AI Outperforms Human Experts in Ovarian Cancer Diagnosis from Ultrasound Images

AI Proves Useful for Ovarian Cancer Diagnosis

FRIDAY, Jan. 3, 2025 (HealthDay News) -- AI can outperform human doctors when it comes to identifying ovarian cancer from ultrasound images. A new study published in the journal Nature Medicine shows that specially trained AI program achieved an accuracy rate of more than 86% in identifying ovarian cancer by scanning ultrasounds, compared to just under 83% for human experts and nearly 78% for non-expert examiners. "Ovarian tumors are common and are often detected by chance," researcher Elisabeth Epstein, a senior physician with the Stockholm South General Hospital's Department of Clinical Science and Education, said in a news release from the Karolinska Institute in Sweden. These results suggest that AI "can offer valuable support in the diagnosis of ovarian cancer, especially in difficult-to-diagnose cases and in settings where there's a shortage of ultrasound experts," Epstein said. For the study, researchers trained an AI program to be able to tell the difference between benign and malignant ovarian lesions, using more than 17,000 ultrasound images from nearly 3,700 patients across 20 hospitals in eight countries. The AI program also cut back on the need for expert referrals, by backing up human doctors, researchers found. In a simulated care scenario, support from the AI cut the number of referrals by 63% and the misdiagnosis rate by 18%. Overall, these results show that AI could contribute to faster and more cost-effective care for patients with ovarian lesions, researchers concluded. However, the research team noted that more studies are needed to validate their findings and fully explore the potential helpfulness of AI. They are now conducting research to evaluate the everyday clinical safety and usefulness of the program, and are planning for a clinical trial to examine the AI's effect on patient management and health care costs. "With continued research and development, AI-based tools can be an integral part of tomorrow's healthcare, relieving experts and optimizing hospital resources, but we need to make sure that they can be adapted to different clinical environments and patient groups," co-lead researcher Filip Christiansen, a doctoral student in Epstein's research group at Karolinska Institute, said in a news release.

AI can improve ovarian cancer diagnoses

A new international study led by researchers at Karolinska Institutet in Sweden shows that AI-based models can outperform human experts at identifying ovarian cancer in ultrasound images. The study is published in Nature Medicine. "Ovarian tumours are common and are often detected by chance," says Professor Elisabeth Epstein at the Department of Clinical Science and Education, Södersjukhuset (Stockholm South General Hospital), at Karolinska Institutet and senior consultant at the hospital's Department of Obstetrics and Gynecology. "There is a serious shortage of ultrasound experts in many parts of the world, which has raised concerns of unnecessary interventions and delayed cancer diagnoses. We therefor wanted to find out if AI can complement human experts." AI outperforms experts The researchers have developed and validated neural network models able to differentiate between benign and malignant ovarian lesions, having trained and tested the AI on over 17,000 ultrasound images from 3,652 patients across 20 hospitals in eight countries. They then compared the models' diagnostic capacity with a large group of experts and less experienced ultrasound examiners. The results showed that the AI models outperformed both expert and non-expert examiners at identifying ovarian cancer, achieving an accuracy rate of 86.3 per cent, compared to 82.6 per cent and 77.7 per cent for the expert and non-expert examiners respectively. "This suggests that neural network models can offer valuable support in the diagnosis of ovarian cancer, especially in difficult-to-diagnose cases and in settings where there's a shortage of ultrasound experts," says Professor Epstein. Reducing the need for expert referrals The AI models can also reduce the need for expert referrals. In a simulated triage situation, the AI support cut the number of referrals by 63 per cent and the misdiagnosis rate by 18 per cent. This can lead to faster and more cost-effective care for patients with ovarian lesions. Despite the promising results, the researchers stress that further studies are needed before the full potential of the neural network models and their clinical limitations are fully understood. "With continued research and development, AI-based tools can be an integral part of tomorrow's healthcare, relieving experts and optimising hospital resources, but we need to make sure that they can be adapted to different clinical environments and patient groups," says Filip Christiansen, doctoral student in Professor Epstein's research group at Karolinska Institutet and joint first author with Emir Konuk at the KTH Royal Institute of Technology. Evaluating the safety of the AI support The researchers are now conducting prospective clinical studies at Södersjukhuset to evaluate the everyday clinical safety and usefulness of the AI tool. Future research will also include a randomised multicentre study to examine its effect on patient management and healthcare costs. The study was conducted in close collaboration with researchers at the KTH Royal Institute of Technology and was financed by grants from the Swedish Research Council, the Swedish Cancer Society, the Stockholm Regional Council, the Cancer Research Funds of Radiumhemmet and the Wallenberg AI, Autonomous Systems and Software Program (WASP). Elisabeth Epstein, Filip Christiansen and three co-authors have applied for a patent through the company Intelligyn for methods of computer-supported diagnostics. Elisabeth Epstein, Filip Christiansen and Kevin Smith, researcher at the KTH Royal Institute of Technology, also own shares in Intelligyn, for which Professor Epstein is an unsalaried manager.

AI-based ultrasound evaluation can improve ovarian cancer diagnoses

A new international study led by researchers at Karolinska Institutet in Sweden shows that AI-based models can outperform human experts at identifying ovarian cancer in ultrasound images. The study is published in Nature Medicine. "Ovarian tumors are common and are often detected by chance," says Professor Elisabeth Epstein at the Department of Clinical Science and Education, Södersjukhuset (Stockholm South General Hospital), at Karolinska Institutet and senior consultant at the hospital's Department of Obstetrics and Gynecology. "There is a serious shortage of ultrasound experts in many parts of the world, which has raised concerns of unnecessary interventions and delayed cancer diagnoses. We therefore wanted to find out if AI can complement human experts." AI outperforms experts The researchers have developed and validated neural network models able to differentiate between benign and malignant ovarian lesions, having trained and tested the AI on more than 17,000 ultrasound images from 3,652 patients across 20 hospitals in eight countries. They then compared the models' diagnostic capacity with a large group of experts and less experienced ultrasound examiners. The results showed that the AI models outperformed both expert and non-expert examiners at identifying ovarian cancer, achieving an accuracy rate of 86.3%, compared to 82.6% and 77.7% for the expert and non-expert examiners respectively. "This suggests that neural network models can offer valuable support in the diagnosis of ovarian cancer, especially in difficult-to-diagnose cases and in settings where there's a shortage of ultrasound experts," says Professor Epstein. Reducing the need for expert referrals The AI models can also reduce the need for expert referrals. In a simulated triage situation, the AI support cut the number of referrals by 63% and the misdiagnosis rate by 18%. This can lead to faster and more cost-effective care for patients with ovarian lesions. Despite the promising results, the researchers stress that further studies are needed before the full potential of the neural network models and their clinical limitations are fully understood. "With continued research and development, AI-based tools can be an integral part of tomorrow's health care, relieving experts and optimizing hospital resources, but we need to make sure that they can be adapted to different clinical environments and patient groups," says Filip Christiansen, doctoral student in Professor Epstein's research group at Karolinska Institutet and joint first author with Emir Konuk at the KTH Royal Institute of Technology. The researchers are now conducting prospective clinical studies at Södersjukhuset to evaluate the everyday clinical safety and usefulness of the AI tool. Future research will also include a randomized multicenter study to examine its effect on patient management and health care costs.

AI-based models can outperform human experts at identifying ovarian cancer

Karolinska InstitutetJan 2 2025 A new international study led by researchers at Karolinska Institutet in Sweden shows that AI-based models can outperform human experts at identifying ovarian cancer in ultrasound images. The study is published in Nature Medicine. "Ovarian tumors are common and are often detected by chance," says Professor Elisabeth Epstein at the Department of Clinical Science and Education, Södersjukhuset (Stockholm South General Hospital), at Karolinska Institutet and senior consultant at the hospital's Department of Obstetrics and Gynecology. "There is a serious shortage of ultrasound experts in many parts of the world, which has raised concerns of unnecessary interventions and delayed cancer diagnoses. We therefore wanted to find out if AI can complement human experts." AI outperforms experts The researchers have developed and validated neural network models able to differentiate between benign and malignant ovarian lesions, having trained and tested the AI on over 17,000 ultrasound images from 3,652 patients across 20 hospitals in eight countries. They then compared the models' diagnostic capacity with a large group of experts and less experienced ultrasound examiners. The results showed that the AI models outperformed both expert and non-expert examiners at identifying ovarian cancer, achieving an accuracy rate of 86.3 per cent, compared to 82.6 per cent and 77.7 per cent for the expert and non-expert examiners respectively. This suggests that neural network models can offer valuable support in the diagnosis of ovarian cancer, especially in difficult-to-diagnose cases and in settings where there's a shortage of ultrasound experts." Professor Elisabeth Epstein, Department of Clinical Science and Education, Södersjukhuset (Stockholm South General Hospital), Karolinska Institutet Reducing the need for expert referrals The AI models can also reduce the need for expert referrals. In a simulated triage situation, the AI support cut the number of referrals by 63 per cent and the misdiagnosis rate by 18 per cent. This can lead to faster and more cost-effective care for patients with ovarian lesions. Despite the promising results, the researchers stress that further studies are needed before the full potential of the neural network models and their clinical limitations are fully understood. "With continued research and development, AI-based tools can be an integral part of tomorrow's healthcare, relieving experts and optimising hospital resources, but we need to make sure that they can be adapted to different clinical environments and patient groups," says Filip Christiansen, doctoral student in Professor Epstein's research group at Karolinska Institutet and joint first author with Emir Konuk at the KTH Royal Institute of Technology. Evaluating the safety of the AI support The researchers are now conducting prospective clinical studies at Södersjukhuset to evaluate the everyday clinical safety and usefulness of the AI tool. Future research will also include a randomized multicenter study to examine its effect on patient management and healthcare costs. The study was conducted in close collaboration with researchers at the KTH Royal Institute of Technology and was financed by grants from the Swedish Research Council, the Swedish Cancer Society, the Stockholm Regional Council, the Cancer Research Funds of Radiumhemmet and the Wallenberg AI, Autonomous Systems and Software Program (WASP). Elisabeth Epstein, Filip Christiansen and three co-authors have applied for a patent through the company Intelligyn for methods of computer-supported diagnostics. Elisabeth Epstein, Filip Christiansen and Kevin Smith, researcher at the KTH Royal Institute of Technology, also own shares in Intelligyn, for which Professor Epstein is an unsalaried manager. See the paper for a full list of conflicts of interest. Karolinska Institutet Journal reference: Christiansen, F., et al. (2025) International multicenter validation of AI-driven ultrasound detection of ovarian cancer. Nature Medicine. doi.org/10.1038/s41591-024-03329-4.