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Author Agramunt, J. et al; Tain, J.L.; Albiol, F.; Algora, A.; Domingo-Pardo, C.; Jordan, M. D.; Rubio, B.; Tarifeño-Saldivia, A.; Valencia, E. doi  openurl
  Title Characterization of a neutron-beta counting system with beta-delayed neutron emitters Type Journal Article
  Year 2016 Publication Nuclear Instruments & Methods in Physics Research A Abbreviated Journal Nucl. Instrum. Methods Phys. Res. A  
  Volume 807 Issue Pages 69-78  
  Keywords Beta-delayed neutron emission probability; Neutron and beta counters; Self-triggered digital data acquisition system; Geant4 simulations  
  Abstract A new detection system for the measurement of beta-delayed neutron emission probabilities has been characterized using fission products with well known beta-delayed neutron emission properties. The setup consists of BELEN-20, a 4 pi-neutron counter with twenty He-3 proportional tubes arranged inside a large polyethylene neutron moderator, a thin Si detector for beta counting and a self-triggering digital data acquisition system. The use of delayed-neutron precursors with different neutron emission windows allowed the study of the effect of energy dependency on neutron, beta and beta-neutron rates. The observed effect is well reproduced by Monte Carlo simulations. The impact of this dependency on the accuracy of neutron emission probabilities is discussed. A new accurate value of the neutron emission probability for the important delayed-neutron precursor I-137 was obtained, P-n = 7.76(14)%.  
  Address [Agramunt, J.; Tain, J. L.; Albiol, E.; Algora, A.; Domingo-Pardo, C.; Jordan, M. D.; Rubio, B.; Tarifeno-Saldivia, A.; Valencia, E.] Univ Valencia, CSIC, Inst Fis Corpuscular, E-46071 Valencia, Spain, Email: Tain@ific.uv.es  
  Corporate Author Thesis  
  Publisher Elsevier Science Bv Place of Publication Editor  
  Language English Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 0168-9002 ISBN Medium  
  Area Expedition Conference  
  Notes WOS:000365596200010 Approved no  
  Is ISI yes International Collaboration (up) yes  
  Call Number IFIC @ pastor @ Serial 2481  
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Author Schaffter, T. et al; Albiol, F.; Caballero, L. doi  openurl
  Title Evaluation of Combined Artificial Intelligence and Radiologist Assessment to Interpret Screening Mammograms Type Journal Article
  Year 2020 Publication JAMA Network Open Abbreviated Journal JAMA Netw. Open  
  Volume 3 Issue 3 Pages e200265 - 15pp  
  Keywords  
  Abstract Importance Mammography screening currently relies on subjective human interpretation. Artificial intelligence (AI) advances could be used to increase mammography screening accuracy by reducing missed cancers and false positives. Objective To evaluate whether AI can overcome human mammography interpretation limitations with a rigorous, unbiased evaluation of machine learning algorithms. Design, Setting, and Participants In this diagnostic accuracy study conducted between September 2016 and November 2017, an international, crowdsourced challenge was hosted to foster AI algorithm development focused on interpreting screening mammography. More than 1100 participants comprising 126 teams from 44 countries participated. Analysis began November 18, 2016. Main Outcomes and Measurements Algorithms used images alone (challenge 1) or combined images, previous examinations (if available), and clinical and demographic risk factor data (challenge 2) and output a score that translated to cancer yes/no within 12 months. Algorithm accuracy for breast cancer detection was evaluated using area under the curve and algorithm specificity compared with radiologists' specificity with radiologists' sensitivity set at 85.9% (United States) and 83.9% (Sweden). An ensemble method aggregating top-performing AI algorithms and radiologists' recall assessment was developed and evaluated. Results Overall, 144231 screening mammograms from 85580 US women (952 cancer positive <= 12 months from screening) were used for algorithm training and validation. A second independent validation cohort included 166578 examinations from 68008 Swedish women (780 cancer positive). The top-performing algorithm achieved an area under the curve of 0.858 (United States) and 0.903 (Sweden) and 66.2% (United States) and 81.2% (Sweden) specificity at the radiologists' sensitivity, lower than community-practice radiologists' specificity of 90.5% (United States) and 98.5% (Sweden). Combining top-performing algorithms and US radiologist assessments resulted in a higher area under the curve of 0.942 and achieved a significantly improved specificity (92.0%) at the same sensitivity. Conclusions and Relevance While no single AI algorithm outperformed radiologists, an ensemble of AI algorithms combined with radiologist assessment in a single-reader screening environment improved overall accuracy. This study underscores the potential of using machine learning methods for enhancing mammography screening interpretation. Question How do deep learning algorithms perform compared with radiologists in screening mammography interpretation? Findings In this diagnostic accuracy study using 144231 screening mammograms from 85580 women from the United States and 166578 screening mammograms from 68008 women from Sweden, no single artificial intelligence algorithm outperformed US community radiologist benchmarks; including clinical data and prior mammograms did not improve artificial intelligence performance. However, combining best-performing artificial intelligence algorithms with single-radiologist assessment demonstrated increased specificity. Meaning Integrating artificial intelligence to mammography interpretation in single-radiologist settings could yield significant performance improvements, with the potential to reduce health care system expenditures and address resource scarcity experienced in population-based screening programs. This diagnostic accuracy study evaluates whether artificial intelligence can overcome human mammography interpretation limits with a rigorous, unbiased evaluation of machine learning algorithms.  
  Address [Schaffter, Thomas; Hoff, Bruce; Yu, Thomas; Neto, Elias Chaibub; Friend, Stephen; Guinney, Justin] Sage Bionetworks, Computat Oncol, Seattle, WA USA, Email: gustavo@us.ibm.com  
  Corporate Author Thesis  
  Publisher Amer Medical Assoc Place of Publication Editor  
  Language English Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 2574-3805 ISBN Medium  
  Area Expedition Conference  
  Notes WOS:000519249800002 Approved no  
  Is ISI yes International Collaboration (up) yes  
  Call Number IFIC @ pastor @ Serial 4683  
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