CheXstray: A Real-Time Multi-Modal Monitoring Workflow for Medical Imaging AI
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More recent works that seek to directly detect data drift in clinical settings are not systematic, often do not include examples of real-world drift, and still use decreases in performance measures to demonstrate utility.
“While more recent works also seek to directly detect data drift in clinical settings 19,27 , their explorations of data drift are not systematic, often do not include examples of real-world drift, and still use decreases in performance measures to demonstrate the utility of their methods.”
From Empirical data drift detection experiments on real-world medical imaging data (2024) · cites this paper as [19]
Cites
Densely Connected Convolutional Networks
Huang, G., Liu, Z., Van Der Maaten, L., & Weinberger, K. Q. (2017) · 2017 IEEE Conference on Computer Vision and Pattern Recognition (CVPR) · doi:10.1109/cvpr.2017.243 · Cited by 48,566 · see citing works
Pearson, K. (1900) · The London Edinburgh and Dublin Philosophical Magazine and Journal of Science · doi:10.1080/14786440009463897 · Cited by 4,134 · see citing works
Benjamens, S., Dhunnoo, P., & Meskó, B. (2020) · npj Digital Medicine · doi:10.1038/s41746-020-00324-0 · Cited by 1,215 · see citing works
The Clinician and Dataset Shift in Artificial Intelligence
Finlayson, S. G., Subbaswamy, A., Singh, K., Bowers, J., Kupke, A., Zittrain, J., Kohane, I. S., & Saria, S. (2021) · New England Journal of Medicine · doi:10.1056/nejmc2104626 · Cited by 855 · see citing works
Labeled Optical Coherence Tomography (OCT) and Chest X-Ray Images for Classification
Kermany, D. (2018) · Data Archiving and Networked Services (DANS) · doi:10.17632/rscbjbr9sj.2 · Cited by 758 · see citing works
PadChest: A large chest x-ray image dataset with multi-label annotated reports
Bustos, A., Pertusa, A., Salinas, J.-M., & de la Iglesia-Vayá, M. (2020) · Medical Image Analysis · doi:10.1016/j.media.2020.101797 · Cited by 691 · see citing works
Introduction to the DICOM standard
Mildenberger, P., Eichelberg, M., & Martin, E. (2001) · European Radiology · doi:10.1007/s003300101100 · Cited by 481 · see citing works
van Leeuwen, K. G., Schalekamp, S., Rutten, M. J. C. M., van Ginneken, B., & de Rooij, M. (2021) · European Radiology · doi:10.1007/s00330-021-07892-z · Cited by 461 · see citing works
Machine Learning: The High Interest Credit Card of Technical Debt
Sculley, D., Holt, G. D., Golovin, D., Davydov, E. V., Phillips, T., Ebner, D., Chaudhary, V., & Young, M. (2014) · Cited by 218 · see citing works
Eche, T., Schwartz, L. H., Mokrane, F.-Z., & Dercle, L. (2021) · Radiology: Artificial Intelligence · doi:10.1148/ryai.2021210097 · Cited by 163 · see citing works
(2008) · Springer eBooks · doi:10.1007/978-0-387-32833-1_214 · Cited by 114 · see citing works
Applications of artificial intelligence (AI) in diagnostic radiology: a technography study
Mehrizi, M. H. R., van Ooijen, P. M. A., & Homan, M. (2020) · European Radiology · doi:10.1007/s00330-020-07230-9 · Cited by 107 · see citing works
Integrating AI into radiology workflow: levels of research, production, and feedback maturity
Dikici, E., Bigelow, M. T., Prevedello, L. M. S., White, R., & Erdal, B. S. (2020) · Journal of medical imaging · doi:10.1117/1.jmi.7.1.016502 · Cited by 103 · see citing works
The State of Radiology AI: Considerations for Purchase Decisions and Current Market Offerings
Tadavarthi, Y., Vey, B. L., Krupinski, E. A., Prater, A. B., Gichoya, J. W., Safdar, N. M., & Trivedi, H. (2020) · Radiology Artificial Intelligence · doi:10.1148/ryai.2020200004 · Cited by 78 · see citing works
Global Trend in Artificial Intelligence–Based Publications in Radiology From 2000 to 2018
West, E., Mutasa, S., Zhu, Z., & Ha, R. S. (2019) · American Journal of Roentgenology · doi:10.2214/ajr.19.21346 · Cited by 77 · see citing works
Tariq, A., Purkayastha, S., Padmanaban, G. P., Krupinski, E., Trivedi, H., Banerjee, I., & Gichoya, J. W. (2020) · Journal of the American College of Radiology · doi:10.1016/j.jacr.2020.08.018 · Cited by 63 · see citing works
The Algorithmic Audit: Working with Vendors to Validate Radiology-AI Algorithms—How We Do It
Mahajan, V., Venugopal, V. K., Murugavel, M., & Mahajan, H. (2019) · Academic Radiology · doi:10.1016/j.acra.2019.09.009 · Cited by 57 · see citing works
Imaging AI in Practice: A Demonstration of Future Workflow Using Integration Standards
Wiggins, W. F., Magudia, K. A., Schmidt, T. M. S., O’Connor, S. D., Carr, C. D., Kohli, M. D., & Andriole, K. P. (2021) · Radiology Artificial Intelligence · doi:10.1148/ryai.2021210152 · Cited by 43 · see citing works
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Empirical data drift detection experiments on real-world medical imaging data
Kore, A., Abbasi Bavil, E., Subasri, V., Abdalla, M., Fine, B., Dolatabadi, E., & Abdalla, M. (2024) · Nature Communications · doi:10.1038/s41467-024-46142-w · Cited by 124 · see citing works
“In the initial set of experiments, following from prior literature 19,31 , we reported model performance using AUROC.”
InfluentialMonitoring performance of clinical artificial intelligence in health care: a scoping review
Andersen, E. S., Birk-Korch, J. B., Hansen, R. S., Fly, L. H., Röttger, R., Arcani, D. M. C., Brasen, C. L., Brandslund, I., & Madsen, J. S. (2024) · JBI Evidence Synthesis · doi:10.11124/jbies-24-00042 · Cited by 73 · see citing works
Hussain, D., Al‐masni, M. A., Aslam, M., Sadeghi‐Niaraki, A., Hussain, J., Gu, Y. H., & Naqvi, R. A. (2024) · Journal of X-Ray Science and Technology · doi:10.3233/xst-230429 · Cited by 50 · see citing works
van der Vorst, J. P., Smit, J. M., van de Sande, D., van der Ster, B. J. P., Daams, F. D., Schasfoort, R. A., Gommers, D. A. M. P. J., Verhoef, C. K., Grünhagen, D. J., van Genderen, M. E., et al. (2025) · BMJ Digital Health & AI · doi:10.1136/bmjdhai-2025-000046 · Cited by 16 · see citing works
“11 While such monitoring systems have been developed in radiology, 10 12 there remains a significant gap in similar frameworks for electronic health record (EHR)- based AI decision support systems.”
Chow, J., Lee, R., & Wu, H. (2025) · Journal of Imaging Informatics in Medicine · doi:10.1007/s10278-025-01493-8 · Cited by 18 · see citing works
Robust Stochastic Neural Ensemble Learning With Noisy Labels for Thoracic Disease Classification
Wang, H., Jiang, H., Cui, H., Yuan, B., & Xia, Y. (2024) · IEEE Transactions on Medical Imaging · doi:10.1109/tmi.2024.3357986 · Cited by 14 · see citing works
“To prevent the presence of additional confounding factors [56], we focused on the common seven observations across the three datasets, selected based on clinical importance and prevalence, including the atelectasis, cardiomegaly, consolidation, edema, effusion, pneumonia, pneumothorax.”
MethodMetrics for Artificial Intelligence in Medicine: A Reference Resource
Gonzales, R. A., Takahashi, M. S., Retson, T., Banerjee, I., Park, S. H., & Kahn, C. E. (2026) · Radiology Artificial Intelligence · doi:10.1148/ryai.260070 · Cited by 3 · see citing works
Benefits of spatial uncertainty aggregation for segmentation in digital pathology
Pocevičiūtė, M., Eilertsen, G., & Lundström, C. F. (2024) · Journal of medical imaging · doi:10.1117/1.jmi.11.1.017501
“11 Relying solely on the DL output score to assess the reliability of the predictions often does not work well due to the commonly observed over-confidence of such algorithms.”
BackgroundRaval, A. S., Solanki, V. N., & Prajapati, H. (2026) · Advances in computational intelligence and robotics book series · doi:10.4018/979-8-3373-7315-7.ch001
Salam, A., Andono, P. N., Purwanto, Soeleman, M. A., Santoso, A. G., Dewi, I. N., & Wright, S.-G. (2026) · Healthcare Analytics · doi:10.1016/j.health.2026.100473
Salam, A., Paramita, C., Andono, P. N., Purwanto, Soeleman, M. A., Hidayat, E. Y., Kurniawan, D., Rizky, D., Setiawan, B., Santoso, A. G., et al. (2026) · Array · doi:10.1016/j.array.2026.101225
- Authors
- Merkow, J., Soin, A., Long, J., Cohen, J. P., Saligrama, S., Bridge, C., Yang, X., Kaiser, S., Borg, S., Tarapov, I., & Lungren, M. P.
- Affiliations
- Microsoft (United States) (US)
- Stanford University (US)
- Harvard University (US)
- Massachusetts General Hospital (US)
- Corresponding author
- Merkow, Jameson
- Venue
- Lecture Notes in Computer Science
- Publisher
- Springer Nature Switzerland
- Published
- 2023
- Pages
- 326-336
- ISSN
- 0302-9743 (ISSN-L)
- 1611-3349
- OpenAlex
- W4387211755
- Cited by
- 13
- References
- 19
- Citations by year
- 2026: 6 · 2025: 2 · 2024: 5
- FWCI
- 2.18
- Type
- conference paper
- Language
- en
- Open access
- closed
- Licence
- Locations
- Lecture notes in computer science (publishedVersion)
- Topics
- Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › COVID-19 diagnosis using AI
- Physical Sciences › Computer Science › Artificial Intelligence › Explainable Artificial Intelligence (XAI)
- Keywords
- model drift detection, medical imaging AI, real-time monitoring, variational autoencoder, DICOM metadata, chest radiography, pediatric pneumonia, CheXpert
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