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DraiNet: AI-driven decision support in pneumothorax and pleural effusion management

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This study presents DraiNet, a deep learning model developed to detect pneumothorax and pleural effusion in pediatric patients and aid in assessing the necessity for tube thoracostomy. The primary goal is to utilize DraiNet as a decision support tool to enhance clinical decision-making in the management of these conditions.


DraiNet was trained on a diverse dataset of pediatric CT scans, carefully annotated by experienced surgeons. The model incorporated advanced object detection techniques and underwent evaluation using standard metrics, such as mean Average Precision (mAP), to assess its performance.


DraiNet achieved an impressive mAP score of 0.964, demonstrating high accuracy in detecting and precisely localizing abnormalities associated with pneumothorax and pleural effusion. The model’s precision and recall further confirmed its ability to effectively predict positive cases.


The integration of DraiNet as an AI-driven decision support system marks a significant advancement in pediatric healthcare. By combining deep learning algorithms with clinical expertise, DraiNet provides a valuable tool for non-surgical teams and emergency room doctors, aiding them in making informed decisions about surgical interventions. With its remarkable mAP score of 0.964, DraiNet has the potential to enhance patient outcomes and optimize the management of critical conditions, including pneumothorax and pleural effusion.

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Authors and Affiliations



OCT: Led the study conceptualization, methodology, original draft writing, and visualization. MAA: Contributed to the manuscript’s review and editing. SM: Managed data curation and resources.

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Correspondence to Ozan Can Tatar.

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Tatar, O.C., Akay, M.A. & Metin, S. DraiNet: AI-driven decision support in pneumothorax and pleural effusion management. Pediatr Surg Int 40, 30 (2024).

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