117],"cutoff":[119,169],"was":[121],"compared":[122,178,200],"determined":[126,171,182],"by":[127,172,183],"Youden's":[128,184,206],"index":[129,137,185,207],"McNemar's":[131],"test.":[132],"Results:":[133],"Replacing":[134],"Youden":[136],"our":[139,194,220],"across":[141],"three":[142],"models,":[144],"resulted":[145],"threefold":[148],"reduction":[149,154],"false-positive":[151],"rates,":[152,157],"twofold":[153,159],"false-negative":[156],"and":[158,239],"increase":[160],"true-positive":[162],"rates.":[163],"Thus,":[164],"sensitivity":[166,181,238],"at":[167],"NB":[173],"increased":[174],"99%":[176],"(maximum)":[177],"(72%":[187],"maximum).":[188],"Correspondingly,":[189],"specificity":[191],"when":[192],"decreased":[196],"48%":[198],"(minimum),":[199],"75%":[202],"(minimum)":[203],"method.":[208],"Conclusions:":[209],"We":[210],"propose":[211],"as":[214],"initial":[216],"reader":[217],"together":[218],"double":[231],"reading.":[232],"enhances":[235],"improves":[240],"timely":[241],"cancer":[243],"diagnosis.":[244]},"counts_by_year":[],"updated_date":"2026-05-21T06:26:12.895304","created_date":"2025-11-18T00:00:00"}
