Development and Validation of a Highly Generalizable Deep Learning Pulmonary Embolism Detection Algorithm

Several algorithms have been developed for the detection of pulmonary embolism, though generalizability and bias remain potential weaknesses due to small sample size and sample homogeneity. We developed and validated a highly generalizable deep-learning algorithm, Emboleye, for the detection of PE by using a large and diverse dataset, which included 30,574 computed tomography (CT) exams sourced from over 2,000 hospital sites. On angiography exams, Emboleye demonstrates an AUROC of 0.79 with a specificity of 0.99 while maintaining a sensitivity of 0.37 and PPV of 0.77. On non-angiography CT exams, Emboleye demonstrates an AUROC of 0.77 with a specificity of 0.99 while maintaining a sensitivity of 0.18 and PPV of 0.35.