Artificial Intelligence Helps Pathologists Increase Diagnostic Accuracy

55% average reduction in reading times 

The study highlights that AI can help pathologists shorten their reading times by more than half while also improving their rate of detection.  

Artificial Intelligence Helps Pathologists Increase Diagnostic Accuracy and Efficiency in the Detection of Breast Cancer Lymph Node Metastases

Published in The American Journal of Surgical Pathology

Retamero, Juan Antonio MD, MSc; Gulturk, Emre MSc; Bozkurt, Alican MSc; Liu, Sandy MD; Gorgan, Maria MD; Moral, Luis MD; Horton, Margaret PhD; Parke, Andrea PhD; Malfroid, Kasper MSc; Sue, Jill MS; Rothrock, Brandon PhD; Oakley, Gerard MD; DeMuth, George MS; Millar, Ewan BSc, FRCPath; Fuchs, Thomas J. DSc; Klimstra, David S. MD

The American Journal of Surgical Pathology 48(7):p 846-854 (2024)

ABOUT THIS STUDY

Paige designed this study to show how pathologists’ performance in detecting lymph node metastases of breast cancer varied when aided by AI.

AI Used: Paige Breast Lymph Node 

BY THE NUMBERS

The Results

A group of 3 pathologists reviewed 167 breast sentinel lymph node whole-slide images from 148 patients, first without support from the AI, and then after a washout period, assisted by AI. Read modality and reading order were randomized for each pathologist. Changes in their reading times, sensitivity and specificity were assessed.

Using Paige Breast Lymph Node, two of the three pathologists achieved significant improvements in sensitivity, increasing from 74.5% to 93.5%. All three pathologists experienced efficiency gains, with the average reading time per slide decreasing by 71 seconds, from 129 seconds to 58 seconds.

69.1% average reduction in reading times required for suspicious slides

55% overall efficiency gains

19% sensitivity improvements in 2 of 3 pathologists 

94.9% negative predicative value (NPV) on standalone AI 

Paige Breast Lymph Node produces a significant reduction in slide review times for both benign and malignant cases and can help pathologists detect challenging metastases. 

Read the published study

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