a2z-1 for Multi-Disease Detection in Abdomen-Pelvis CT: External Validation and Performance Analysis Across 21 Conditions

We present a comprehensive evaluation of a2z-1, an artificial intelligence (AI) model designed to analyze abdomen-pelvis CT scans for 21 time-sensitive and actionable findings. Our study focuses on rigorous assessment of the model's performance and generalizability. Large-scale retrospective analysis demonstrates an average AUC of 0.931 across 21 conditions. External validation across two distinct health systems confirms consistent performance (AUC 0.923), establishing generalizability to different evaluation scenarios, with notable performance in critical findings such as small bowel obstruction (AUC 0.958) and acute pancreatitis (AUC 0.961). Subgroup analysis shows consistent accuracy across patient sex, age groups, and varied imaging protocols, including different slice thicknesses and contrast administration types. Comparison of high-confidence model outputs to radiologist reports reveals instances where a2z-1 identified overlooked findings, suggesting potential for quality assurance applications.

Neural Learning of One-of-Many Solutions for Combinatorial Problems in Structured Output Spaces

Recent research has proposed neural architectures for solving combinatorial problems in structured output spaces. In many such problems, there may exist multiple solutions for a given input, e.g. a partially filled Sudoku puzzle may have many completions satisfying all constraints. Further, we are often interested in finding {\em any one} of the possible solutions, without any preference between them. Existing approaches completely ignore this solution multiplicity. In this paper, we argue that being oblivious to the presence of multiple solutions can severely hamper their training ability. Our contribution is two fold. First, we formally define the task of learning one-of-many solutions for combinatorial problems in structured output spaces, which is applicable for solving several problems of interest such as N-Queens, and Sudoku. Second, we present a generic learning framework that adapts an existing prediction network for a combinatorial problem to handle solution multiplicity. Our framework uses a selection module, whose goal is to dynamically determine, for every input, the solution that is most effective for training the network parameters in any given learning iteration. We propose an RL based approach to jointly train the selection module with the prediction network. Experiments on three different domains, and using two different prediction networks, demonstrate that our framework significantly improves the accuracy in our setting, obtaining up to $21$ pt gain over the baselines.