Comparison of Artificial Intelligence-based learning with the traditional method in the diagnosis of COVID-19 chest radiographs among postgraduate radiology residents
Main Article Content
Abstract
OBJECTIVE: To compare Artificial Intelligence (AI)-based teaching with traditional approach in chest radiographs to detect COVID-19 pneumonia.
METHODS: This prospective experimental randomized controlled trial was conducted at Pakistan Institute of Medical Sciences, Islamabad from July to November 2021, following ethical approval. Forty postgraduate radiology residents were randomly assigned into Group-A (traditional teaching; n=20) or Group-B (AI-based teaching; n=20) using a lottery method. Group-A engaged in one-on-one sessions for COVID X-ray reporting, while Group-B trained in AI-deep learning methods. Pre-tests assessed baseline knowledge, and post-training assessments compared learning outcomes. Statistical analysis using SPSS v25 included Independent sample t-tests and chi square test. Following initial assessments, teaching methods were exchanged between groups for comparison.
RESULTS: Out of 40 participants 60% were males and 40% were females, with mean age of 27.45±1.7 years. Group-B showed significantly higher post-test scores (9.40±0.598) compared to Group-A (7.75 ± 1.118) (p<0.001). The average improvement in scores was significantly higher in Group B based on the change from pre-test to post-test scores (p < 0.05). Significant score improvements favored Group-B across all training years (p <0.05). Gender analysis indicated similar score gains among males but significantly higher improvements in females in Group B (4.09±1.868 vs. 2.00±1.414, p<0.05).
CONCLUSION: AI approach proves significantly more time and cost efficient compared to traditional teaching methods in enhancing the ability of radiology residents. This highlight the potential of AI to optimize medical education by integration of AI technologies into radiology training programs, providing efficient, scalable, and effective learning experiences.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
Work published in KMUJ is licensed under a
Creative Commons Attribution 4.0 License
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
References
Fong SJ, Dey N, Chaki J, Fong SJ, Dey N, Chaki J. An introduction to COVID-19. Artif Intell Coronavirus Outbreak 2020:1-22. https://doi.org/10.1007%2F978-981-15-5936-5_1
Harris M, Qi A, Jeagal L, Torabi N, Menzies D, Korobitsyn A, et al. A systematic review of the diagnostic accuracy of artificial intelligence-based computer programs to analyze chest x-rays for pulmonary tuberculosis. PloS One 2019;14(9):e0221339. https://doi.org/10.1371/journal.pone.0221339
Tang X. The role of artificial intelligence in medical imaging research. BJR Open 2019;2(1):20190031. https://doi.org/10.1259/bjro.20190031
Litjens G, Kooi T, Bejnordi BE, Setio AAA, Ciompi F, Ghafoorian M, et al. A survey on deep learning in medical image analysis. Med Image Anal 2017;42:60-88. https://doi.org/10.1016/j.media.2017.07.005
Paul R, Hawkins SH, Balagurunathan Y, Schabath MB, Gillies RJ, Hall LO, et al.. Deep feature transfer learning in combination with traditional features predicts survival among patients with lung adenocarcinoma. Tomography 2016;2:388-95. https://doi.org/10.18383/j.tom.2016.00211
Putha P, Tadepalli M, Reddy B, Raj T, Chiramal JA, Govil S, et al. Can artificial intelligence reliably report chest x-rays?: Radiologist validation of an algorithm trained on 2.3 million x-rays. arXiv preprint. 2018 Jul 19. https://doi.org/10.48550/arXiv.1807.07455
Paranjape K, Schinkel M, Panday RN, Car J, Nanayakkara P. Introducing artificial intelligence training in medical education. JMIR Med Educ 2019;5(2):e16048. https://doi.org/10.2196/16048
Sapci AH, Sapci HA. Artificial Intelligence Education and Tools for Medical and Health Informatics Students [Systematic Review]. JMIR Med Educ 2020;6(1):e19285. https://doi.org/10.2196/19285
Van der Niet AG, Bleakley A. Where medical education meets artificial intelligence: 'Does technology care? Med Educ 2021;55(1):30-36. https://doi.org/10.1111/medu.1413
Varma JR, Fernando S, Ting BY, Aamir S, Sivaprakasam R. The Global Use of Artificial Intelligence in the Undergraduate Medical Curriculum [A Systematic Review]. Cureus 2023;15(5):e39701. https://doi.org/10.7759/cureus.39701
Webster CS. Artificial intelligence and the adoption of new technology in medical education. Med Educ 2021;55(1):6-7. https://doi.org/10.1111/medu.14409
Dorr F, Chaves H, Serra MM, Ramirez A, Costa ME, Seia J, et al. COVID-19 pneumonia accurately detected on chest radiographs with artificial intelligence. Intell-Based Med 2020;3:100014. https://doi.org/10.1016/j.ibmed.2020.100014
Rangarajan K, Muku S, Garg AK, Gabra P, Shankar SH, Nischal N, et al. Artificial Intelligence–assisted chest X-ray assessment scheme for COVID-19. Eur Radiol 2021;31:6039-48. https://doi.org/10.1007/s00330-020-07628-5
Baruah D, Runge L, Jones RH, Collins HR, Kabakus IM, McBee MP. COVID-19 Diagnosis on Chest Radiograph Using Artificial Intelligence. Cureus 2022;14(11):e31897. https://doi,org/10.7759/cureus.
Suresh K, Chandrashekara S. Sample size estimation and power analysis for clinical research studies. J Hum Reprod Sci 2012;5(1):7-13. https://doi.org/10.4103/0974-1208.97779
Andersen, S., & Ponti, M. Personalized Adaptive Learning and Artificial Intelligence in Higher Education [A Systematic Literature Review]. Educ Sci 2020;10(8), 205.
Stevens RH, Lopo AC. Artificial neural network comparison of expert and novice problem-solving strategies. Proc Annu Symp Comput Appl Med Care 1994;64-8.
Siemens, G., & Long, P. (2011). Penetrating the Fog: Analytics in Learning and Education. EDUCAUSE Review 2011;46(5):30-32.
Varma JR, Fernando S, Ting BY, Aamir S, Sivaprakasam R. The Global Use of Artificial Intelligence in the Undergraduate Medical Curriculum [A Systematic Review]. Cureus 2023;15(5). https://doi.org/10.7759/cureus.39701
Langet H, Bonopera M, De Craene M, Popoff A, Denis E, Pizaine G et al.nTurning novices into experts: can artificial intelligence transform echocardiography training?. Eur. Heart J. Cardiovasc. Imaging 2020;21(Suppl 1):319-275. https://doi.org/10.1093/ehjci/jez319.275
Keynejad RC. Global health partnership for student peer-to-peer psychiatry e-learning: lessons learned. Glob Health 2016;12(1):1-7. https://doi.org/10.1186/s12992-016-0221-5
O’donovan J, Maruthappu M. Distant peer-tutoring of clinical skills, using tablets with instructional videos and Skype: A pilot study in the UK and Malaysia. Med Teach 2015 May 4;37(5):463-9. https://org.doi/10.3109/0142159X.2014.956063
Lombardi, D. Evaluation of traditional and online learning in artificial intelligence. Proccedings of the Third Workshop on Technology Enhanced Learning Environments for Blended Education. 2022 June 10-11; Foggia, Italy. Retrieved from CEUR-WS.org
Xie H, Hwang GJ, Wong TL. Editorial note: from conventional AI to modern AI in education: reexamining AI and analytic techniques for teaching and learning. J Educ Techno Soc 2021;24(3).