| No. of studies |  |  |  | P valueb |  |  |  | P value |
---|---|---|---|---|---|---|---|---|---|
Overall | 16 | Sensitivity | P value a | I2(95%CI) | Â | Specificity | P value | I2 (95%CI) | Â |
Algorithm | Â | Â | Â | Â | 0.11 | Â | Â | Â | 0.83 |
Deep Learning | 13 | 0.86 (0.80–0.90) | < 0.05 | 99.41 (99.37–99.47) | 0.94 (0.92–0.96) | < 0.05 | 99.71 (99.70–99.72) | ||
Machine Learning | 3 | 0.93 (0.88–0.95) | < 0.05 | 91.47 (88.74–94.21) | 0.92 (0.87–0.95) | < 0.05 | 87.72 (83.33–92.10) | ||
Transfer Learning Applied | Â | Â | Â | 0.92 | Â | Â | Â | 0.55 | |
Yes | 6 | 0.88 (0.80–0.93) | < 0.05 | 99.67 (99.65–99.69) | 0.95 (0.92–0.97) | < 0.05 | 99.85 (99.84–99.85) | ||
No | 10 | 0.85 (0.80–0.89) | < 0.05 | 91.29 (89.67–92.91) | 0.91 (0.88–0.93) | < 0.05 | 92.39 (91.04–93.75) | ||
Human Clinicians versus Algorithms |  |  |  | 0.01 |  |  | < 0.05 | ||
Clinicians | 3 | 0.70 (0.65–0.75) | < 0.05 | 77.53 (69.54–85.53) | 0.86 (0.82–0.89) | < 0.05 | 84.09 (78.94–89.23) | ||
Algorithms | 13 | 0.91 (0.86–0.94) | < 0.05 | 99.60 (99.58–99.62) | 0.96 (0.93–0.97) | < 0.05 | 99.81 (99.80–99.82) | ||
Sample size | Â | Â | Â | Â | 0.45 | Â | Â | Â | 0.39 |
≤ 200 | 11 | 0.88 (0.84–0.92) | < 0.05 | 98.71 (98.55–98.86) | 0.91 (0.87–0.94) | < 0.05 | 99.02 (98.91–99.13) | ||
> 200 | 5 | 0.86 (0.78–0.91) | < 0.05 | 99.47 (99.43–99.50) | 0.95 (0.92–0.97) | < 0.05 | 99.77 (99.76–99.78) | ||
Geographical distribution | Â | Â | Â | 0.67 | Â | Â | Â | 0.51 | |
Asia | 10 | 0.88 (0.83–0.91) | < 0.05 | 99.34 (99.30–99.38) | 0.94 (0.92–0.96) | < 0.05 | 99.71 (99.70–99.72) | ||
Non Asia | 6 | 0.83 (0.72–0.90) | < 0.05 | 99.23 (99.09–99.36) | 0.91 (0.82–0.96) | < 0.05 | 99.40 (99.31–99.50) |