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The question regarding whether CAD should be integrated into the workflow as a first reader or second reader should also be addressed.
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In some cases the software is used as a "second reader," to check the reliability of the human graders.
To assess the performance of an automated computer-aided detection (CAD) system as a second reader on chest CT studies interpreted as normal at routine clinical interpretation.
Of these, 10-15 are nominated for a prize by both the student's advisor as well as a second reader from the department.
Kheiron has developed deep-learning software to act as a second reader of mammograms, replacing one of the clinicians and potentially halving the workload of overstretched staff.
First, CAD can be used as a second reader for improvement of the detection of peripheral PE [56].
Skilled non-radiologists may play a vital role as a second reader of intraluminal findings or by performing quality control of examinations before patient dismissal.
In the authors' own experience, DWI helps to demarcate lesions adjacent to the pleura (Fig. 3), assess mediastinal extension and may serve as a "second reader" for detection of small nodules.
The system's output acts as a second reader opinion.
In a study by Engelke et al., 56 CTPA were evaluated by two experienced and two inexperienced readers with CAD as a second reader [ 17].
The literature is controversial with regard to whether application of CAD as a second reader should allow for the discharge of lesions located during primary unassisted reading (as done in our study) or should only be used to add potential lesions (add-on mode) [ 13].
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